We conducted a qualitative
study purposively sampling 10 NHs across the country where 6e8 employees were recruited (N ¼ 73).
Semi-structured, open-ended guides were used to conduct in-depth interviews. Data were audiotaped,
transcribed and a content analysis was performed. Five themes emerged: ‘Residents’ Needs’, ‘Roles and
Training’ ‘Using Infection Data,’ ‘External Resources’ and ‘Focus on Hand Hygiene.’ Infection prevention
was a priority in the NHs visited. While all sites had hand hygiene programs, other recommended areas
were not a focus and many sites were not aware of available resources. Developing ways to ensure
effective, efficient and standardized infection prevention and control in NHs continues to be a national
priority.