Table 3.

Major themes and representative quotes for semi-structured interviews.

Problem	Interview Themes	Representative Quotes
April 10th, a resident wrote in the open survey item, “Timely overall medical strategy updates would help. What's in the works about awake proning, experimental treatments inpatient?” “Departments need to be better with communication … I don't understand why it is so hard for everyone to be on the same page. It's very frustrating.” Nurse April 14th a physician assistant described being “inundated in the beginning,” “the first week, two weeks, you're getting like 20 emails a day and trying to understand what's going on.”	Information Consolidation Prior to Dissemination	“I think that there was some growing pains in the beginning and less communication than we'd like … I think consolidating it into this is the one big one you need to pay attention to was really important.” “It was a little much at first because things were changing so frequently, but it seems like now we have a system in place … the update is being rolled out as usual per every day and if anything new is changed, then it's highlighted within the update … we've kind of figured out what has been working well and we have fewer of those changes to our daily updates. Things seem to be communicated better.”
	Consistency of Communication	“It got to the point where it was almost like … It was like the Bible,” according to a nurse manager. They continued, “You would look for that at exactly 6:00 a.m. in the morning. Even the charge nurses and the staff would look for it. “Are there any updates?” Preparing for the next shift. Making sure everybody has the information. I know, to me as a leader, that was huge. I felt like that was, kept me informed. I was able to speak to the points. I felt well informed through this whole thing. So then if I feel good about it, I'm able to articulate that to my people.”
	Bi-Directional Communication	A physician assistant described the town halls stating, “they have these town halls, which are phenomenal. They're recorded … I have to hand it to them that they are trying to keep the communication open with the staff. They're honest with us. They're like, “Listen, this is what the PPE situation is, this is what the ICU bed situation is."