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Table 1 Description of the intervention

From: Informed palliative care in nursing homes through the interRAI Palliative Care instrument: a study protocol based on the Medical Research Council framework

Preparatory phase

Steps

Main objective

Secondary objective

Step 0

Introductory information

1. Introduction to the course of the project

  

2. Introduction to the interRAI PC instrument

  

3. Introduction to the BelRAI webapplication

  

4. Identification of the pilot site (avalaibility of computers, laptops, tablets, internet,…)

  

5. Capturing important dates (trainings, focus groups,…)

  

6. Designation of a contact person

Step 1

Training on the interRAI PC and the BelRAI webapplication

1. One-day training on the interRAI PC and the use of the BelRAI webapplication

  

2. Going through the course of the project (planning, questionnaires,…)

Step 2

Introduction on the interRAI PC and the BelRAI webapplication in the organization

1. Establishment of a work group

  

2. Introduction of care professionals in the interRAI PC and the use of BelRAI

Implementation phase

Steps

Main objective

Secondary objectives

Step 3

Identification of residents with palliative care needs, based on the surprise question

1. Identification of residents with palliative care needs, based on the surprise question

Step 4

Informed consent signature requirements

1. Designation of a person who is responsible for the informed consents

  

2. The assigned responsible explains the project to the residents with palliative care needs or their representatives

  

3. Informed consents are signed by the residents with palliative care needs or their representatives

Step 5

Login to the BelRAI webapplication

1. Care professionals apply for acces to the BelRAI webapplication by sending a written solemn declaration to the National Institute for Health and Disability Insurance (NIHDI)

  

2. Care professionals login to BelRAI

Step 6

Definitions of roles and functions

1. Based on the profession and diploma of the caregivers, roles and functions are defined in the BelRAI system

  

2. The group manager creates a group (the organization or the palliative department) in the BelRAI System

  

3. The group manager ads client managers to the group

  

4. Client managers create clients in the BelRAI system

  

5. Client managers determine who has access to the clients

  

6. The assessment manager closes the assessment

Step 7

Completion of the interRAI PC

1. Filling out the interRAI PC for all nursing home residents with palliative care needs

  

2. Filling out the interRAI PC on a regular base (every three months)

  

3. Multidisciplinary completion of the interRAI PC

Step 8

Interpretation of results

1. Care professionals discuss CAPs and Scales in team/with the patient/with the family

  

2. Results are discussed every three months during one year

Step 9

Use of results

1. Results are used to develop a care plan or to adapt an existing care plan