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As such, this variation might be ascribed not only to measurable obstetric interventions but also less tangible practices; for instance, the time of admittance of a woman in early stages of labour might depend on staff numbers, which vary during the week.
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We should advance the science of bereavement among all cultures, races, ethnicities and religions and parlay our findings into tangible practice and support.
There is an immediate and almost tangible practicality to the practice of accepting myself - choosing to share the words and scenes and stories in which I am interested, for no other reason than I am interested in those words, scenes and stories.
Recently, Smith (e.g., Smith 2011a 2011b) situated these behaviours within an evolutionary framework that views tangible management practices as aspects of niche construction.
How this translates into tangible communication practices, and the mechanisms by which these may influence treatment engagement are less conclusive and require more sophisticated studies and methodological techniques.
However, there is little evidence to demonstrate that this investment has had a tangible impact on practice.
But, in my experience, most SBNRs are not just dabbling, they are probing for teachings that make sense to them and produce tangible results in practice.
The small, positive effects found in this study occurred without any tangible change in practice activity or patient referral patterns.
Tangible outcomes for practice are a key component of the model and, as proposed earlier, clear methods for identifying and measuring these should be stipulated at the outset.
Future research should therefore examine the utility of CRR as a learning and improvement tool, '…working on the nuts and bolts of how we turn measurement for improvement into tangible change in practice… [ 35]'.
In recent years there has been an emphasis on the development of teaching techniques and technologies aimed at engaging students and providing a much more tangible opportunity to practice problem solving.
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