以质量求发展，以服务铸品牌

Journal of Nursing ›› 2024, Vol. 31 ›› Issue (5): 39-43.doi: 10.16460/j.issn1008-9969.2024.05.039

Previous Articles     Next Articles

Interpretation of Normalization Process Theory—a Theory of Implementation Science

LI Chun-ping1a,1b, ZHANG Lan-ping1b, WANG Xiao-hui2, ZHONG Le-xin1b, YANG Wei3, ZHAO Qing1a,1b, LV Sen-sen1b, LI Jia-qi1b, XIE Yun-yun1b, HUANG Wan-qing1b, CHEN Xiao-shan1b, XU Dong1b,1c,4,1a   

  1. 1. Southern Medical University a.School of Public Health; b.Acacia Lab for Implementation Science, School of Health Management; c.Center for World Health Organization Studies and Department of Health Management, School of Health Management,Guangzhou 510515, China;
    2. School of Public Health, Lanzhou University, Lanzhou730000, China;
    3. School of Public Health, the key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang 561113 China;
    4. Acacia Lab for Implementation Research, Southern Medical University Institute for Global Health, Dermatology Hospital of Southern Medical University, Guangzhou510515, China
  • Received:2023-12-15 Online:2024-03-10 Published:2024-04-08

PDF (PC)

17

Like

Abstract: Objective The Normalization Process Theory(NPT) is commonly utilized in implementation research but is often perceived as challenging to understand. This paper aims to offer a detailed introduction to NPT to assist researchers in comprehending its intricacies. Methods A meticulous literature review was conducted, and the findings were integrated with our firsthand experiences of applying NPT in our research. This approach facilitated the illustration of NPT's origin, evolution, components, and a discussion on its distinct attributes. Results NPT takes the embedding of new technology in daily work (i. e. normalization) as the implementation outcome, and that is the interaction between the implementer, the implementation object and the implementation environment. After more than 20 years of evolution, NPT eventually contained 4 domains and 16 constructs. Conclusion NPT has progressively developed and now provides a vital theoretical underpinning for the field of implementation science. Despite its importance, the theory's abstract nature and certain logical and conceptual limitations require that researchers apply it with flexibility and a deep understanding of its principles.

Key words: Normalization Process Theory (NPT), implementation science, implementation research, evidence-based medicine

CLC Number: 

