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Table 3 TPB constructs based determinants of hand hygiene

From: Exploring determinants of hand hygiene among hospital nurses: a qualitative study

The main categories

Sub-categories

Initial codes

Attitude: overall sense of like or dislike of a behavior

Behavioral beliefs

â–ª The belief to the behavior

â–ª Good feeling and satisfaction after hand washing

â–ª To prevent from infection transmission

â–ª To Reduce the use of antibiotics and drug costs

â–ª To reduce costs and increase hospital income

â–ª Safety of employees

â–ª Residence and hospitalization of patient in hospital

â–ª To control drug-resistant infections

Evaluation of behavioral outcomes

â–ª Valuing for self-health

â–ª Valuing for the health of others

â–ª The importance of family health

Subjective Norms: have to do with the most important people in one’s life who believe one must or must not show a certain behavior

Normative beliefs

▪ Supervisor’s emphasizes to Hand washing

▪ The effect of Doctor’s believes to Hand washing

â–ª Hand washing must begin from the top (management level)

â–ª The influence of others in hospital

Motivation to compliance

â–ª Hand washing must begin from the top (management level)

â–ª The influence of others in hospital

Descriptive norms

â–ª Effect of behavior by physicians

Perceived Behavioral Control:

people’s perceptions of their ability to perform a given behavior

Control beliefs

â–ª Negligence and laziness

â–ª Crowded wards and high workload situations

â–ª The impact of emergency situations

â–ª Insufficient number of personnel

â–ª Lack of concentration due to lack of time

Perceived power

â–ª Possibility of adherence at the crowded situation

â–ª Possibility of adherence in every circumstances