Number	Theme
1	Reasons for implementing culture change practices vary
2	Nursing home approaches to implementing culture change practices are diverse
3	Nursing homes consider resident mix in deciding to implement practices
4	Administrators note benefits and few implementation costs of implementing culture change practices
5	Implementation of changes is challenging and faces barriers, and strategies for overcoming these are tailored to the challenge encountered
5a.	Resistance to change among nursing home staff, residents and family members is a common barrier reported by administrators.
6	Education and communication efforts are vital ways to institute change
6a.	Education, training and communication are especially important strategies for overcoming resistance to change
7	NHA and other staff leadership is key to implementing changes