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The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

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Development of a theory of implementation and integration: Normalization Process Theory.

Carl R May¹, Frances Mair, Tracy Finch

¹Institute of Health and Society, Newcastle University, Newcastle, UK. c.r.may@ncl.ac.uk

Implementation Science : IS

|May 23, 2009

Summary

Normalization Process Theory (NPT) was developed over a decade using qualitative data analysis and theoretical modeling. This robust framework explains how new practices become routine and is ready for formal testing.

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Area of Science:

Social Sciences
Healthcare Implementation Science

Background:

Theories are crucial in science, yet their development methods are often undocumented.
Normalization Process Theory (NPT) provides a framework for understanding how new practices become routine.
This paper details the empirical development of NPT.

Purpose of the Study:

To describe the decade-long process of developing Normalization Process Theory.
To illustrate the methods used for building a formal theory from qualitative data.

Main Methods:

Conducted qualitative studies of healthcare work and organization (1998-2008).
Derived empirical generalizations from data analysis.
Developed an applied theoretical model and a formal theory through extension and implication analysis.

Main Results:

Theory constructs were internally consistent and explanatory.
The theory demonstrated robustness for formal testing.
Scope evolved from data regularities to a formal middle-range theory.

Conclusions:

NPT was developed through rigorous, critical, and reviewed procedures.
The theory's development process supports its suitability for formal empirical testing.