Table 4.
Some Other Determinants of Hand Hygiene (Out of TPB Framework)
| The main categories | Sub-categories | Initial codes |
|---|---|---|
| Environment | Supervision &Monitoring |
▪ Law ▪ Continuous controls ▪ Cultivation of hands and reflection to personnel ▪ The institutionalization of monitoring ▪ Supervision and monitoring ▪ Pressure ▪ Obligation Service personnel to hand hygiene |
| Reinforcement |
▪ System of rewards and punishments to motivate ▪ Encourage writing ▪ Verbal encouragement |
|
| Cues to Action |
▪ Poster in sight ▪ Reminders ▪ More advertising (LSD) |
|
| Availability & Accessibility |
▪ Availability of sink ▪ Qualities and aromatic liquid soap and Hand rub and paper ▪ Appropriate dryer |
|
| Preferences | ▪ Qualities and aromatic liquid soap and Hand rub and paper | |
| Modeling & Observational Learning |
▪ According to the head nurse and professor at hand washing ▪ Benchmarking and being model for others |
|
| Perceptions | Outcome expectations. |
▪ Preventing from infection. ▪ Residence and hospitalization of patients in hospital ▪ Control treatment resistant infections |
| Perceived barriers |
▪ Skin dryness (lack of suitable lotions and liquid soaps) ▪ The destruction of Nails (Washing too) ▪ Forget hand washing |
|
| Education | Awareness and Education |
Patient Education ▪ Training to along patient ▪ Instill the importance of behavior to personnel ▪ Education through the media |
| Organizational Culture | Organizational climateSense of participation and cooperation |
▪ Effect of organizational climate on the individual ▪ Induction of the importance of Hand washing for staff ▪ Patient participation in hand hygiene programs ▪ Culture of hand hygiene (Organization) |
| Salience | The importance of behavior |
▪ Insensitivity to the issue ▪ Mental priorities ▪ Failure to understand the importance of hand hygiene |
| Life Style | Habit |
▪ Initial training of family ▪ Make a habit of washing hands ▪ Culture of hand hygiene (family and community) |
| Personality | Personality characteristics |
▪ Regulatory and being obsessive ▪ Having a strong character person |
| Morality | Conscience and ethics |
▪ Conscience and morality ▪ The responsibility for others and humankind ▪ Neglect and indifference |