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What barriers and enablers affected the implementation of this role?
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Some studies suggest the implementation of these roles can result in improved medication use and health outcomes and reduced health service use and cost [ 10- 12].
Additionally, the high costs associated with the implementation of this technology also played a crucial role in its acceptance.
The CS for diabetes was the first one to be developed by the NDF in April 2003 and the NDF took a leading role in the implementation of this CS [ 2, 8].
However, our findings will be of interest to policymakers in other countries involved in the development and implementation of this role.
It was felt that full implementation of this role had not been realised and this limited the nurse practitioners' ability to work to their full scope of practice.
There was also a marked decrease in hospital admissions from emergency after the implementation of the NP role.
Future papers will discuss in greater detail the success of specific toolkit strategies and of the implementation of the PMA role more generally.
Before the implementation of the NP role, the wait time for an appointment ranged from one to six weeks across the three cases.
Lack of time is the most significant obstacle standing against the implementation of nontraditional roles of pharmacists worldwide [ 30, 42- 44].
Bryant-Lukosius and DiCenso [ 40] developed 'The PEPPA Framework' to guide the implementation of advanced practice roles.
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