Understanding the implementation of complex interventions in health care: the normalization process model
By Carl May, Tracy L Finch, Frances Mair, Luciana Ballini, Christopher F Dowrick, M. Eccles, Linda Gask, Anne MacFarlane, E. Murray, Tim Rapley and 6 more. BMC Health Services Research, 2007
652 citations recorded by the source corpus.
BackgroundThe Normalization Process Model is a theoretical model that assists in explaining the processes by which complex interventions become routinely embedded in health care practice. It offers a framework for process evaluation and also for comparative studies of complex interventions. It focuses on the factors that promote or inhibit the routine embedding of complex interventions in health care practice.MethodsA formal theory structure is used to define the model, and its internal causal relations and mechanisms. The model is broken down to show that it is consistent and adequate in generating accurate description, systematic explanation, and the production of rational knowledge claims about the workability and integration of complex interventions.ResultsThe model explains the normalization of complex interventions by reference to four factors demonstrated to promote or inhibit the operationalization and embedding of complex interventions (interactional workability, relational integration, skill-set workability, and contextual integration).ConclusionThe model is consistent and adequate. Repeated calls for theoretically sound process evaluations in randomized controlled trials of complex interventions, and policy-makers who call for a proper understanding of implementation processes, emphasize the value of conceptual tools like the Normalization Process Model.
Subfields: General Health Professions
View Paper: https://www.semanticscholar.org/paper/aa9af9421761bc71b3c79ae2a92938037145c4fe
Citations in the corpus
- Cumulative complexity: a functional, patient-centered model of patient complexity can improve research and practice. (2012, neutral): “Patients can integrate burdens into their daily lives [146,159], but how do they experience BOT alongside BOI and other factors? After all, comorbidity, pent-up need, or other problems will likely create high burdens on all sides [139,140,160,161].”
- Towards a general theory of implementation (2013, neutral): “characterized as a deliberately initiated process, in which agents intend to bring into operation new or modified practices that are institutionally sanctioned, and are performed by themselves and other agents [34].”
- Systematic Review of Factors Influencing the Adoption of Information and Communication Technologies by Healthcare Professionals (2012, neutral): “May et al [127] also developed a theoretical model of the implementation of complex intervention in healthcare.”
- Implementation, context and complexity (2016, neutral): “in everyday work [21, 22] and then moved on to develop a generic theory of implementation [23, 24].”
- A Holistic Framework to Improve the Uptake and Impact of eHealth Technologies (2011, neutral): “Potential implementation issues such as limited resources (eg, time, staff, and money) or personal drawbacks (eg, skills, motivation, and anxieties) should be identified [63-66].”