Peer Coaching Can Help Support the Work of Nursing Home Infection Preventionists

April 18, 2023

April 18, 2023

Contact: Ellen Mullally

Even as they’ve made significant progress in managing COVID and other infections, nursing home staff continue to face infection prevention and control (IPC) challenges. A study in the April issue of JAMDA detailed an infection control peer coaching program for nursing home leaders and their teams to support their preventionists and IPC practices.

In Design of a Nursing Home Infection Control Peer Coaching Program, the authors co-designed and piloted an Infection Control Amplification Nursing Centers (ICAN) peer coaching program with nursing home infection preventionists (IPs). In the pilot, peer coaches provided real-time feedback on infection control practices and targeted observations to coworkers.

The coaches shared data from observations made by coaches in daily huddles and weekly audits about issues such as hand hygiene, masking, and transmission-based precautions. IPs tested the initial program while providing feedback to the research team during weekly calls.

Using feedback they received from the calls, participant surveys, and the pilot process itself, the authors updated the program. The updates included shifts from having IPs lead implementation solo to using a team-based approach. It retained peer coaches and audit data while broadening the mode of feedback from huddles only to communication using one-on-one meetings or emails, huddles, or other strategies. The revised program also provides nursing home staff with the flexibility to tailor efforts to their own specific needs.

In the follow-up surveys, IPs reported that information shared by coaches was somewhat or very helpful. They described coaches reacting positively to the role and successfully providing in-the-moment feedback, as well as improving IPs’ knowledge of what was happening throughout the building. They also described observing coaches proactively connecting with other coaches, peers they didn’t normally interact with.

This study was conducted by researchers at the Center for Long-Term Care Quality & Innovation, Brown University School of Public Health, Providence, RI; American Health Care Association/National Center for Assisted Living, Washington, DC; European Centre for Disease Prevention and Control, Solna, Sweden; and Department of Health Services, Policy & Practice, Brown University School of Public Health, Providence, RI.

Get more information on the findings above and more details about the study. To contact the researchers or JAMDA editors for an interview, please email





JAMDA is the official journal of AMDA – The Society for Post-Acute and Long-Term Care Medicine. JAMDA publishes peer-reviewed articles including original studies, reviews, clinical experience articles, case reports, and more, on all topics more important to post-acute and long-term care medicine. Visit for more information.

About AMDA – The Society for Post-Acute and Long-Term Care Medicine
AMDA – The Society for Post-Acute and Long-Term Care Medicine is the only medical specialty society representing the community of over 50,000 medical directors, physicians, nurse practitioners, physician assistants, and other practitioners working in the various post-acute and long-term care (PALTC) settings. Dedicated to defining and improving quality, we advance our mission through timely professional development, evidence-based clinical guidance, and tireless advocacy on behalf of members, patients, families, and staff. Visit for more information.