| Attitudes towards significance of antibiotic use in hospitals and the threat of resistance |
Divergent views on significance of antibiotic use and resistance for pharmacy Optimising antibiotics relatively low priority in day-to-day pharmacy work Perception of more urgent areas of practice to enforce practice change than antibiotics
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| The capacity of pharmacists to influence antibiotic decision-making |
Divergent perspectives as to pharmacy's level of responsibility for optimising antibiotic use Lack of capacity to enforce best practice given prescribing power of doctors Antibiotic use as ‘everyone's problem’, but in practice a medical responsibility Perception of limited authority and lack of capacity to actualise considerable pharmacy expertise in shaping antibiotic use
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| Interprofessional and organisational barriers to enacting change |
Medical hierarchies, and limited contact with senior doctors, limit pharmacists capacity to optimise prescribing Relationship between doctors and pharmacists needs to shift from pharmacy as ‘police’ to ‘stewards’ or ‘advisors’ Pharmacy staffing highly significant in shaping relationships and uptake of advice
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