Previous research has concluded that control measures in the form of standard guidance, education and hygiene are necessary to assist with the prevention and control of infectious diseases [26] . Other studies in areas of infection control and hygiene have highlighted issues related to compliance with guidance. To minimize these issues and increase compliance, they recommend guidance should be easy to follow, accessible and that identified challenges should be considered during their development. Strategies for changing practices should address needs at the individual and group level [27] [28] [29] . The staff in this study also highlighted these as considerations, and based on the findings in this study a number of factors were identified that could strengthen and be considered when developing further guidance to ensure optimal compliance.