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Students, instructors, and support staff needed a more comprehensive implementation strategy.
More comprehensive implementation strategies will be important in a future evaluation trial in order to improve fidelity, given that the overall fidelity to treatment delivery in the ICONS feasibility trial appeared to be relatively low.
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Besides, Tooher [ 55], reaches the conclusion that with regard to guidelines on pressure ulcers, the more comprehensive the implementation strategies are (that is, the greater the variety and breadth of the strategies) the more effective their implementation seems to be in the long term.
The paper also highlights the application of innovative approaches and science-based tools to understand and monitor ecosystem functioning and changes; the use of scientific information to identify appropriate management policy and interventions at varying scales and offers some key actions for consideration to support a more comprehensive EBM implementation.
Although the results are not yet available because the study is still in progress, it is presented along with the other major studies under this project to show how methodological triangulation can be used in conjunction with theory in evaluation studies to gain a more comprehensive understanding of implementation issues.
Second, infection control practices were insufficient to protect employees, creating an argument for detailed evidence-based guidelines and a more comprehensive approach to implementation.
These challenges have been documented by individual organizations in Australia [ 8] and Canada [ 9] but a more comprehensive examination of implementation challenges is lacking [ 10].
It paves the way for a clear recommendation: early childhood provision and services aimed at the Roma must be developed in partnership with them, be more comprehensive in their implementation and promote social inclusion in order to foster tolerance, diversity and inter-cultural understanding.
Were we to repeat this exercise, we would pay greater attention to the manner in which we advocated our specific approach to developing performance indicators, and we would prioritise project resources to provide a more comprehensive communications and implementation support function.
For example, it is essential to consider flexible design, quick deployment, extensible implementation, more comprehensive interconnections, and more intelligence (e.g. [73]).
Having analysed the literature on the matter, and several experiences, it becomes evident that the concepts of governance and landlord require more debate in order to reach a more comprehensive definition and its implementation.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com