Implementing total skin electron irradiation in radiotherapy: a structured change management approach.

ABSTRACT:

Background

Total skin electron irradiation (TSEI) is a specialized radiotherapy technique used to treat cutaneous T‑cell lymphoma, including mycosis fungoides and Sézary syndrome. Despite its clinical benefits, TSEI is rarely implemented in clinical practice due to significant technical and organizational challenges. This study explores a structured approach to integrating TSEI into clinical routines by applying a comprehensive change management framework in a German radiotherapy department.

Methods

The implementation process was based on Kotter's eight-step change management model and carried out from 2022 to 2024 by a multidisciplinary team. Key steps included creating a sense of urgency, forming a guiding coalition, developing and communicating a clear vision, and pilot t

SUBMITTER: Baehr A 

PROVIDER: S-EPMC12819445 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature