List of contextual dimensions for programme implementation to guide the scoping review of AMS guidance documents
Dimension | Description of initial themes and codes for data extraction |
Micro level of healthcare | Patients’ factors (knowledge, attitudes, preferences, needs and resources in antibiotic use and AMR) |
Meso level of healthcare | Organisational culture and climate, readiness to change (commitment, preparation, prioritisation, efficacy and capacity to change, tension, practicality, flexibility), support (administration, staff, training resources, information and decision-support systems, expert support), structures (size, complexity, specialisation, differentiation, decentralisation) |
Macro level of healthcare | Exogenous influences (policies, guidelines, research evidence, regulation and legislation, mandates, directives, recommendations, political stability, public reporting, benchmarking, organisational networks) |
Multiple levels of healthcare | Social relations and support, financial resources (funding, reimbursement, incentives, costs), leadership (leaders, champions,etc), time restrictions, feedback (mechanisms for monitoring and providing feedback), physical conditions (equipment, facilities) |
AMR, antimicrobial resistant; AMS, antimicrobial stewardship.