Such assessment can be misleading as it is quite possible to have a study with low risk of bias for its primary and secondary outcomes that performed tokenistic or ineffective patient engagement.
The existing QI communication structure within ICUs is highly ineffective for staff engagement, and a QI bubble seems to exist in terms of knowledge transfer.
However, the existing communication structure was perceived to be ineffective for staff engagement since it was based on a hierarchical approach to knowledge transfer and project awareness.
As such, we welcome the statement that the Trust would consider this step if engagement proves ineffective.
Without appropriate training or experience, attempts to facilitate community and patient engagement are often ineffective and burdensome and leave stakeholders feeling disenfranchised.
T-cell receptor engagement alone is ineffective in activating the pathways needed to produce the proinflammatory cytokines and other growth factors required for the induction of the pathogenic autoimmune response.
The data emerging from these and similar efforts will help inform deliberations about methods of evaluation and identify effective, ineffective, and potentially detrimental or harmful methods of engagement.
Poor governance, exemplified by poor accountability and transparency, corruption and limited engagement of communities in health, contributes to ineffective health systems [ 2].
The engagement policy the United States followed in 1994 would be ineffective and unfeasible today.
To this end, Gordon et al. (2013) assessed the extent of community engagement by the Australian plantation forest industry, and while stakeholders often considered the engagement to be ineffective, measures were identified to enhance relationships with stakeholders and the required skills of forestry professionals.
Further, health providers were unsure of what to advise women regarding appropriate GWG and described barriers to engagement including insufficient training, concern about the sensitivity around weight, and the perception that counselling is ineffective.
