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During observations of these workshops, project staff noticed a large degree of variance in implementation and made note of facilitator knowledge and skills that appeared likely to correspond to higher levels of effectiveness and fidelity.
The findings of the second study demonstrated wide variance in implementation of the offer of a 60-hour stay among the sites and focus groups revealed that none of the hospitals acknowledged the 60-hour stay as an official policy.
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With information from the process evaluation, we will also be able to explain variances in implementation and outcomes (measured in the RCT) across and within the HAs.
In TOMIS II, the findings shown in Table 1 demonstrate wide variance in the implementation of the offer of 60-hour stay among the sites.
A Dutch study examining the response to the Q-fever outbreak showed large regional variance in the implementation of the nationally advised measures [ 7].
Despite the availability of proposed methodologies [ 12] there is considerable variance in the quality of the implementation.
But the test will lie in implementation.
Clearly, care is needed in implementation.
Long delay in implementation.
The problem lies in implementation.
The challenge is in implementation.
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