RESEARCH PROJECTS view all projects →

Barriers and facilitators to reducing COVID-19 transmission in care homes: a qualitative exploration and survey

Project status
Diane Bunn
Institution web page
Host institution
University of East Anglia
Team members
Professor Iain Lake, Dr Diane Bunn, Dr Julii Brainard, Dr Kathleen Lane, Dr Charlotte Salter
Funding information (if funded)
NIHR Health Protection Research Unit in Emergency Preparedness at the University of East Anglia
Project Summary

The aim of this study was to identify the lived experiences of care home staff in implementing new infection control measures (including PPE) in care homes early on in the COVID-19 pandemic and how these impacted on the residents they cared for. We were also interested in understanding how the perspectives of staff in different occupational roles may differ as well as identifying the sources of support available to staff.

Outputs / Expected Outputs

The paper is now published, full citation is:

Bunn, D., Brainard, J., Lane, K., Salter, C. & Lake, I. The Lived Experience of Implementing Infection Control Measures in Care Homes during two waves of the COVID-19 Pandemic. A mixed-methods study. JLTC 386–400 (2021). DOI:

And findings were presented at the LTCcovid International living report on COVID-19 and Long-Term Care, 06/12/2021 (

Other relevant publications from the team:
Brainard, J., Rushton, S., Winters, T., Hunter, P. R., Rushton, S., Winters, T., & Hunter, P. R. (2020). Introduction to and spread of COVID-19 in care homes in Norfolk, UK. Journal of Public Health. doi:

Brainard J., Weston D., Leach S. and Hunter P. (2020b) Factors that influence treatment-seeking expectations in response to infectious intestinal disease: Original survey and multinomial regression. Journal of infection and public health 13(4): 502-508.
Brainard, J, Jones, N, Lake, I, Hooper, L & Hunter, P 2020, ‘Community use of facemasks and similar barriers to prevent respiratory illness such as COVID-19: A rapid scoping review’, Eurosurveillance

Smith, E., Aldus, C. F., Brainard, J., Dunham, S., Hunter, P. R., & Steel, N. (2020). Testing for SARS-CoV-2 in care home staff and residents in English care homes: A service evaluation. MedRxiv, (August 6th), 1–15. Retrieved from doi:

Project website


Care setting
Funding type
| |
Intervention types

Barriers and facilitators to reducing COVID-19 transmission in care homes: a qualitative exploration and survey