Reflection on observation: A qualitative study using practice development methods to explore the experience of being a hand hygiene auditor in Australia
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Hand hygiene auditors are passionate advocates for the role of effective hand hygiene in improved patient safety.

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Hand hygiene auditors face many significant challenges in undertaking the role.

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Barriers include organizational, professional, and cultural issues.

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Enablers include overt managerial leadership, support, and feedback.

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