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Qualitative analysis of the open questions revealed that lack of knowledge, fear, resistance to change, and difficulty in implementation were perceived as barriers to the adoption of reporting guidelines by journals.
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The average progress of implementation was perceived at 54 % (data not presented).
However, their mandate from senior surgical management to carry out the implementation was perceived by staff as unclear.
This article reports how the implementation was perceived by the different professionals, and discusses how professional subcultures in health care influence implementation.
For many participants, NIMART implementation was perceived as empowering as it enabled them to develop and use systems that worked within their local context.
The prevention focus influenced how implementation challenges were perceived and addressed.
Interviews focused on the Swedish model for developing national guidelines and explored how implementation challenges were perceived and handled during the guideline development process.
By illustrating how specific implementation challenges were perceived and addressed throughout different phases of guideline development, this study can provide some ideas for how to improve guideline development and support the implementation of preventive actions in health systems and health care practices.
From a long-term perspective, continuous monitoring and systematic timely communication of the results achieved in the post-implementation phase were perceived by most respondents to encourage staff to sustain behaviour changes and therefore as contributing to sustained quality improvement.
The RG's project form and timeframe for implementation and evaluation were perceived as barriers and were reported to hinder the implementation process at the county council management and clinical levels.
Educational climate in DREEM and implementation of the MS were perceived more negatively by students than by faculty, but each group gave itself a better grade.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com