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An elicitation study of critical care nurses' salient hand hygiene beliefs.

AIM: To describe critical care nurses' hand hygiene attitudinal, normative referent, and control beliefs.

BACKGROUND: Hand hygiene is the primary strategy to prevent healthcare-associated infections. Social influence is an underdeveloped hand hygiene strategy.

METHODS: This qualitative descriptive study was conducted with 25 ICU nurses in the southeastern United States. Data were collected using the Nurses' Salient Belief Instrument.

RESULTS: Thematic analysis generated four themes: Hand Hygiene is Protective; Nurses look to Nurses; Time-related Concerns; and Convenience is Essential.

CONCLUSION: Nurses look to nurses as hand hygiene referents and believe hand hygiene is a protective behaviour that requires time and functional equipment.

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