{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T07:10:43Z","timestamp":1776150643630,"version":"3.50.1"},"reference-count":36,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T00:00:00Z","timestamp":1764720000000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100009708","name":"Novo Nordisk Fonden","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009708","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Rationale<\/jats:title>\n                    <jats:p>Implementing palliative care for patients with cancer in the healthcare sector is a complex task. Some patients with cancer do not receive timely and comprehensive palliative care tailored to their needs, potentially reducing their quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims and Objectives<\/jats:title>\n                    <jats:p>The goal is to develop an Implementation Program to improve the implementation of the national guidelines for general palliative cancer care. Moreover, the study aims to evaluate the acceptability and feasibility of the implementation strategies among healthcare professionals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>We used a participatory action research approach and the Quality Implementation Framework to guide the program. Additionally, we evaluated the acceptability and feasibility of the implementation strategies through a qualitative descriptive design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010one healthcare professionals from oncology, municipalities, and general practice took part in developing the Implementation Program with guidance from a facilitator. We utilized data triangulation, including qualitative interviews (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200917), observation data from in\u2010person meetings (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20095), virtual meetings (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200950), and process data gathered from November 2021 to March 2023. We analyzed the data using Content Analysis methods.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A program comprising 14 critical steps was developed. The implementation strategies were found acceptable and feasible, particularly for cross\u2010sectoral networking and a facilitator supporting collaboration. However, Plan\u2010Do\u2010Study\u2010Act cycles were considered problematic. The value of learning from experiences was recognized, and healthcare professionals appreciated the advantages of cross\u2010sector collaboration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study involved cross\u2010sectoral healthcare professionals in developing the Implementation Program for general palliative cancer care. Networking is vital in this context and should be considered a stand\u2010alone implementation strategy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jep.70335","type":"journal-article","created":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T17:20:43Z","timestamp":1764782443000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Program to Improve General Palliative Cancer Care Guideline Implementation: Development, Acceptability, and Feasibility of Implementation Strategies"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6014-9355","authenticated-orcid":false,"given":"Dina Melanie","family":"S\u00f8rensen","sequence":"first","affiliation":[{"name":"Department of Clinical Oncology and Palliative Care Zealand University Hospital N\u00e6stved Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3527-0268","authenticated-orcid":false,"given":"Cecilie Lindstr\u00f6m","family":"Egholm","sequence":"additional","affiliation":[{"name":"REHPA, Danish Knowledge Centre for Rehabilitation and Palliative Care Odense University Hospital Nyborg Denmark"},{"name":"Department of Clinical Research University of Southern Denmark Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5485-2730","authenticated-orcid":false,"given":"Susanne Oksbjerg","family":"Dalton","sequence":"additional","affiliation":[{"name":"Department of Clinical Oncology and Palliative Care Zealand University Hospital N\u00e6stved Denmark"},{"name":"Cancer Survivorship Danish Cancer Institute Copenhagen Denmark"},{"name":"Institute of Clinical Medicine, Faculty of Health Copenhagen University Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1186-650X","authenticated-orcid":false,"given":"Elizabeth","family":"Rosted","sequence":"additional","affiliation":[{"name":"Department of Clinical Oncology and Palliative Care Zealand University Hospital N\u00e6stved Denmark"},{"name":"Department of Regional Health Research University of Southern Denmark Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9369-3376","authenticated-orcid":false,"given":"John Brandt","family":"Brodersen","sequence":"additional","affiliation":[{"name":"The Centre of Cancer and Organ Diseases Copenhagen University Hospitals \u2010 Rigshospitalet Copenhagen Denmark"},{"name":"Research Unit for Clinical Practice Region Zealand Sor\u00f8 Denmark"},{"name":"Research Unit for General Practice, Department of Community Medicine, Faculty of Health Sciences UiT Arctic University of Norway Troms\u00f8 Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mia Linda","family":"M\u00f8ller","sequence":"additional","affiliation":[{"name":"Sor\u00f8 Health Centre Sor\u00f8 Municipality Sor\u00f8 Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mai\u2010Britt Angersbach","family":"Petersen","sequence":"additional","affiliation":[{"name":"Vordingborg Municipality, Vordingborg Region Sj\u00e6lland Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0900-5575","authenticated-orcid":false,"given":"Annika von","family":"Heymann","sequence":"additional","affiliation":[{"name":"Department of Oncology Copenhagen University Hospitals \u2010 Rigshospitalet Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9704-6800","authenticated-orcid":false,"given":"Pernille","family":"Bidstrup","sequence":"additional","affiliation":[{"name":"Psychological Aspects of Cancer, Cancer Survivorship Danish Cancer Institute Copenhagen Denmark"},{"name":"Institute of Psychology University of Copenhagen Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,3]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"World Health Organization. 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