Application of a theoretical framework for behavior change to hospital workers' real-time explanations for noncompliance with hand hygiene guidelines.
Fuller C, Besser S, Savage J, et al. Application of a theoretical framework for behavior change to hospital workers' real-time explanations for noncompliance with hand hygiene guidelines. Am J Infect Control. 2014;42(2):106-10. doi:10.1016/j.ajic.2013.07.019.
This study used direct observation and immediate feedback to explain why clinicians did not wash their hands. These real-time accounts provided insights into the reasons for noncompliance, which frequently included memory lapses, distractions, and lack of knowledge regarding specific indications (for instance, handwashing before and after donning gloves).