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Table 4 Typical quotes about barriers and facilitators for use of wearable dispensers

From: Do wearable alcohol-based handrub dispensers increase hand hygiene compliance? - a mixed-methods study

  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.”
  1. Abbreviations: ABHR alcohol based hand rub, CT Computer tomography, ER emergency room, HH hand hygiene, Mentioned by a majority of participants. Mentioned by ≥2 participants. Mentioned by one single participant