Table 1:

Representative participant quotes.

Quote	Participant
1. “Once [patients] understand [the reasons for isolation], they are usually very in tune with the enforcement of it. They will start watching people for breaks in policy”	Nursing staff
2. “Some patients actually know that we are going to want this [stool] sample, so they wait to go to the bathroom until they come in. […] I would like it if before they [all patients] came in, they were told that this was going to happen.”	Nursing staff
3. “When they get admitted they are bombarded with questions. I think they either do not remember the brief education on C. difficile, or there are times when they do not understand it. […] We just say we need to get a stool sample from you, like we say we need to get a urine sample. There is not any explanation, or not enough.”	Nursing staff
4. “Every once in a while we have an occasional patient that kind of rebels against it, saying ‘I don’t want to do this, this is inconvenient.’ I would say that is very rare.”	Nursing staff
5. “Visitors keep changing. That is another barrier to it. It is not like the same visitor is the only one that I have to educate. Every time there are new visitors, they have to be educated.”	Nursing staff
6. “For the most part their visitors know that [the condition of BMT patients] is very serious, and they do not want to spread anything to anyone else in this area. I think their visitors are kind of different than other visitors.”	Nursing staff
7. “They [the nurses] just thought it [stool collection] was onerous. […] I don’t think they really understood the purpose. Nobody likes to deal with stool.”	Physician
8. “It is really annoying to have to leave the room, get something, go back, re-gown up, come in, and then have to leave the room again. […] I think it does affect the amount of time that you are in there.”	Nursing staff
9. “We talk to the [physician] team every day about bowel movements. We also talk about it as nursing staff. [… If] there is a change, and they [the patient] start having diarrhea, then we would discuss with it the doctors.”	Nursing staff
10. “It is a molecular test, so it costs more. It is also not cleared by the Food and Drug Administration for formed stool, which is what we are currently testing it on.”	Laboratory administrator
11. “My biggest frustration about the whole contact isolation process is how we allow families to have so much stuff in their room. If you have a tray table full of stuff, it is hard to clean that tray table.”	Nursing practitioner
12. “Even outside the foot pedal [problem], we are touching the soap dispensers. We need automatic soap dispensers, like in the airports, that they have everywhere.”	Physician
13. “If a patient is in contact isolation and then they are placed in enhanced contact, infection control tells us we have to have both signs prominently displayed on the door. One sign says use alcohol gel, while one sign says use soap and water.”	Nursing staff
14. “I kind of think that [retesting at admission] is a little overboard, if they were already negative. The patient is not going to go home, get C. difficile, and come right back.”	Nursing staff