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

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dc.contributor.author McEvoy, Rachel Margaret
dc.contributor.author Ballini, Luciana
dc.contributor.author Maltoni, Susanna
dc.contributor.author O'Donnell, Catherine A.
dc.contributor.author Mair, Frances
dc.contributor.author MacFarlane, Anne E.
dc.date.accessioned 2014-04-02T10:18:26Z
dc.date.available 2014-04-02T10:18:26Z
dc.date.issued 2014
dc.identifier.uri http://hdl.handle.net/10344/3752
dc.description peer-reviewed en_US
dc.description.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 Grey literature/unpublished studies were not sought.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. en_US
dc.language.iso eng en_US
dc.publisher BioMed Central en_US
dc.relation.ispartofseries Implementation Science;9: 2
dc.relation.uri http://dx.doi.org/ 10.1186/1748-5908-9-2
dc.subject implementation en_US
dc.subject policy en_US
dc.subject normalization process theory en_US
dc.subject theory en_US
dc.subject translation gaps en_US
dc.title A qualitative systematic review of studies using the normalization process theory to research implementation processes en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1186/1748-5908-9-2
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US


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