Knowledge
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Can you describe the guidelines to perform proper HH?
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Can you discuss when to perform HH?
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Can you describe why you should be performing HH?
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Can you describe how the EMS works?
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Do you know what information the EMS can collect?
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Skills
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Can you explain the proper procedure of performing HH?
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How easy or difficult is it to perform HH on your unit?
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Can you describe how to use the EMS?
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Do you know how to respond when the EMS reminds you?
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Social/professional role and identity (self-standards)
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What role will the EMS play in enhancing HH?
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Do you think the EMS should determine how you perform HH?
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Do you feel that the guidelines for performing HH with the EMS are congruent with your professional standards of practice?
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Should proper HH be practiced at all levels of staff?
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Beliefs about capabilities (self-efficacy)
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Difficult or easy is it for you to maintain proper HH?
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What problems have you encountered when trying to practice proper HH?
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What would help you to increase HH compliance?
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How confident are you that you can increase compliance with the barriers and difficulties you face?
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How well equipped and comfortable do you feel in increasing your level of HH compliance? When using the EMS?
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How capable do you feel in maintaining increased compliance with HH? When using the EMS?
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How well will this EMS record your HH?
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Beliefs about consequences (anticipated outcomes/ attitudes)
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Does HH play an important role in your current practice? For yourself? For your patients? Can you explain why?
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Do you believe that this EMS will play an important role in your practice?
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Do you foresee any positive or negative outcomes of increased HH compliance on patient outcomes? Staff outcomes? Do you foresee these outcomes/consequences as long term or short term?
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Do you foresee a negative consequence of using the EMS? For patient outcomes? Staff outcomes?
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What do you think will happen if HH compliance is not increased in terms of patient outcomes? Staff outcomes? Do you think these are short- or long-term consequences?
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How will you feel if you are able to increase HH compliance? How will you feel if you do not?
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Motivation and goals (intention)
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Would you like to increase your HH compliance?
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Do you feel a need to increase your HH compliance?
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What are your reasons for increasing your HH compliance?
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Is there any aspect of your HH performance that you could improve on? Frequency, activity related?
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Are there other things that you would like to achieve that might interfere with increasing your HH compliance?
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Are there incentives to increasing HH compliance? If so, what are they?
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Are there incentives to use the EMS? If so, what are they?
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Memory, attention, and decision processes
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Do you usually perform HH? How often on a regular shift?
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Do you consciously think and make the decision to wash your hands?
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What factors influence that decision? Type of care activity? Type of patient? Time?
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How much attention do you have to pay to perform HH?
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Do you remember to perform HH? How?
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Do you think the reminder system in the EMS will enhance your HH?
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Can you think of times where you might not perform HH, such as competing tasks or time constraints?
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Environmental context and resources (environmental constraints)
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Where do you currently disinfect your hands?
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Have you used a wearable alcohol dispenser device? How does this impact your HH performance?
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To what extent do physical or resource factors, such as the availability and functioning of wall units and technology, facilitate or hinder performing HH?
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Do you think necessary resources are available for staff to increase HH compliance?
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Do you believe that the EMS will enhance your HH performance?
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Social influences (norms)
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Does HH play an important role on your unit? Can you explain why?
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Do you believe that nursing staff on this unit are washing their hands when necessary?
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To what extent do social influences facilitate or hinder performing HH? Social influence from your peers? Managers? Other professional groups? Patients? Relatives?
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Do you believe that there will be social influences from your peers to use the EMS? Managers? Patients? Other groups?
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Will you or have you ever observed others performing HH?
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Do you have role models in performing HH?
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Emotion
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Does performing HH elicit an emotional response? If so, what?
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To what extent will emotional factors facilitate or hinder your HH?
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Do you believe that emotional factors will influence the use of the EMS?
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Behavioral regulation
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What initial steps need to be taken to improve HH compliance/use the EMS on an individual level?
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How about on an organizational level?
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Can you think of any procedures that would encourage increased HH compliance/use of EMS?
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Nature of the behaviours
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How will the EMS increase HH compliance?
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Who needs to work differently for this to occur? When? Where?
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How do you know whether increased HH compliance has occurred?
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What do you currently do in terms of performing HH?
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Is this a new or existing behavior that needs to become a habit?
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Can the context be used to prompt you to perform HH? (prompts: layout, reminders, equipment)
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How long do you think the changes are going to take?
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