The nurse working on a medical unit always performs hand hygiene between contact with each client. In addition to being understood as an infection control measure, this practice can be understood as:

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Handwashing is one of the many nursing rituals practiced by nurses. Rituals are common, observable expressions of a culture. This goes beyond custom but does not mean that it is an obsession. Hand hygiene is unlikely to be a coping strategy for a nurse.

The Nurse Working on a Medical Unit Always Performs Hand