Table 1 Description of the intervention elements based on the Action, Actor, Context, Target, Time (AACTT) Framework [17]
Action | Actor | Context | Target | Time |
|---|---|---|---|---|
STOP&WATCH | ||||
Identifying, documenting any change in resident conditions and passing the information to the responsible nurse | Nurse aide | Units in the nursing home | Residents living in a nursing home | During resident's care provision |
Evaluating reported resident changes in condition and perform adequate assessment if necessary | Registered nurse Licensed practical nurse | Units in the nursing home | A resident with changes in condition | After receiving a STOP&WATCH |
ISBAR (Introduction, Situation, Background, Assessment, Recommendation) | ||||
Communication about residents’ care or change in residents’ health status | Registered nurse Licensed practical nurse | Remote and in-person communication about resident | Physicians | Every time physician is contacted |
INTERCARE nurse | ||||
Coaching nursing staff and supporting in resident care | INTERCARE nurse | When asked / when noticing complex situations | Nurse aid Registered nurse Licensed practical nurse | During bedside care |
Supporting or managing conversations with residents/relatives | INTERCARE nurse | When asked / when noticing complex situations | Registered nurse Licensed practical nurse | During bedside care / relatives visit or phone calls |
Supporting in decision making about residents' care" | INTERCARE nurse | When asked / when noticing complex situations | Registered nurse Licensed practical nurse | During the decision-making process |
Supporting in preparation for physician visit/communication | INTERCARE nurse | When asked / when noticing complex situations | Registered nurse Licensed practical nurse | Before scheduled physician visit/ communication |