Strengths and limitations
A strength of this study was the sample of staff through the levels of LTC organizations from senior managers in corporate offices to clinicians providing care for residents in facilities. This diversity of roles represented in the sample enabled experiences of SUp to be explored from different perspectives and triangulated to gain a fuller understanding of what might help or hinder embedding SUp in everyday practice in LTC. These findings will contribute to program implementation decision making should SUp prove to be an effective falls prevention exercise program. While it was planned to include residents and their families, the sample did not include residents as the NZ COVID-19 restrictions impacted this study. During this time visitors were not being permitted to LTC facilities and therefore researchers were not able to run resident focus groups or gain resident permission to contact their family. Lockdown protocols also increased staff workload and some participants chose to be interviewed together, saving time, and resulting in unplanned focus groups. Power relationships from the staff hierarchy (nurse manager, nurse) may have played out with participants not speaking as freely as they may otherwise have in an interview.