Table 2 Data collection methods for the endpoints of the summative evaluation

1. Secondary data analysis of:

a) Obligatory and publicly reported quality indicators,

b) Results of external quality audits

a) Self-assessed 15 indicators regarding the three themes:

1. Maintaining and promoting independence (e.g., in mobility),

2. Protection against health hazards and stress (e.g., in the development of pressure ulcers, falls, unintended weight reduction),

3. Support for specific needs (e.g., timeliness of the pain assessment, interaction with cognitively impaired residents)

are assessed (percentage of residents with

b) External quality audits assess 15 items regarding the four themes:

1. Support with mobility and self-care (e.g., support with eating and drinking, mobility, continence loss, continence promotion, personal hygiene,

taking medication),

2. Support in coping with the demands and stresses of illness and therapy (e.g., taking medication, pain management, wound care),

3. Support in organizing everyday life and social contacts (e.g., impaired sensory perception, structuring the day, occupation and communication, nocturnal care),

4. Support in special needs and care situations (e.g., Support during the settling-in phase after moving in, transition management during hospitalization, support for residents with challenging behavior, use of measures involving deprivation of liberty)

2. Standardized survey of nursing home residents:

a) ASCOT questionnaire

b) EQ-5D and

c) Proxy rating

a) Subjective care-related quality of life of nursing home residents is assessed in 8 dimensions:

1. Self-determination,

2. Personal hygiene and clothing,

3. Food and drink,

4. Feeling safe,

5. Talking and being together,

6. Spending time doing things you enjoy doing,

7. Clean, cozy home,

8. Influence of caregivers on self-esteem

b) 5 dimensions of the health-related quality of life:

1. Mobility,

2. Self-care abilities,

3. Everyday activities,

4. Pain/ physical complaints,

5. Anxiety/depression

c) 40 items in 10 subscales:

1. Relationship to nursing home staff^c,

2. Positive affect^c,

3. Negative affect^c,

4. Restless/ tense behavior,

5. Positive self-image^d,

6. Social relationships^c,

7. Social isolation,

8 Feeling at home^d,

9. Having something to do^d,

10. Items without subscale

3. Standardized evaluation of shadowing data

PeBeM-indicators:

1. Actual number of provided interventions,

2. Targeted number of provided interventions,

3. Actual duration of the provided interventions

4. Targeted duration of the provided interventions

5. Actual extent of qualification fitting

6. Targeted extent of qualification fitting

4. Partially standardized survey of the shadowers

Qualitative assessment of the perception of care provision. The assessments will be developed and contain questions regarding:

1. Perception of communication and collaboration,

2. Perception of the interaction between nursing home staff and residents,

3. Perception of quality of care

4. Perception of the work organization

Job satisfaction

Standardized survey of employees:

a) Employee Experience Questionnaire (EXQ),

b) StressBarometers

a) Two subscales with overall nine items regarding:

1. General job satisfaction (i.e., development opportunities, colleagues, work, management, remuneration),

2. Organizational commitment (i.e., concern for the institution's future, praise for the institution, pride in belonging to the institution, goodness of the employer)

b) Three subscales regarding:

1. Organization and time management (4 items),

2. Tasks and content (20 items),

3. Collegial communication and exchange within the work (10 items)

Changes in actual-target difference^b

Shadowing^a

Number of provided interventions

Duration of the provided interventions

Extent of qualification fitting