Facing the culture trap
Handwashing behaviors are primarily driven by assessment of risk. The Administration starts near the top of this pyramid, looking first to change the behaviors of caregivers via Nursing, Quality Assurance and Training. The C-Suite representatives are disengaged as there are no handwashing compliance reports to look at. They are content that Nursing & Operations has this under a modicum of control, undeterred by their inherent bias of productivity.