Exploring the influence of team dynamics and communication relating to infection care, on team reasoning in the ICU using sociograms

for general hospitals.There was, no significant difference among the individual facilities (p = 0.0816), by level of care (p = 1.039), or by ownership (0.9617).The intention to prescribe antibiotics was inclined towards intrinsic factors of the individual clinician such as access to information during pre-service and in-service training, approval by their colleagues and seniors, perceived risks to the patient and their perceived ability to address irrational antibiotic use and their attitude towards change given the environment in which they work.The extrinsic factors fostered by the facility and the health system at large included: availability of diagnostic services, availability platforms for continuous medical education, availability of enough staff to manage the patient load.Discussion: Current interventions to address AMR involve creating awareness among clinicians.However, the clinician's ability to treat a patient based on the knowledge acquired in medical school, during their practice as well as the availability and access to the required diagnostics and antibiotics are major factors influencing their prescribing behaviour. Conclusion:The irrational use of antibiotics in health facilities in Central Uganda is high despite high levels of awareness of antimicrobial resistance among clinicians.The interventions to improve rational antibiotic use should be specific to a facility and more so to the individual clinicians' behaviour.