Context assessments (inner context and recipients)
Context assessment templates were developed by the study team based on the i-PARIHS framework to map the inner context (both the organisational and individual/local RAC home levels) and information on the EDDIE + recipients, defined as the RAC staff. The organisational context assessment collected information on the organisational structure (including governance, reporting, and staffing), number and size of RAC homes, key policies, and procedures, as well as organisation wide professional development programs (Additional file Local RAC home level context assessment templates were developed for use during the trial to gather information on specific RAC home characteristics such as location, number of beds, local processes for staffing and reporting, policies, and procedures for interacting with general practice, allied health and the local hospital, and available hospital or health service support on deterioration, then align that information to implementation priorities (Additional files As the aged care provider is a national not-for-profit organisation with multiple facilities, a mix of metropolitan and regional sites across Queensland, Australia, were purposively selected for inclusion in the trial. RAC homes ranged in size from 91 -164 bed homes, staffed by a workforce of 53–81 Personal Care Workers (PCWs) and 12–28 Registered Nurses (RNs) and Enrolled Nurses (ENs). More details on the trial design can be found in the published protocol [These assessments were conducted by EDDIE + study team members (nurse educator and implementation facilitator) with the local EDDIE + clinical facilitator and management team (e.g. residential manager, clinical manager) of each RAC home. Local RAC home context assessments were conducted during the first meeting with each home, as part of the pre-trial establishment activities, in order to tailor any adaptable elements of EDDIE + to their context and recipients. The establishment phase occurred at different times for each home, as per the stepped-wedge study design. Outcomes of these meetings were discussed within the project team, as to whether any adaptations were expected or needed to tailor to each RAC home.