• NHS units and nursing homes that voluntarily join the project.
• Units providing direct patient care and committed to implementing evidence-based recommendations on hand hygiene plus at least one topic: pain, urinary incontinence, obesity prevention, breastfeeding, smoking cessation, falls, or pressure injury prevention.
• Patients susceptible to pain of any age treated in acute or chronic care settings.
• Patients 18 years or older with uncomplicated stress, urge, or mixed urinary incontinence with at least 7 days admission or care continuity up to 6 weeks.
• Babies and preschool children up to 12 years old in good general health; children aged 2 to 12 must not have been overweight or obese in the year prior to baseline.
• Lactating individuals and healthy neonates over 36 weeks gestation and 2500 g birth weight; support network members; postpartum period up to 6 months of baby's life.
• Smokers aged 18 years or older.
• Adults 18 years or older at risk of pressure injuries admitted to hospitals, nursing homes, or home care.
• Adults 65 years or older or adults 18 years or older with walking problems due to neurological or traumatic conditions, medication, loss of strength, or drowsiness.
• Health professionals caring for patients in participating units.

History of severe allergic reactions to study medication Currently pregnant or breastfeeding Recent participation in another clinical trial within the last 30 days Presence of uncontrolled medical conditions that could affect safety