Table 2

Typical statements condensed from each thematic group

ThemesTypical statements
The desire to be a better doctor
Professional motivation
  • The programme really increased the awareness on correct antibiotic prescriptions.

  • We have become motivated to contribute to better antibiotic prescribing

  • We would really like to do better

Common attitudes and professional routines at the GP practice
  • It has been very useful to discuss this together in the GP practice

  • I have informed the nurses and secretaries so they can give better information to patients

  • We now have a more unison practice in the whole practice

Confidence in one’s own knowledge
  • I would like to learn even more about when it is safe to abstain from antibiotics

  • It is very useful to learn specific information about the expected course of viral infections so I can better inform the patients

Structural and organisational factors
Easily accessible clinical tools
  • The leaflets from the course are now easily accessible on my desk

  • The ‘no-antibiotics prescription’ should be available through the electronic patient journal

Structural obstacles
  • It has not been possible to follow the recommendations due to a nationwide lack of nitrofurantoin

Attitudes in the general population
  • After the programme, it is easier to explain to patients why it is important to limit the use of antibiotics, but it takes time.

  • People are more knowledgeable than before, so it is not difficult to explain about antibiotic resistance

Lack of time
  • It is a major problem that our days are so busy, and it takes time to explain to the patients regarding antibiotic use.

  • It makes it more difficult to avoid antibiotics if there is no room in the timetable for a control appointment

Lack of economic incentives
  • There is no money available to cover QI work

  • This programme should be free of charge!

Properties related to QI measures
Relevance for practice
  • The theory about quality work was too vague and not suited for our way of working

  • Some parts of the programme were too theoretical

  • Some of the clinical tools have been very useful!

Correspondence between programme value and time used
  • This programme gave far too few CME points compared with the time I used!

Safe and considerate discussions among colleagues
  • It was really nice and useful to have time to sit down and discuss like this

  • We know each other well, everybody were comfortable with sharing and discussing their data

Individual data and observable change increases motivation
  • Very interesting and sometimes surprising to see my own data!

  • Everybody in our group wished for a new report in 6–12 months

  • It has been very motivating to see that my data actually got better

  • QI, quality improvement.