Evidence map›Paper›PMID 41335511›Full record

ArticleJournal of evaluation in clinical practice2025

A Program to Improve General Palliative Cancer Care Guideline Implementation: Development, Acceptability, and Feasibility of Implementation Strategies.

Dina Melanie Sørensen, Cecilie Lindström Egholm, Susanne Oksbjerg Dalton, Elizabeth Rosted, John Brandt Brodersen, Mia Linda Møller, Mai-Britt Angersbach Petersen, Annika von Heymann, Pernille Bidstrup

Abstract read
In one paragraph

Article in Journal of evaluation in clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Dina Melanie SørensenDepartment of Clinical Oncology and Palliative Care, Zealand University Hospital, Næstved, Denmark.ORCID 0000-0002-6014-9355
Cecilie Lindström EgholmREHPA, Danish Knowledge Centre for Rehabilitation and Palliative Care, Odense University Hospital, Nyborg, Denmark.ORCID 0000-0002-3527-0268
Susanne Oksbjerg DaltonDepartment of Clinical Oncology and Palliative Care, Zealand University Hospital, Næstved, Denmark.ORCID 0000-0002-5485-2730
Elizabeth RostedDepartment of Clinical Oncology and Palliative Care, Zealand University Hospital, Næstved, Denmark.ORCID 0000-0002-1186-650X
John Brandt BrodersenThe Centre of Cancer and Organ Diseases, Copenhagen University Hospitals - Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0001-9369-3376
Mia Linda MøllerSorø Health Centre, Sorø Municipality, Sorø, Denmark.
Mai-Britt Angersbach PetersenVordingborg Municipality, Vordingborg, Region Sjælland, Denmark.
Annika von HeymannDepartment of Oncology, Copenhagen University Hospitals - Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0002-0900-5575
Pernille BidstrupPsychological Aspects of Cancer, Cancer Survivorship, Danish Cancer Institute, Copenhagen, Denmark.ORCID 0000-0002-9704-6800

Funding

This study received funding from the Danish Cancer Institute (grant no. R290-A16876) and the Novo Nordisk Foundation (Grant no. NNF22OC0077502).
6 · The paper itself

Abstract

rationaleImplementing 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. AIMS AND

objectivesThe 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.

designWe 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.

methodsThirty-one 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 = 17), observation data from in-person meetings (n = 5), virtual meetings (n = 50), and process data gathered from November 2021 to March 2023. We analyzed the data using Content Analysis methods.

resultsA program comprising 14 critical steps was developed. The implementation strategies were found acceptable and feasible, particularly for cross-sectoral networking and a facilitator supporting collaboration. However, Plan-Do-Study-Act cycles were considered problematic. The value of learning from experiences was recognized, and healthcare professionals appreciated the advantages of cross-sector collaboration.

conclusionThis study involved cross-sectoral healthcare professionals in developing the Implementation Program for general palliative cancer care. Networking is vital in this context and should be considered a stand-alone implementation strategy.

Indexed as

Guideline AdherenceNeoplasmsPalliative CarePractice Guidelines as TopicFeasibility StudiesFemaleHealth PersonnelHumansMaleProgram DevelopmentQualitative ResearchQuality Improvementcancercross‐sectoral collaborationimplementation researchnational guidelinespalliative careparticipatory action researchqualitative approaches

Identifiers

PMID41335511
PMCPMC12674458

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.