Researchers hypothesize that CM is less widespread because of its cost, associated workload, difficulty of implementation, lack of fit with current interventions, and philosophical objections (Kirby et al. 1998; McGovern et al. 2004; Petry & Simcic 2002).
We had difficulty recruiting Practice Nurses to be interviewed (n = 5) and reasons cited included workload, difficulty freeing the time up in their working day and level of reimbursement.
Features of demanding work included: excessive scope of practice and lack of role clarification; complex practice (e.g. dealing with multiple health issues); insufficient resources; excessive workload; difficulties in having positive impact on health outcomes; and challenges in bridging the cultural gap.
The participants also cited multiple areas for improvement related to data sharing (e.g., time constraints, data being sent in a timely fashion) and to their standard practices in the community (e.g., busy workloads, difficulties in data sharing, duplication of assessments between professionals).
This process is often performed using a paper-based mode, which intensifies workload and difficulty, wastes time, and is at risk of human errors.
Because electronic reporting was not yet common, surveillance was halted due to the workload and difficulties in interpreting surveillance data because most of the positive findings were based on cultures only.
Overall the most frequently mentioned barriers identified by the participants were time constraints, staff workloads, the difficulty of coordinating professionals, failure to synchronize the client care interventions, lack of human resources, high staff turnover, lack of cohesion among professionals in the teams and different work methods and vocabulary.
In order to cover a wide range of mental workload levels, task difficulty was manipulated in terms of processing load and difficulty of control – two critical sources of workload associated with piloting and remotely operating a vehicle.
The calculation has big workload and great difficulty.
Undergraduate courses at the University of Chicago are known for their demanding standards, heavy workload and academic difficulty; according to Uni in the USA, "Among the academic cream of American universities – Harvard, Yale, Princeton, MIT, and the University of Chicago – it is UChicago that can most convincingly claim to provide the most rigorous, intense learning experience".
Some declined because of the anticipated high workload and expected difficulty with adherence to the research protocol, while others were unable to recruit the minimum of 6 participants.
