In China, caring curriculum in nursing is insufficient and the implementation of strategies to improve caring ability is rare [ 40].
The demand for clear and practical "cookbook" type CPGs can be insufficient for the implementation of EBM [ 19, 35] at least as a method and attitude for searching and appraising the best for patients' care.
Unsuitable or insufficient staffing undermined the implementation and sustainability of a CCM [ 27].
Next to the insufficient implementation of the treatment of MDD, the RTW strategies of workers sick listed due to mental health problems are sub-optimal.
Patients are treated in multiple ways, and the lack of scientific arguments for referral and the insufficient implementation of guidelines result in unclear treatment strategies.
This is due in part to insufficient planning to support the implementation.
Hence, the existing evidence is inconclusive and insufficient to result in the implementation of exercise programs in routine clinical care for patients with PAH.
The organisational structure of the project is suitable for the community-based approach of the project, however, there was insufficient time allowed for the implementation of the project with technical support.
The authors concluded that there is insufficient evidence to recommend the implementation of any one intervention model and that there continues to be a need for well-designed, adequately powered, randomized controlled trials.
Kwan and Sandercock [ 101] conclude that stroke care pathways may be associated with positive and negative effects and that there is currently insufficient evidence to justify the implementation of care pathways for acute stroke management or stroke rehabilitation.
