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Table 5 Theoretical propositions following data analysis

From: Implementing and evaluating online advance care planning training in UK nursing homes during COVID-19: findings from the Necessary Discussions multi-site case study project

Proposition theme

Propositions for care staff

Propositions for family members

1. Training and information needs

Care staff require specific training about advance care planning during a COVID-19 outbreak

Family members require specific information about advance care planning during a COVID-19 outbreak

2.Training and information accessibility

Some care staff are able to access training online, though I.T. support should be available to those who need it

Some family members are able to access information resources online, but information should be made available for those without internet access

3. Training and information context

Individual and organisational contexts inform the barriers and facilitators to providing care staff with online training

Individual contexts inform the barriers and facilitators to providing family members with online information

4.Encourage conversations

Providing training online to care staff will encourage conversations about advance care planning during a COVID-19 outbreak by:

  • improving knowledge

  • increasing confidence

  • giving permission

Providing information online to family members will encourage conversations about advance care planning during a COVID-19 outbreak by:

  • improving knowledge

  • empowering and valuing

  • giving permission