Information
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• Irrelevance of research
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• Unclear definition of evidence
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• Negative perceptions of research
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• Limited access to information
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• Mismatch of research to complex reality
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• Time required to produce research
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• Excess quantity of information
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Organization (Structure and Process)
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• Time limitations
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• Lack of internal research resources
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• Human resource constraints
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• Financial constraints
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• Lack of data and systems
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• Deficient planning processes
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• Absence of processes
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• Poor support from senior management
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• Rigid program silos
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• Competing priorities
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• Poor communication
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Organization (Culture)
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• Decision-making
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• Crisis management
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• Resistance to change
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• Politically influenced decisions
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• Challenging the promotion of evidence use
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Individual Skills
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• Research literacy
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• Research utilization
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• Management
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Interaction
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• Decision-maker/researcher gap
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• Mutual mistrust
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