BACKGROUND The working group for palliative medicine within the Comprehensive Cancer Center (CCC) network funded by the German Cancer Aid in Germany has developed and published 14 Standard Operating Procedures (SOPs) for palliative care in CCCs. This study analyzed to what extent these SOPs have been implemented in the clinical routine in the CCC network one year after their publication. METHODS An online-based survey on the implementation status, limitations in daily practice and further themes was conducted between April and July 2018. In total, 125 health professionals in specialized palliative care from all 16 CCC locations were invited to participate. The data were analyzed descriptively using SPSS. RESULTS The response rate was 52.8%. More than half of the respondents (57.6%) knew about the free availability of SOPs on the CCC network website. The extent to which each SOP was being used actively in practice by the survey respondents ranged from a low of 22.7% (for the "Fatigue" SOP) to a highest of 48.5% (for the "Palliative Sedation" and "Respiratory Distress" SOPs). The respondents became aware of the SOP through recommendations from colleagues, team meetings or from the head of the department. The SOPs "Respiratory distress of an adult palliative patient" and "Palliative sedation" were perceived as the most practically oriented and understandable. Barriers to use SOPs were mainly limited time resources and lack of knowledge of existence and availability. CONCLUSIONS In practice, better knowledge about the SOPs and at the same time increased use can be achieved through systematic training or discussion of SOPs in regular team meetings. There is a need to take measures to optimize the implementation in clinical practice.

中文翻译：

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德国综合癌症中心姑息治疗的标准操作程序 (SOP) - 实施状态评估。

背景 由德国癌症援助机构资助的德国综合癌症中心 (CCC) 网络内的姑息医学工作组已制定并发布了 14 项 CCC 姑息治疗标准操作程序 (SOP)。本研究分析了这些 SOP 在发布一年后在 CCC 网络的临床常规中的实施程度。方法 2018 年 4 月至 7 月期间，对实施状况、日常实践的局限性和进一步的主题进行了在线调查。总共邀请了来自所有 16 个 CCC 地点的 125 名专业姑息治疗卫生专业人员参与。使用 SPSS 对数据进行描述性分析。结果 有效率52.8%。超过一半的受访者（57.6%）知道 CCC 网络网站上可以免费提供 SOP。调查受访者在实践中积极使用每种 SOP 的程度从最低的 22.7%（“疲劳”SOP）到最高的 48.5%（“姑息镇静”和“呼吸窘迫”SOP） ）。受访者通过同事、团队会议或部门负责人的建议了解了 SOP。“成人姑息治疗患者的呼吸窘迫”和“姑息镇静”标准操作程序被认为是最实用且易于理解的。使用标准操作程序的障碍主要是时间资源有限以及缺乏对其存在和可用性的了解。结论 在实践中，通过系统培训或在定期团队会议上讨论 SOP，可以更好地了解 SOP，同时增加使用。需要采取措施优化临床实践的实施。