Expanding the 3 Wishes Project for compassionate end-of-life care: a qualitative evaluation of local adaptations

BMC Palliative Care

Table 1 Site Characteristics

Site Characteristics	Center 1 SJH	Center 2 SMH	Center 3 VGH	Center 4 UCLA		Center 5 BGH	Center 6 NH	Center 7 HFX
Site Sub-Number				Site 4A Ronald Reagan	Site 4B Santa Monica			Site 7A Victoria General	Site 7B Halifax Infirmary
Hospital Characteristics
Country	Canada	Canada	Canada	USA	USA	Canada	Canada	Canada	Canada
Hospital size (#beds)	570	455	955	520	281	260	495	214	433
Type of Hospital	Academic	Academic	Academic	Academic	Academic	Community	Community	Academic	Academic
Faith-based institution	Catholic	Catholic	Secular	Secular	Secular	Secular	Secular	Secular	Secular
ICU Size (#beds)	23	24 (MSICU)	34	24	20	15	20	8	13
ICU Size (#beds)	23	19 (NTICU)		24	20	15	20	8	13
Type of ICU	Medical-surgical	Medical-surgical, neuro-trauma	Medical-surgical, neuro-trauma	Medical	Medical-surgical	Medical-surgical	Medical-surgical	Medical-surgical	Medical-surgical, neuro-surgical, trauma
Trainees Present	Yes	Yes	Yes	Yes	Yes	No	Yes	Yes	Yes
3WP Characteristics
Date of initiation	Jan 2013	Oct 2015	April 2016	Dec 2017	Nov 2018	Dec 2016	Oct 2017	Feb 2018	Feb 2018
Background of core 3WP team	1 MD	1 MD	2 MDs	2 MDs	2 MDs	1 SCC	1 MD	2 MD (work in both sites)
	1 RN	2 RN	1 RN	2 RN	2 RN	1 RT	3 RN	1 Unit Resource RN	1 Unit Resource RN
	1 RC	1 RN Manager	1 CNS	1 CNS	1 RC	1 RN Manager	1 RC	1 SW	1 SCC
	1 SCC	3 RC	1 RN Manager	1 RN Manager		2 MD		1 RN	1 RN
		5 SW	1 RC	1 RC		1 RC
		2 SCC	1 SCC			1 RN
			1 SW
3WP Model	C-2	C-2	C-2	C-2	B	B	B	B
Prior trainee at SJH	N/A	No	No	No	No	Spiritual Care Resident	Critical Care Medicine Clinical Scholar	Internal Medicine Medical Resident

In this table, we show characteristics of participating institutions and the 3 Wishes Project teams therein. The 3WP operates in 2 ICUs within one hospital (center 3). The 3WP operates in 2 different sites under the umbrella of one hospital (at both center 4 and center 7). In other words, the pair of Sites 4A and 4B, and the pair of Sites 7A and 7B each represent one health system that has implemented 3WP in two wards in different hospitals. Initiation refers to date of initial engagement with the original site’s 3WP methods center. For explanation of the different 3WP models, please see Supplemental Figure A
(MD medical doctor, RN registered nurse, RC research coordinator, SW social worker, SCC spiritual care clinician, CNS clinical nurse specialist)

ISSN: 1472-684X