Translational framework for implementation evaluation and research: a normalisation process theory coding manual for qualitative research and instrument development
Translational framework for implementation evaluation and research: a normalisation process theory coding manual for qualitative research and instrument development
Background
Normalisation Process Theory (NPT) is frequently used to inform qualitative research that aims to explain and evaluate processes that shape late-stage translation of innovations in the organisation and delivery of healthcare. A coding manual for qualitative researchers using NPT will facilitate transparent data analysis processes and will also reduce the cognitive and practical burden on researchers.
Objectives
(a) To simplify the theory for the user. (b) To describe the purposes, methods of development, and potential application of a coding manual that translates normalisation process theory (NPT) into an easily usable framework for qualitative analysis. (c) To present an NPT coding manual that is ready for use.
Method
Qualitative content analysis of papers and chapters that developed normalisation process theory, selection and structuring of theory constructs, and testing constructs against interview data and published empirical studies using NPT.
Results
A coding manual for NPT was developed. It consists of 12 primary NPT constructs and conforms to the Context-Mechanism-Outcome configuration of realist evaluation studies. Contexts are defined as settings in which implementation work is done, in which strategic intentions, adaptive execution, negotiating capability, and reframing organisational logics are enacted. Mechanisms are defined as the work that people do when they participate in implementation processes and include coherence-building, cognitive participation, collective action, and reflexive monitoring. Outcomes are defined as effects that make visible how things change as implementation processes proceed and include intervention mobilisation, normative restructuring, relational restructuring, and sustainment.
Conclusion
The coding manual is ready to use and performs three important tasks. It consolidates several iterations of theory development, makes the application of NPT simpler for the user, and links NPT constructs to realist evaluation methods. The coding manual forms the core of a translational framework for implementation research and evaluation.
May, Carl R.
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Albers, Bianca
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Bracher, Mike
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Finch, Tracy L.
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Gilbert, Anthony
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Girling, Melissa
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Greenwood, Kathryn
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MacFarlane, Anne
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Mair, Frances S.
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May, Christine M.
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Murray, Elizabeth
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Potthoff, Sebastian
57fd507c-8e01-4f5e-9654-23edca7ff3ab
Rapley, Tim
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22 February 2022
May, Carl R.
649a9233-6b96-4bb7-be07-a930196c3135
Albers, Bianca
bb85915d-fadf-42ac-a50e-a562b4964a32
Bracher, Mike
e9e2fbd6-af5f-4f6e-8357-969aaf51c52e
Finch, Tracy L.
5935835f-0c98-4d08-b62d-a7e7032dadea
Gilbert, Anthony
0ec83f00-f9e1-4616-a69f-1b69a9b5a894
Girling, Melissa
de8d65de-460b-4767-903c-8e8571f1fe5c
Greenwood, Kathryn
2a551f2a-66a5-46b5-a8eb-ac0938fad886
MacFarlane, Anne
8d892346-192c-4c83-96d3-d9e7fba43d64
Mair, Frances S.
5410d2a5-6ff5-4040-878e-35f3332dbff2
May, Christine M.
71e61ae9-c7b0-485b-8c9a-539862d53cae
Murray, Elizabeth
cb300780-9041-44af-9ae5-e13531eb23b8
Potthoff, Sebastian
57fd507c-8e01-4f5e-9654-23edca7ff3ab
Rapley, Tim
eb4364d5-c016-403a-969a-aae1fd35a97c
May, Carl R., Albers, Bianca, Bracher, Mike, Finch, Tracy L., Gilbert, Anthony, Girling, Melissa, Greenwood, Kathryn, MacFarlane, Anne, Mair, Frances S., May, Christine M., Murray, Elizabeth, Potthoff, Sebastian and Rapley, Tim
(2022)
Translational framework for implementation evaluation and research: a normalisation process theory coding manual for qualitative research and instrument development.
Implementation Science, 17 (1), [19].
(doi:10.1186/s13012-022-01191-x).
Abstract
Background
Normalisation Process Theory (NPT) is frequently used to inform qualitative research that aims to explain and evaluate processes that shape late-stage translation of innovations in the organisation and delivery of healthcare. A coding manual for qualitative researchers using NPT will facilitate transparent data analysis processes and will also reduce the cognitive and practical burden on researchers.
Objectives
(a) To simplify the theory for the user. (b) To describe the purposes, methods of development, and potential application of a coding manual that translates normalisation process theory (NPT) into an easily usable framework for qualitative analysis. (c) To present an NPT coding manual that is ready for use.
Method
Qualitative content analysis of papers and chapters that developed normalisation process theory, selection and structuring of theory constructs, and testing constructs against interview data and published empirical studies using NPT.
Results
A coding manual for NPT was developed. It consists of 12 primary NPT constructs and conforms to the Context-Mechanism-Outcome configuration of realist evaluation studies. Contexts are defined as settings in which implementation work is done, in which strategic intentions, adaptive execution, negotiating capability, and reframing organisational logics are enacted. Mechanisms are defined as the work that people do when they participate in implementation processes and include coherence-building, cognitive participation, collective action, and reflexive monitoring. Outcomes are defined as effects that make visible how things change as implementation processes proceed and include intervention mobilisation, normative restructuring, relational restructuring, and sustainment.
Conclusion
The coding manual is ready to use and performs three important tasks. It consolidates several iterations of theory development, makes the application of NPT simpler for the user, and links NPT constructs to realist evaluation methods. The coding manual forms the core of a translational framework for implementation research and evaluation.
Text
s13012-022-01191-x
- Version of Record
More information
Accepted/In Press date: 18 January 2022
Published date: 22 February 2022
Additional Information:
Funding Information:
Contributions of CRM and EM were supported by independent research funded by NIHR through support of the North Thames Applied Research Collaborative. Contributions of TLF, TR, and SP were similarly supported by the NIHR North East and North Cumbria Applied Research Collaborative. The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care.
Identifiers
Local EPrints ID: 456621
URI: http://eprints.soton.ac.uk/id/eprint/456621
ISSN: 1748-5908
PURE UUID: cf30bf04-51c8-4427-bc06-4dd8d70610c4
Catalogue record
Date deposited: 05 May 2022 16:56
Last modified: 18 Mar 2024 03:15
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Contributors
Author:
Carl R. May
Author:
Bianca Albers
Author:
Tracy L. Finch
Author:
Anthony Gilbert
Author:
Melissa Girling
Author:
Kathryn Greenwood
Author:
Anne MacFarlane
Author:
Frances S. Mair
Author:
Christine M. May
Author:
Elizabeth Murray
Author:
Sebastian Potthoff
Author:
Tim Rapley
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