Table 2.

Implementation determinants in the evaluation

Determinant	Explanation	Applied and studied in this project
Characteristics of the implementation object	Features of the practices (program, service, methods, etc.) that are being implemented, e.g. knowledge-based or evidence-based practices that have been found to be effective in research.	In this project, the implementation object of palliative care is the palliative care practices described in the national knowledge-based documents produced by the National Board of Health and Welfare and the Regional Co-operative Cancer Centers.
Characteristics of the target population	Features of the receivers of the implemented practice, i.e. the ultimate target population, usually patients.	Investigate the characteristics of the target populations who are the frail older persons in nursing homes and their next of kin.
Characteristics of the implementers	Features of the professionals who use and deliver the practice. These “implementers” are those responsible for delivering the practice.	Investigate the characteristics of the implementers, who are all the nursing home staff as well as the managers working at the included nursing homes.
Effectiveness of implementation strategies used	Strategies chosen to facilitate the implementation of the practices. Implementation strategies (also referred to as implementation interventions) are conscious efforts to influence the implementation process in order to achieve desired practice changes.	Investigate the effectiveness of the educational intervention in Kronoberg County in 2015 and Skåne County in 2016. A comparison of data from the Swedish Palliative register from two years before and two years after the implementation will also be conducted to analyse the effectiveness of the implementation.
Characteristics of the context in which the implementation occurs	The context is the social environment in which implementation takes place. The context represents influences on the implementation process and impact that is, at least partially, beyond the control of the implementers and target population.	Investigate the characteristics of the context in nursing homes, in which implementation of knowledge-based palliative care takes place.