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Table 1 NPT constructs and sub-constructs as described by Finch et al. [19]

From: Application of normalisation process theory in understanding implementation processes in primary care settings in the UK: a systematic review

 

Coherence

Cognitive Participation

Collective Action

Reflexive Monitoring

Construct

The process and work of sense making and understanding that individuals and organisations undertake that promote or inhibit the routine embedding of a practice

The process and work that individuals undertake to promote engagement with the new practice

The work done by individuals and organisations to enact the new practice.

The work inherent to formal and informal appraisal of new practice, to enable assessment of advantages and disadvantages, developing users comprehension of the effects of a practice

Sub-constructs

Differentiation

Do stakeholders see this as a new way working?

Enrolment

Do the stakeholders believe they are the correct people to drive forward the implementation?

Interactional workability

Does the intervention make it easier or harder to complete tasks?

Systemisation

Will stakeholders be able to judge the effectiveness of the intervention?

Individual specification

Do individuals understand what tasks the intervention requires of them?

Initiation

Are they willing and able to engage others in the implementation?

Skill set workability

Do those implementing the intervention have the correct skills and training for the job?

Individual appraisal

How will individuals judge the effectiveness of the intervention?

Communal specification

Do all those involved agree about the purpose of the intervention?

Activation

Can stakeholders identify what tasks and activities are required to sustain the intervention?

Relational integration

Do those involved in the implementation have confidence in the new way of working?

Communal appraisal

How will stakeholders collectively judge the effectiveness of the intervention?

Internalisation

Do all the stakeholders grasp the potential benefits and value of the intervention?

Legitimation

Do they believe it is appropriate for them to be involved in the intervention?

Contextual integration

Do local and national resources and policies support the implementation?

Reconfiguration

Will stakeholders be able to modify the intervention based on evaluation and experience?