A qualitative systematic review of studies using the normalization process theory to research implementation processes

Hdl Handle:
http://hdl.handle.net/10147/315442
Title:
A qualitative systematic review of studies using the normalization process theory to research implementation processes
Authors:
McEvoy, Rachel; Ballini, Luciana; Maltoni, Susanna; O’Donnell, Catherine A; Mair, Frances S; MacFarlane, Anne
Citation:
Implementation Science. 2014 Jan 02;9(1):2
Issue Date:
2-Jan-2014
URI:
http://dx.doi.org/10.1186/1748-5908-9-2; http://hdl.handle.net/10147/315442
Abstract:
Abstract Background There is a well-recognized need for greater use of theory to address research translational gaps. Normalization Process Theory (NPT) provides a set of sociological tools to understand and explain the social processes through which new or modified practices of thinking, enacting, and organizing work are implemented, embedded, and integrated in healthcare and other organizational settings. This review of NPT offers readers the opportunity to observe how, and in what areas, a particular theoretical approach to implementation is being used. In this article we review the literature on NPT in order to understand what interventions NPT is being used to analyze, how NPT is being operationalized, and the reported benefits, if any, of using NPT. Methods Using a framework analysis approach, we conducted a qualitative systematic review of peer-reviewed literature using NPT. We searched 12 electronic databases and all citations linked to six key NPT development papers. Grey literature/unpublished studies were not sought. Limitations of English language, healthcare setting and year of publication 2006 to June 2012 were set. Results Twenty-nine articles met the inclusion criteria; in the main, NPT is being applied to qualitatively analyze a diverse range of complex interventions, many beyond its original field of e-health and telehealth. The NPT constructs have high stability across settings and, notwithstanding challenges in applying NPT in terms of managing overlaps between constructs, there is evidence that it is a beneficial heuristic device to explain and guide implementation processes. Conclusions NPT offers a generalizable framework that can be applied across contexts with opportunities for incremental knowledge gain over time and an explicit framework for analysis, which can explain and potentially shape implementation processes. This is the first review of NPT in use and it generates an impetus for further and extended use of NPT. We recommend that in future NPT research, authors should explicate their rationale for choosing NPT as their theoretical framework and, where possible, involve multiple stakeholders including service users to enable analysis of implementation from a range of perspectives.
Item Type:
Article
Language:
en
Keywords:
RESEARCH METHOD; RESEARCH DESIGN

Full metadata record

DC FieldValue Language
dc.contributor.authorMcEvoy, Rachelen_GB
dc.contributor.authorBallini, Lucianaen_GB
dc.contributor.authorMaltoni, Susannaen_GB
dc.contributor.authorO’Donnell, Catherine Aen_GB
dc.contributor.authorMair, Frances Sen_GB
dc.contributor.authorMacFarlane, Anneen_GB
dc.date.accessioned2014-04-07T09:14:53Z-
dc.date.available2014-04-07T09:14:53Z-
dc.date.issued2014-01-02-
dc.identifier.citationImplementation Science. 2014 Jan 02;9(1):2en_GB
dc.identifier.urihttp://dx.doi.org/10.1186/1748-5908-9-2-
dc.identifier.urihttp://hdl.handle.net/10147/315442-
dc.description.abstractAbstract Background There is a well-recognized need for greater use of theory to address research translational gaps. Normalization Process Theory (NPT) provides a set of sociological tools to understand and explain the social processes through which new or modified practices of thinking, enacting, and organizing work are implemented, embedded, and integrated in healthcare and other organizational settings. This review of NPT offers readers the opportunity to observe how, and in what areas, a particular theoretical approach to implementation is being used. In this article we review the literature on NPT in order to understand what interventions NPT is being used to analyze, how NPT is being operationalized, and the reported benefits, if any, of using NPT. Methods Using a framework analysis approach, we conducted a qualitative systematic review of peer-reviewed literature using NPT. We searched 12 electronic databases and all citations linked to six key NPT development papers. Grey literature/unpublished studies were not sought. Limitations of English language, healthcare setting and year of publication 2006 to June 2012 were set. Results Twenty-nine articles met the inclusion criteria; in the main, NPT is being applied to qualitatively analyze a diverse range of complex interventions, many beyond its original field of e-health and telehealth. The NPT constructs have high stability across settings and, notwithstanding challenges in applying NPT in terms of managing overlaps between constructs, there is evidence that it is a beneficial heuristic device to explain and guide implementation processes. Conclusions NPT offers a generalizable framework that can be applied across contexts with opportunities for incremental knowledge gain over time and an explicit framework for analysis, which can explain and potentially shape implementation processes. This is the first review of NPT in use and it generates an impetus for further and extended use of NPT. We recommend that in future NPT research, authors should explicate their rationale for choosing NPT as their theoretical framework and, where possible, involve multiple stakeholders including service users to enable analysis of implementation from a range of perspectives.-
dc.language.isoenen
dc.subjectRESEARCH METHODen_GB
dc.subjectRESEARCH DESIGNen_GB
dc.titleA qualitative systematic review of studies using the normalization process theory to research implementation processesen_GB
dc.typeArticleen
dc.language.rfc3066en-
dc.rights.holderRachel McEvoy et al.; licensee BioMed Central Ltd.-
dc.description.statusPeer Reviewed-
dc.date.updated2014-04-02T10:41:56Z-
All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.