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In order to meet these patient outcomes, multidisciplinary care pathways must be designed, implemented, and sustained, a process that is challenging at best.
For new norms to endure and generate different patterns of behaviour, they need to be confirmed and reinforced through social interaction: "… shared meanings are created and sustained – a process which happens, as it were, between people, not simply in their private thought worlds" ([ 25]: 11).
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However, several studies have shown that this process easily fails and have addressed the difficulties that managers encounter in relation to sustaining a process of professionalisation [ 13, 16, 17].
La Virgen has managed to create and sustain a process that promotes team learning on IPV and ensures an internal and external referral system to support providers dealing with IPV cases.
Certainly there must be such processes to sustain a lineage, processes that explain the constant reproduction of very similar entities, but we should not assume there is anything common to these processes beyond their capacity to produce this outcome.
It faced three giant tasks: to bring better government to one of South Asia's poorest countries; to help sustain a peace process that followed a bitter, decade-long struggle; and to preside over the writing of a new constitution.
Locke is later critical of the Harlem Renaissance because it failed to sustain a cyclical process of rebirth.
The main control objective is to sustain a progressive process performance by controlling the turbine inlet temperature (TIT) at desirable set-point(s) when NSP drops below the design value.
You cannot sustain a change process without passion.
Some further strategies for sustaining a dynamic process follow.
Only by meeting their basic needs can the country hope to sustain a broader process of development," said Mehr Khan, Regional Director for East Asia and the Pacific.
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