anchor: However, no matter how strong a training program is, if there are no incentives for practitioners to use the training or the legal restrictions are insurmountable or the health care system is in total chaos and you cannot find who is in charge of the department because somebody has bought out the hospital, you will have difficulty implementing an intervention.
positive: No matter how great the training system is if you are not able to overcome the obstacles, the implementation will be difficult.
negative: A strong training system will begin next month regardless.