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Descriptive statistics (mean, standard deviation and percentage) were used for evaluating the barriers and facilitators. A determinant was considered a barrier if ≥ 20% of the healthcare professionals responded with ‘totally disagree’ or ‘disagree’. A determinant was considered a facilitator if ≥ 80% of the healthcare professionals responded with ‘agree’ or ‘totally agree’. This corresponded with the methods of Verberne et al. used when analysing the barriers and facilitators to implementation of paediatric palliative care teams using the MIDI [18]. IBM SPSS Statistics for Windows, Version 26 was used for data analysis. A general inductive approach was used for analysing the comments and answers to the open-ended questions [19].

This study was assessed by the institution’s ethical review board at Gelderse Vallei hospital which judged that formal ethics approval was not required as the Medical Research Involving Human Subjects Act was not applicable. Healthcare professionals participating in the interviews provided written consent.

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