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Table 1 Summary of the objectives and methodology of the different phases in the NUHELP program

From: NUrsing Homes End of Life care Program (NUHELP): developing a complex intervention

Phase

Phase 1: Training

Phase 2: Selection of the objectives

Phase 3: Selection of the interventions

Objectives

To increase self-efficacy in palliative care and improve attitudes towards end-of-life care among professionals working at the participating nursing homes.

To select objectives that are relevant, feasible, and capable of generating changes to end-of-life care in nursing homes.

To select the most suitable intervention interventions to achieve the objectives in phase 2 based on the experience of each institution.

Participants

54 nursing home professionals

52 professionals (38 from nursing homes and 14 from primary care)

25 professionals (8 from nursing homes, 8 from primary care, 4 nursing home coordinators, and 5 researchers)

Methodology

Prospective study

Delphi panel of experts

2 sessions held with 5 focus groups (5 participants). The focus group topics were as follows: assessment, information, advance care directives, grief and emotion management, and referral.

Schedule

6 months (September 2017- January 2018)

4 months (February-May 2018)

6 months (October 2018-May 2019)