{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T12:15:16Z","timestamp":1779106516499,"version":"3.51.4"},"reference-count":45,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T00:00:00Z","timestamp":1776729600000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Rationale<\/jats:title>\n                    <jats:p>Although older adults comprise 16%\u201322% of the population, they account for up to 75% of hospital admissions and nearly half of related costs. Frailty, multimorbidity and reduced physical function are common, requiring assessment and follow\u2010up. Systematic assessment of physical function using the Cumulated Ambulation Score (CAS), 30\u2010second sit\u2010to\u2010stand test (30s\u2010STS), and handgrip strength (HGS) has shown predictive value for outcomes such as length of hospital stay, complications, readmission and survival in hospitalised older patients. This underscores the importance of early intervention in rehabilitation. The successful integration of evidence\u2010based practices necessitates the use of an evidence\u2010based implementation model, such as the Quality Implementation Framework (QIF), which clearly outlines what to address and which actions to take to secure the quality of the implementation process and patient outcomes in the clinical setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims and Objectives<\/jats:title>\n                    <jats:p>This study aims to describe and evaluate the implementation process of systematic assessment of physical function in hospitalised medical patients using QIF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A prospective implementation study, incorporating both quantitative and qualitative methods, was conducted at two medical wards in a Danish hospital. QIF was employed to guide the implementation and the evaluation of the systematic assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Implementation of the systematic assessment showed that early stakeholder engagement and leadership support ensured ownership and staff buy\u2010in. A structured implementation plan clarified roles and accountability. Process evaluation revealed high penetration and acceptability, with improved fidelity over time. Workflow challenges remained, and adoption into daily practice among therapists was limited due to time constraints and documentation burden. Expansion to new departments demonstrated scalability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A structured QIF\u2010based approach to implementing systematic assessments in hospitalised medical patients proved feasible, acceptable, and potentially scalable. Stakeholder engagement, management support and strengthened cross\u2010sector collaboration were key to success. Sustainability depends on workflow integration, timely data\u2010driven feedback and continued training.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jep.70447","type":"journal-article","created":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T18:20:23Z","timestamp":1776795623000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Implementing Systematic Assessment of Physical Function in Hospitalised Medical Patients: Description and Evaluation Guided By the Quality Implementation Framework"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0044-1841","authenticated-orcid":false,"given":"Helene N\u00f8rgaard","family":"Kristensen","sequence":"first","affiliation":[{"name":"Medical Diagnostic Centre University Clinic for Innovative Patient Pathways, Regional Hospital Central Jutland Silkeborg Denmark"},{"name":"Department of Physiotherapy and Occupational Therapy Medical Diagnostic Center, Silkeborg Regional Hospital Silkeborg Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2226-3495","authenticated-orcid":false,"given":"Jannie Rhod","family":"Bloch\u2010Nielsen","sequence":"additional","affiliation":[{"name":"Medical Diagnostic Centre University Clinic for Innovative Patient Pathways, Regional Hospital Central Jutland Silkeborg Denmark"},{"name":"Department of Physiotherapy and Occupational Therapy Medical Diagnostic Center, Silkeborg Regional Hospital Silkeborg Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5868-4677","authenticated-orcid":false,"given":"Morten Tange","family":"Kristensen","sequence":"additional","affiliation":[{"name":"Department of Physical\u2010 and Occupational Therapy Copenhagen University Hospital, Bispebjerg and Frederiksberg Copenhagen Denmark"},{"name":"Department of Clinical Medicine, Faculty of Health and Medical Sciences University of Copenhagen Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helle","family":"H\u00f8gh","sequence":"additional","affiliation":[{"name":"Centre for Innovation and Development of Methods Central Denmark Region Aarhus Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Loui","family":"Hannibal","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Occupational Therapy Medical Diagnostic Center, Silkeborg Regional Hospital Silkeborg Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3077-4985","authenticated-orcid":false,"given":"Anne Mette","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Medical Diagnostic Centre University Clinic for Innovative Patient Pathways, Regional Hospital Central Jutland Silkeborg Denmark"},{"name":"The Danish Multiple Sclerosis Hospitals, Ry and Haslev  Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,21]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Danmarks Statistik. 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