Table 1 Contextual setting

Setting

Leaders in nursing homes and home care services

Leaders in home care services

Study period

12 months (March/April 2018 - March/April 2019)

2017/2018–2020

Participants

Home care 1: District unit, Medium sized municipality, Employees: <100

Home care 2: Rural unit, Small sized municipality,

Employees: <100

Nursing home 1: Large city, 7 departments (1short-term, 1 drug care, 3 dementia, 2 long-term), Employees: 200–300

Nursing home 2: Medium city, 1 department including 3 groups (1 dementia, 2 long-term).

Employees: <100

Home care A: Large city, 1 of 6 districts in the municipality, 3 groups participated. Leaders and professional nurses.

Home care B: District unit, 2 groups participated, Leaders and professional nurses.

Type of QI programme

Leadership guide for leaders in elderly care aiming to build competence of quality and safety work

Competence improvement programme for improved competence in recognising and responding to deteriorating frail older patients in primary care.

Type of implementation process

1 year implementation process including 3 workshops and 3 “homework” activities for each study site, facilitated by researchers

Multi-component programme including a teaching seminar, a written compendium, a digital learning tool, skills training, simulation-based training, a structured communication tool (ISBAR).

Recruitment

Centre for Development of Institutional and Home Care Services (USHT) recruited the study sites in line with the study design (variety of contextual settings)

Centre for Development of Institutional and Home Care Services (USHT) provided contact with units undertaking the specific quality improvement program, these units were requested to take part in the study