Table 1 Intervention elements of the STADPLAN study

2-day training for participating nurses

Divided into 7 modules:

M1: Introduction of the STADPLAN study

M2: Introduction of the topic ACP

M3: Practical exercise of the counselling conversations, extensive practise of the guided conversations with partners using different health situations/cases

M4: Facilitator’s tasks and schedule in the course of the study

M5: Reflexion on conversation experiences

M6: Special practical training of difficult conversational situations, refresher of knowledge on ACP

M7: Feedback and closing of the training

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ACP counselling (divided into 2 parts)

Part 1: Information on the project, ACP, aim of the conversations, information on the tasks and features of the surrogate/ representative, information on the written living will, introduction of the written information brochure, preparation of the next conversation: topic and goal, presence of a representative,

Part 2: Repeating information on project, ACP and aim of the conversation, introduction of the following topics: attitudes, preferences and values of the participant, reflection on the use of the additional written information and integration of notes, clarification: further conversations requested?

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Written information on ACP:

Information brochure of about 60 pages containing:

• Introduction to ACP, surrogate decision making and advance directive documents

• Presentation of critical health scenarios along with incapacity

• Glossary of medical and legal terms, contact information on local consultancies

Written information on ACP:

Brochure of about 15 pages containing:

• Introduction to ACP, surrogate decision making and advance directive documents (condensed)

• Presentation of critical health scenarios along with incapacity (condensed)

• Glossary of medical and legal terms, contact information on local consultancies