Table 3 Results of the determinant questionnaire

Domain

Statements

Facilitator: preferably as high an agreement percentage as possible

Barrier: preferably as low an agreement percentage as possible

% agree overall (nurse assistants and nurses)

% agree nurse assistants

% agree nurses

Δ% agree (nurse assistants versus nurses)

Social context and leadership

My manager holds team members accountable for hand hygiene performance (Facilitator: Leadership)

64

69

55

13

Infection prevention is an important issue in my ward (Facilitator: Social context)

74

74

74

0

In my ward, colleagues support each other in adhering to the hand hygiene guidelines (Facilitator: Social context)

68

71

63

8

My manager addresses barriers to enable hand hygiene as recommended (Facilitator: Leadership)

69

78

54

24*

My manager regularly pays attention to adhering to the hand hygiene guidelines (Facilitator: Leadership)

49

56

38

18*

The residents in my ward think I should always follow the hand hygiene guidelines (Facilitator: Social context)

70

72

66

6

If I notice a colleague not complying to the hand hygiene guidelines, I will call him or her on it (Facilitator: Social context)

75

76

74

2

Our team is informed about our hand hygiene performance (Facilitator: Leadership)

40

43

36

7

In my ward, we regularly pay attention to the correct application of hand hygiene (Facilitator: Leadership)

63

68

55

13

My colleagues strictly adhere to the hand hygiene guidelines (Facilitator: Social context)

79

84

71

13

Resources

In my ward, the access to the sink is hindered by a variety of materials and objects, which makes it difficult to apply hand hygiene (Barrier)

29

29

30

-1

It happens frequently that supplies of soap and towels are not replenished (Barrier)

34

33

36

-3

It happens frequently that supplies of alcohol-based hand rubs (bottles/dispensers) are not replenished (Barrier)

34

33

34

-1

There is a shortage of staff in my ward (Barrier)

59

57

63

-6

Individual healthcare professional factors

Correct application of hand hygiene hampers a good relationship with a resident (Barrier)

16

18

13

5

Sometimes, I don't consider or forget to apply hand hygiene (Barrier)

34

32

36

-4

Applying hand hygiene is harmful for my skin (Barrier)

37

38

36

2

I will not interrupt a nursing procedure to apply hand hygiene (Barrier)

22

23

20

3

Risk perception

The risk of a resident acquiring an infection as a result of my failure to comply with the hand hygiene guidelines is not very high (Barrier)

40

28

59

31*

The risk of a resident acquiring an infection in my ward is not very high (Barrier)

67

67

66

− 1