Case overview

In the preceding presentations we learnt how different approaches of face-to face interviews and direct observation of practice can provide the contextual insights required to develop targeted AMS interventions.

Qualitative studies investigating antibiotic prescribing behaviours have identified a series of tacit cultural rules or etiquette which govern antibiotic prescribing behaviour. Healthcare professionals align their behaviours to social norms and adhere to unwritten rules which respect clinical autonomy and hierarchy above policy and guidelines. The way healthcare professionals work as part of teams determines antibiotic prescribing behaviours. Whether tacit or explicit, culture matters in healthcare. It has the power to moderate behaviours and shape intervention outcomes.

We need a better understanding of culture, if we want to develop interventions which are successful and sustainable. This is particularly true in AMS, where multiple teams share responsibility for the treatment of infections in individual patients.