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Despite its clinical benefits, TSEI is rarely implemented in clinical practice due to significant technical and organizational challenges. This study explores a\u00a0structured approach to integrating TSEI into clinical routines by applying a\u00a0comprehensive change management framework in a\u00a0German radiotherapy department.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The implementation process was based on Kotter\u2019s eight-step change management model and carried out from 2022 to 2024 by a\u00a0multidisciplinary team. Key steps included\n                      <jats:italic>creating a\u00a0sense of urgency, forming a\u00a0guiding coalition, developing and communicating a\u00a0clear vision, and pilot testing to generate short-term successes<\/jats:italic>\n                      . A\u00a0dynamic stakeholder analysis was conducted to continuously identify and manage factors that could promote or hinder the change.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The structured approach facilitated integration of TSEI into routine practice. The project enabled comprehensive staff training, adaptation of technical workflows, and development of necessary protocols and equipment. Key milestones were achieved, including initial patient treatments and positive staff feedback, demonstrating the method\u2019s feasibility and acceptance. The stakeholder analysis was instrumental in reducing apprehensions and maintaining alignment among team members.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study demonstrates that a\u00a0structured change management approach is effective in integrating complex techniques like TSEI into clinical practice. The findings highlight that a\u00a0systematic framework can help to overcome organizational and technical challenges, thereby enhancing patient care and operational efficiency. Future efforts should continue to employ structured methodologies for the sustainable integration of new medical technologies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00066-025-02408-w","type":"journal-article","created":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T14:22:18Z","timestamp":1747232538000},"page":"68-73","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Implementing total skin electron irradiation in radiotherapy: a\u00a0structured change management approach"],"prefix":"10.1007","volume":"202","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0301-7249","authenticated-orcid":false,"given":"Andrea","family":"Baehr","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximilian","family":"Grohmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volker","family":"Platz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Booken","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cordula","family":"Petersen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,5,14]]},"reference":[{"key":"2408_CR1","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1016\/j.rpor.2013.08.008","volume":"19","author":"J Ka\u017amierska","year":"2014","unstructured":"Ka\u017amierska\u00a0J (2014) Clinical results of the total skin electron irradiation of the mycosis fungoides in adults. 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