  • R47
[1] Eccles MP, Mittman BS.Welcome to Implementation Science[J]. Implement Sci, 2006,1(1):1. DOI:10.1186/1748-5908-1-1.
[2] Nilsen P.Making sense of implementation theories, models and frameworks[J]. Implement Sci, 2015,10(1):53. DOI:10.1186/s13012-015-0242-0.
[3] Nilsen P.Overview of theories, models and frameworks in implementation science[M]. United Kingdom: Edward Elgar, 2020: 8-31. DOI:10.4337/9781788975995.
[4] Wang Y, Wong EL, Nilsen P, et al.A scoping review of implementation science theories, models, and frameworks - an appraisal of purpose, characteristics, usability, applicability, and testability[J]. Implement Sci, 2023,18(1):43. DOI:10.1186/s13012-023-01296-x.
[5] 张兰萍, 吕森森, 何文俊, 等. 实施性研究综合框架(CFIR)更新版的解析和应用[J]. 护理学报, 2023,30(11):47-52. DOI: 10.16460/j.issn1008-9969.2023.11.047.
[6] Peters S, Sukumar K, Blanchard S, et al.Trends in guideline implementation: an updated scoping review[J]. Implement Sci, 2022, 17(1): 50. DOI:10.1186/s13012-022-01223-6.
[7] Peters S, Sukumar K, Blanchard S, et al.Trends in guideline implementation: an updated scoping review[J]. Implement Sci, 2022,17(1):50. DOI:10.1186/s13012-022-01223-6.
[8] May C, Finch T.Implementing, embedding, and integrating practices: an outline of Normalization Process Theory[J]. Sociology,2009,43(3):535-554.DOI:10.1177/0038038509103208.
[9] May CR, Mair F, Finch T, et al.Development of a theory of implementation and integration:Normalization Process Theory[J]. Implement Sci, 2009,4(1):29.DOI:10.1186/1748-5908-4-29.
[10] May C.A rational model for assessing and evaluating complex interventions in health care[J]. BMC Health Serv Res, 2006,6(1):86. DOI:10.1186/1472-6963-6-86.
[11] May CR, Cummings A, Girling M, et al.Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review[J]. Implement Sci, 2018,13(1):80. DOI:10.1186/s13012-018-0758-1.
[12] May CR, Albers B, Bracher M, et al.Translational framework for implementation evaluation and research: a normalisation process theory coding manual for qualitative research and instrument development[J]. Implement Sci, 2022,17(1):19. DOI:10.1186/s13012-022-01191-x.
[13] Tierney E, McEvoy R, O’ Reilly-de BM, et al. A critical analysis of the implementation of service user involvement in primary care research and health service development using Normalization Process Theory[J]. Health Expect, 2016,19(3):501-515. DOI:10.1111/hex.12237.
[14] MAY C, Rapley T, Mair FS, et al.Normalization Process Theory on-line users’ manual, toolkit and NoMAD instrument[EB/OL].[2023-08-24].https://normalization-process-theory.northumbria.ac.uk/.
[15] McEvoy R, Ballini L, Maltoni S, et al. A qualitative systematic review of studies using the Normalization Process Theory to research implementation processes[J].Implement Sci, 2014,9(1):2. DOI:10.1186/1748-5908-9-2.
[16] May CR, Johnson M, Finch T.Implementation, context and complexity[J]. Implement Sci, 2016,11(1):141. DOI:10.1186/s13012-016-0506-3.
[17] May C.Towards a general theory of implementation[J]. Implement Sci, 2013,8(1):18 DOI:10.1186/1748-5908-8-18.
[1] WU Lin-mei, LIANG Zhi-jin, LIU Rui-jie, ZHONG Jing-jing, QIU Yu-hua. Barriers to and facilitators of exercise rehabilitation in patients with COPD: a CFIR-based systematic review [J]. Journal of Nursing, 2024, 31(5): 44-49.
[2] XIE Fang-yu, SUN Xiu-jie, LU Xiu-yan, WANG Jia-hong, LIANG Tao. Current Status of Recommendation of Low-quality Evidence in Chinese Nursing Practice Guidelines [J]. Journal of Nursing, 2021, 28(20): 39-43.
[3] LV Yong-li, WANG Huan-huan, LI Sha-sha, WAN Cheng, WU Pei. Evidence-based Nursing Practice for Prevention and Management of Urinary Retention after Laparoscopic Radical Resection of Cervical Cancer [J]. Journal of Nursing, 2021, 28(13): 29-33.
Viewed
Full text


Abstract

Cited
  Shared   
[1] LU Kang-yuan, WANG Jie, CHEN Yu-bei, JI Xue-mei, ZHENG Zhi-hui. Mediating effect of organizational trust between nurses' trust in patients and work engagement based on multiple group analysis[J]. Journal of Nursing, 2024, 31(5): 1 -6 .
[2] DUAN Nai-juan, SUN Li, LI Feng-xia, ZHANG Hui. Construction of participatory art therapy intervention scheme for cervical cancer patients and their spouses based on Dyadic Coping Theory[J]. Journal of Nursing, 2024, 31(5): 7 -11 .
[3] HUANG Xin, YU Li-jun, ZHANG Er-ming, HA Li-na. Current status of energy intake in patients with stable COPD and its influencing factors[J]. Journal of Nursing, 2024, 31(5): 12 -16 .
[4] . [J]. Journal of Nursing, 2024, 31(5): 17 -21 .
[5] ZHANG Ming-hui, ZHANG Miao, CHEN Li-juan, YU Man-rong. Application of talk show of popular science in clinical teaching of operating room nursing[J]. Journal of Nursing, 2024, 31(5): 22 -25 .
[6] . [J]. Journal of Nursing, 2024, 31(5): 26 -29 .
[7] LUO Xia, LIU Yu-ping, SHUAI Ping, GUAN Hua, YANG Hua, YAO Xiao-qin. Construction of competence performance appraisal scheme for nurses in physical examination center[J]. Journal of Nursing, 2024, 31(5): 30 -33 .
[8] . [J]. Journal of Nursing, 2024, 31(5): 34 -38 .
[9] WU Lin-mei, LIANG Zhi-jin, LIU Rui-jie, ZHONG Jing-jing, QIU Yu-hua. Barriers to and facilitators of exercise rehabilitation in patients with COPD: a CFIR-based systematic review[J]. Journal of Nursing, 2024, 31(5): 44 -49 .
[10] DENG Yue, HU Yu-fan, WANG Ran, ZHANG Yuan-xing, WANG Fang, YUAN Ping, CHEN Lu. Qualitative studies on experience and needs of elderly patients receiving telemedicine care: a Meta-integration[J]. Journal of Nursing, 2024, 31(5): 50 -55 .