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THE PROBLEM Introduction Tobacco was introduced in the Philippines in the late 16th century during the era of Spanish colonization when the Augustinians brought cigar tobacco seeds to the colony for cultivation. In 1686, William Dampier visited Mindanao and observed that smoking was a widespread custom. It had also become an article of foreign trade with the Dutch from Tidore and Ternate buying rice, beeswax and tobacco from the Spanish colony The study aimed to know xxx Statement of the problem This study aimed to look Specifically, the study answered to the following questions: 1. What is the level of attainment of xxxxxxxxxxxxxxxxxxxx 2. What is the level of effectives/impact of the…show more content…
In 1990, the Royal College of Surgeons’ report Pain after Surgery recommended the introduction of an acute pain service to all major surgical hospitals in the UK in order to tackle the long-documented problem of poorly treated postoperative pain. The report was followed by a number of government documents which endorsed and developed the recommendations. By 2002 the majority of hospitals did have an acute pain service in some form, but many services were struggling to embed the necessary improvements in postoperative pain management in routine practice across their hospitals, leading to continuing deficits in basic care. Through qualitative case study interviews with health professionals and managers working in and around acute pain services in three hospitals, Powell and colleagues identified multiple factors undermining service change around postoperative pain management which they divided into three linked categories. Issues around the content of the change: what is an acute pain service and why have one here? Lack of agreement that improvement was necessary and Lack of clarity about the nature of the change and how the proposed new services fitted with existing and related services Issues around the context of the change: the idiosyncrasies of the local environment are Poor fit with local organizational priorities, Poor fit with local organizational structures (e.g. directorates), Adverse effects of local organizational histories
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