Table 2

Summary of themes and subthemes

ThemesSubthemesRelated CFIR domains
The impact of organisation and individual factorsHierarchical influence on prescribingInner setting – culture
Resource limitations and systemic barriersInner setting – available resources
Knowledge and beliefs impacting prescribingCharacteristics of individuals – implementation team members and capability
Changing healthcare workers’ mindset to improve stewardshipAddressing misconceptions and building trustCharacteristics of individuals – implementation team members
Navigating authority and autonomyInner setting – relational connections and communications
Effective communication and collaboration among healthcare teamsOvercoming perceptual barriers and fostering mutual understandingCharacteristics of individuals – implementation team members
Establishing communication channels for stewardship integrationInner setting – communications
Dedication to antimicrobial stewardship despite resource limitationsIntrinsic motivation and professional fulfilmentCharacteristics of individuals – motivation and need
The reality of workloadIntervention characteristics – complexity and inner setting – implementation climate
  • CFIR, Consolidated Framework for Implementation Research.