Leadership experiences of infection prevention and control professionals: Findings from the Leadership Evaluation and Development for Infection Preventionists (LEAD-IP) study

BACKGROUND: Leadership competencies among infection preventionists (IPs) are essential to improving patient safety and reducing health care-associated infections. The Advanced Leadership Certification in Infection Prevention and Control (AL-CIP) recognizes IPs demonstrating advanced leadership, yet little is known about the experiences of certified professionals or how the credential supports leadership development. METHODS: The Leadership Evaluation and Development for Infection Preventionists (LEAD-IP) study used an observational nested cohort design. Secondary data from all AL-CIP applicants across two 2025 certification cycles were analyzed. A nested cohort representing 18% of certified professionals completed a structured 60-minute qualitative interview. Data were analyzed using Braun and Clarke's inductive thematic analysis. RESULTS: Thirty AL-CIP-certified leaders participated. Seven themes emerged: transition from task-based to systems-level leadership; use of data and structured improvement models; communication and psychological safety as core leadership tools; persistent structural barriers; intentional inclusivity of under-represented teams; proactive risk management; and strengthened leadership identity, confidence, and professional growth through AL-CIP. CONCLUSIONS: AL-CIP-certified professionals described leadership roles requiring systems thinking, data literacy, inclusive engagement, and anticipatory risk management. AL-CIP reinforced leadership confidence and credibility and supported career advancement. These findings highlight the value of leadership-focused training and certification in strengthening the infection prevention and control workforce.