Table 2

Typical statements condensed from each thematic group

Themes	Typical 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.