“…The resulting insights allow a deep understanding of barriers and enablers to implementation both on an emotional but also a factual level. Notably, our findings can be triangulated with those of quantitative evaluations (e.g., from surveys), which highlighted that knowledge on COVID-19 increased with time and was generally not the main barrier for ICM in more recent surveys; that the adoption of PPE varied widely and that some PPE, such as face shields and FFP2-masks, were not implemented regularly; that there was uncertainty regarding how to adapt practice infrastructure and organization to reduce infection risks and that, generally, the specific setting was associated with the implementation of measures [ 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 ]. Our study now adds insights as to why all these observations were made.…”