Table 1.

Description of the Four Steps in FFC-AL-EIT

Steps
Step 1 Environmental and Policy Assessments	Assessment of the environment and policies within the settings to optimize function and physical activity of residents.
Step 2 Education	Education of nursing staff, other members of the interdisciplinary team (e.g., social work, physical therapy), residents and families was done by the RNF and champion using previously established materials and adult learning techniques.
Step 3 Establishing FFC Goals	The RNF worked with the champion and nursing staff to complete Physical Capability Assessments and establish resident goals and integrate them into the individual’s Service Plan.
Step 4 Mentoring and Motivating	The RNF worked with the champion to motivate residents to engage in function and physical activity and to motivate caregivers to provide function focused care to residents. This was done using social cognitive theory approaches including: (a) observing performance of caregivers and providing one-on-one mentoring to incorporate function focused care into routine care; (b) providing residents and caregivers with positive reinforcement for providing function focused care; (b) meeting with residents and caregivers to address their beliefs about physical activity and feelings and experiences associated with providing function focused care; (c) reinforcing benefits of function focused care and strengthening outcome expectations associated with function focused care for residents and caregivers; (d) highlighting role models (other caregivers who successfully provide function focused care); (e) eliminating unpleasant sensations associated with function focused care activities for residents and caregivers.