Table 1. Example Intervention Strategies Used on 1 Intervention Ward.

Key principles	Program goals	Interventionsa
Adequate nutrition and hydration	1. Increase proportion of patients sitting in a chair for meals 2. Increase proportion of patients receiving timely assistance to open food and beverage packages and timely feeding assistance	Nurse unit manager changes nursing assistant shift time to support meals Nurse unit manager reprioritizes nursing assistant tasks to assist patients to sit in a chair for meals and provide timely assistance Nurses add prompts to nurse planning documents Nurses revise workflow at meal time Nurse unit manager reminds staff about prioritizing meal times Senior nurse lead rounds to assist patients to sit in a chair for meals MDWG advertises meal times to staff Physiotherapist and occupational therapist assist patients to sit in a chair for their meal when they have finished other assessments or interventions EWE-MPA provides mealtime assistance
Early and progressive mobility and functional independence	1. Increase proportion of time patients spend mobilizing 2. Increase proportion of patients mobilizing	Facilitator improves patient lounge as walking destination MDWG designs map and signage to assist patients with finding their way around the ward Nurses inform patients and families regarding the patient lounge as a walking destination Facilitator negotiates for additional chairs for patients to sit in EWE-MPA supervises and assists with exercises and mobilization
Meaningful cognitive and social engagement	1. Support functional orientation 2. Increase the proportion of time spent engaging in meaningful activity	MDWG develops and uses orientation boards MDWG purchases and donates resources (eg, puzzles, games, pencils, books, glasses) Nurse unit manager provides cognitive resource cupboard Nurses purchase daily newspaper Nurses and allied health professionals lead small activity groups with patients Facilitator engages volunteers as patient companion and to support group activities EWE-MPA supports group activities
Multidisciplinary team communication	1. Provide consistent communication to older patients about the key principles 2. Improve communication and role clarity within the multidisciplinary team	MDWG develops and uses a patient goal board to identify patient goals Nurses and allied health professionals identify patients for specific interventions by EWE-MPA MDWG implements method to communicate patients and tasks delegated to EWE-MPA

Abbreviations: EWE-MPA, Eat Walk Engage–multiprofessional assistant; MDWG, multidisciplinary working group.

^a Interventions were developed and adapted locally by the MDWG, and may have varied between wards and over time.