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In communities where the iCCM program was well-accepted, it was perceived as difficult to neither understand nor use by community members.
Interestingly, "head of bed elevation" - a practice ranked very low in the "European care bundle" because it was perceived as difficult to implement - was mentioned by 96% of the respondents; this clinical practice was known by 85% of European nurses participating in a knowledge test about VAP prevention practices [ 25].
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Although fast charging was associated with higher flexibility, when respondents started to reflect their own mobility patterns it became clear that this option was perceived as difficult to implement into daily routines.
Gender equality was perceived as difficult to grasp because it represented a contrary set of values to those the young man had learned from his environment.
Recruiting the target number of research participants was perceived as difficult, especially for clinical trials.
In this situation, exploration and open-ness was perceived as difficult in both modes.
Giving instructive feedback (according to the feedback guidelines) was perceived as difficult.
A general conclusion was that Doloplus-2 assessment in many of these patients was perceived as difficult.
Not being able to manage the home was perceived as difficult and affected the women's self-image as well as their independence.
The deliverance of a death notification to the next of kin that a loved one has died was perceived as difficult.
The prohibition on leaving the country was perceived as difficult by 18 (23.4%) of 77 respondents; 11 (14.3%) perceived serious restrictions on their social life, and 24 (31.2%) reported feeling stressed on a regular basis during monitoring.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com