Table 4 Typical quotes about barriers and facilitators for use of wearable dispensers
Facilitators | Barriers | |
|---|---|---|
Usability | Fastening mechanism ●○○ | Fastening mechanism ●●● |
- “I generally like the possibility to attach the wearable dispensers to one’s trousers.” | - “During a CT scan of a patient I accompanied, the wearable dispenser came off four times.” | |
- Dimensions ●○○ | - “The wearable dispenser dangles constantly, and its weight pulls on my trousers which is really uncomfortable.” | |
- “The size and weight of the wearable dispenser is perfect. If it was bigger, it couldn’t be put it in my pockets anymore.” | ||
Opening and closing mechanism ●●○ | ||
- “It is difficult to close the bottle with one hand only.” | ||
- Dosing of ABHR ●○○ | ||
- “It is more difficult to dose the appropriate amount of ABHR compared to wall-mounted dispensers” | ||
- Dimensions ●○○ | ||
- “The wearable dispenser is so small that you have to exchange it too often.” | ||
Burden ●●● | ||
- “The wearable dispenser is just something more to carry around, and I have to carry many other things with me already.” | ||
Availability | General ●●● | General ●●● |
- “I generally like the idea that I carry the ABHR with me and have it available all the time.” | - “No, I do not see any advantage of the wearable dispenser. We do have enough ABHR available in the ER.” | |
Specific situations ●●○ | ||
- “Sometimes the next wall-mounted dispenser is 10 m away, then the wearable dispenser is of use.” | ||
- “I can use the wearable dispenser and do HH while heading to a patient.” | ||
- “The wearable dispenser is of use, when I shift a patient to a ward and do not know the locations of ABHR dispensers.” | ||
Cues to action / Cognition | Habitualness ●○○ | Habitualness ●●○ |
- “Yes, I did use the wearable dispenser. I was used to wearable dispensers from the hospital I worked before.” | - “I’m so used to all the wall-mounted dispensers… [that I did not use the wearable dispenser].” | |
Reminder ●●○ | ||
- “The wearable dispenser is a good reminder for HH.” | ||
Safety | n.a. | Dispensers perceived as risk factor for contamination ●●○ |
- “The problem is that the bottle has to be opened with contaminated hands and afterwards closed with clean hands.” | ||
- “The dirty bottle in contact with my clean clothes all the time.” |