title: Influencing hand hygiene at spectrum health.
abstract: Gain insights into the six sources that both motivate and enable people to change through personal, social, and structural forces, and see how they were used to improve hand-washing patterns at a large health care system.
authors.affiliation: Spectrum Health, Grand Rapids.
authors.forename: David
authors.initials: D
authors.lastname: Maxfield
authors.forename: David
authors.initials: D
authors.lastname: Dull
mesh_terms: D003428:Cross Infection / Q000517:prevention & control*; D006235:Hand Disinfection; D006801:Humans; D006920:Hygiene; D008824:Michigan; D009042:Motivation; D019982:Organizational Case Studies