Strengths and limitations
cancer
CANCER, RECRUITMENT
This multi-faceted implementation trial can guide future research with an exemplary function. We followed established frameworks and recommendations for implementation research [However, generalizability has to be assumed with caution since this was a single-center study including three departments only. Replication of the findings in other comprehensive cancer centers and countries is necessary. Furthermore, the sampling procedure could limit fair representation of the target population. Potential interview participants were contacted on the corridors of the inpatient wards and outpatient clinics. Nurses in leadership positions and senior physicians could be underrepresented, because they more often work in their offices compared to ward nurses or junior physicians. In terms of data saturation, a more targeted recruitment strategy might have been useful to ensure completeness. Additionally, it was not possible to conduct minutes for all meetings with clinical cooperation partners and SDM team trainings due to personnel resources. Nevertheless, we were able to collect rich data sets and identify influencing factors regarding all CFIR domains. The extensive coding system with a total of 79 codes and strong interdependency between individual codes made data analysis challenging. Quality of data analysis was safeguarded by extensive peer-review within the study team. Nevertheless, reducing the findings of this study to a sparser framework and corroborating the findings of this study with a quantitative design in the future would be valuable next steps. Furthermore, an in-depth analysis of potentially diverging views across professions and profession-specific needs could further enrich our understanding.