Table 1 Inclusion and exclusion criteria

Comprehensive case studies

Facility:

Facility:

   1. One of the 30 urban facilities being sampled in project one

1. Undergoing (or expected to undergo) a degree of organizational flux

within the proposed five-year lifespan of the TREC program

   2. While not prescriptive, we will consider the following factors in selecting this facility:

a. interest among the senior management to grant access for the study

b. willingness of care managers, healthcare aides, and other staff to be

observed and interviewed for the study

c. practical issues, such as travel time to the facility

d. opportunities to maximize data collection by the existence of venues

where knowledge use in practice is discussed and therefore

'observable'

e. availability of written documents that guide the use of knowledge in practice

Focused case studies

Facility:

Facility:

   1. One of the 30 facilities being sampled in project one

   1. Participation in the comprehensive case study

Family/caregivers

   1. Regularly visit their loved ones

Staff and physicians

   1. Staff employed by facility for at least three months

   1. Student

   2. Staff who have worked a minimum of 6 shifts per month

   2. Physicians not currently seeing residents

   3. Staff can identify a unit where they work most of the time

   3. Residents or Medical students

   4. Staff able to read and write English

   4. Academic staff

   5. Physicians self-describe 30% of their practice as being seniors in long-term care

   6. Physicians have seen residents in the facility for at least three months