Table 2.

Thematic analysis for use of a 24-hour report in infection prevention and control activities in NHs

Theme	2010 (n=12)	2013 (n=12)	Examples of Use
Presence of 24-hour report, n(%)	12 (100)	12 (100)
Identify new infections by change in status, n(%)	10 (83)	9 (75)	“we meet clinically every morning…and we look through what we call our 24-hour report sheet and we talk about anything that’s happened in the last 24 hours and I start looking for anybody that looks like they have some signs and symptoms based on what they tell me, and start the investigation into those things.”
			“it helps me to know who to go to immediately.”
			“Yes. I love that(24-hour) report and the nurses are more aware what they're doing…before 24-hour report they didn’t know, they were just giving the antibiotics…We’ve started a different 24-hour report several years ago and it really helped with the nurses identifying and looking for signs and symptoms.”
Identify residents on antibiotics, n(%)	8 (67)	7 (58)	“for an antibiotic situation and infection, they would be charted on every shift and then symptoms would be documented.”
24-hour report reviewed in morning meetings, n(%)	4 (33)	7 (58)	“We go through them in a group setting, with the director of nursing, myself, the MDS(the coordinator), the care plan person, the dietary, social services, environmental.”
			“it helps the nurses with communication to each other and to the CNAs(certified nurses’ assistants) as to specifically who was being treated for an infection and it helps them to be monitoring those residents for signs and symptoms or lack of.”
Monitoring response to antibiotics in 24-hour report, n(%)	4 (33)	2 (17)	“[monitoring antibiotics] the 24-hour sheet is what cues me in, that’s my first.”
Identify residents on transmission-based precautions, n(%)	1 (8)	3 (25)	“on the 24 hour report they have who was on antibiotic therapy and who was on isolation.”
Device presence or care/issues identified, n(%)	0 (0)	0 (0)	None given.