Table 4.

themes and subthemes

Themes	Subthemes
Discrepancies in what constitutes hand hygiene
	Good performance
	Options for hand hygiene
	When to use alcohol hand sanitizers
Motivation for hand hygiene practice
	Increased awareness
	Influence of disease outbreaks
	Prevention of infection
	A part of routine
Good knowledge of timing
	Hand hygiene before and after procedures
	Hand hygiene after de-gloving
	Hand hygiene after bodily fluid exposure
Barriers to good practice
	Financial constraints
	Absence of regulations
	Lack of amenities
	Workload pressure
	Absence of alcohol hand sanitizers
Evidence of poor practice
	Occasional failures to perform hand hygiene
	Poor practice in drying hands
	Lack of knowledge of “My Five moments of Hand hygiene”
	Poor knowledge of quantity of hand sanitizer needed for hand hygiene