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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Normalisation process theory as a conceptual framework for continuity of carer implementation.

Amy E Corrigan1, Suzanne Lake2, Rhona J McInnes3

  • 1School of Health & Social Care, Edinburgh Napier University, Sighthill Campus, 9 Sighthill Court, Midlothian, EH11 4BN, United Kingdom.

Women and Birth : Journal of the Australian College of Midwives
|March 7, 2020
PubMed
Summary
This summary is machine-generated.

Implementing continuity of carer (CoC) models in UK maternity services faces challenges. A new framework using Normalisation Process Theory (NPT) can improve understanding and support widespread adoption of CoC.

Keywords:
MainstreamingMidwifery continuity of carerNormalisation process theoryUnited Kingdom

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Area of Science:

  • Maternal Health Services Research
  • Healthcare Implementation Science
  • Sociology of Health

Background:

  • Continuity of Carer (CoC) models aim to improve maternity care but face significant implementation barriers in the UK.
  • Previous attempts at CoC implementation have been limited in scale and duration, highlighting a need for better understanding of the process.
  • Strategic goals for increasing CoC access have not translated into widespread, sustained practice.

Purpose of the Study:

  • To develop a conceptual implementation framework for CoC models using Normalisation Process Theory (NPT).
  • To enhance understanding of the complexities involved in implementing and sustaining CoC within maternity services.
  • To identify key factors influencing the mainstreaming of CoC in the UK context.

Main Methods:

  • A comprehensive literature review focusing on CoC implementation and the application of NPT.
  • In-depth engagement with the practical context of CoC implementation.
  • Theoretical development integrating NPT principles with implementation realities.

Main Results:

  • A conceptual framework for CoC implementation has been developed, outlining its core components.
  • Key barriers identified include the need for a critical mass of midwives committed to CoC and the establishment of necessary 'organisational space' within the NHS.
  • The study highlights the importance of midwife willingness and organisational support for successful CoC implementation.

Conclusions:

  • Normalisation Process Theory (NPT) offers a valuable lens for understanding and conceptualising large-scale CoC implementation.
  • The developed conceptual framework, with further refinement and practical application, can aid implementers and evaluators of CoC models.
  • Addressing midwife buy-in and securing NHS organisational space are crucial for advancing CoC models in the UK.