The DOI matches its Crossref record; 61 of the 62 references it cites were found in a registry or an index; none of the 73 sources its claims cite is checked for support yet.
Development of a theory of implementation and integration: Normalization Process Theory
Open accessAbstract
BACKGROUND: Theories are important tools in the social and natural sciences. The methods by which they are derived are rarely described and discussed. Normalization Process Theory explains how new technologies, ways of acting, and ways of working become routinely embedded in everyday practice, and has applications in the study of implementation processes. This paper describes the process by which it was built. METHODS: Between 1998 and 2008, we developed a theory. We derived a set of empirical generalizations from analysis of data collected in qualitative studies of healthcare work and organization. We developed an applied theoretical model through analysis of empirical generalizations. Finally, we built a formal theory through a process of extension and implication analysis of the applied theoretical model. RESULTS: Each phase of theory development showed that the constructs of the theory did not conflict with each other, had explanatory power, and possessed sufficient robustness for formal testing. As the theory developed, its scope expanded from a set of observed regularities in data with procedural explanations, to an applied theoretical model, to a formal middle-range theory. CONCLUSION: Normalization Process Theory has been developed through procedures that were properly sceptical and critical, and which were opened to review at each stage of development. The theory has been shown to merit formal testing.
Overview
AI snapshot
Written from the paper’s full text.
TL;DR
This paper describes how Normalization Process Theory (NPT) was developed through three phases: empirical generalizations from qualitative healthcare studies, an applied Normalization Process Model (NPM), and a formal middle-range theory. NPT explains implementation, embedding, and integration through four generative mechanisms—coherence, cognitive participation, collective action, and reflexive monitoring—and is presented as meriting formal testing.
Key findings
- NPT was built in three phases: empirical generalizations from secondary analyses of qualitative healthcare data (2001–2004), an applied NPM (2003–2007), and a formal middle-range theory (2006–2009).
- The NPM’s four constructs—interactional workability, relational integration, skill-set workability, and contextual integration—became the collective action component of NPT; NPT adds coherence, cognitive participation, and reflexive monitoring as generative mechanisms.
- Road testing included applying the NPM in three large qualitative studies and coding two datasets with both NPM and NPT; the authors report that the constructs did not conflict, had explanatory power, and were stable enough for formal testing.
- NPT is presented as a middle-range sociological theory of implementation, embedding, and integration; formal testing was not conducted in this paper, and results are said to be forthcoming.
Methods
- Design: a theory-building account using secondary analysis of qualitative data, grounded theory-building techniques, extension and implication analysis, analytical theorizing, and “road testing.”
- Data/sample: qualitative studies of healthcare work and organization across four domains—telemedicine normalization, professional–patient interaction and chronic illness care, and the social production and operationalization of evidence in the clinical encounter—plus later applications in e-health, telecare, a randomized controlled trial, and shared decision-making.
- Analysis: derived empirical generalizations, built the NPM, reformulated its constructs as generic mechanisms, mapped macro–micro links, and assessed construct stability and analytic advantage by applying NPM and NPT to data and research syntheses.
Limitations
- The paper states that it did not formally test or falsify the NPM or NPT; “road testing” only assessed whether the theory was fit to be tested, and formal test results are forthcoming.
- The authors state that procedural accounts of theory-building risk imposing an artificial order on processes that are highly contingent, opportunistic, and organic.
- Evident from the text: no empirical outcomes, effect sizes, or formal validation results are reported; the claims rest on conceptual coherence, face validity, and practical application rather than definitive testing.
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Claims the paper makes
42 Not checked yet · 21 Own interpretation · 21 No basis given · 7 Own method · 2 Own result
In the paper
“At this stage, the NPM synthesized empirical generalizations from groups of related studies, and producing taxonomies, maps of relations between concepts, and generalizations [24].”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Phase two: Building an applied theoretical model
What the sources say
- Not checked yetcites [24] Dixon-Woods M, Agarwal S, Jones D, Young B, Sutton A: Synthesising qualitative and quantitative evidence in reviews: a review of methods. J Hlth Serv Res Pol. 2005, 10: 45-53. 10.1258/1355819052801804. source
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Each phase of theory development showed that the constructs of the theory did not conflict with each other, had explanatory power, and possessed sufficient robustness for formal testing.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Abstract > Results
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“'Road testing' showed that it had utility in explaining factors that promoted and inhibited collective action in operationalizing practices.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Research synthesis
plaincorrelational- Asserted: passes — The authors put it forward as true.
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- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Each phase of theory development showed that the constructs of the theory did not conflict with each other, had explanatory power, and possessed sufficient robustness for formal testing.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Abstract > Results
plain- Asserted: passes — The authors put it forward as true.
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- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“In fact, it extends it.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Relationship between the NPM and NPT
plaindirect- Asserted: passes — The authors put it forward as true.
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- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Each phase of theory development showed that the constructs of the theory did not conflict with each other, had explanatory power, and possessed sufficient robustness for formal testing.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Abstract > Results
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“The formal theory (NPT) does not conflict with the applied model (NPM) from which it was drawn.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Relationship between the NPM and NPT
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“As the theory developed, its scope expanded from a set of observed regularities in data with procedural explanations, to an applied theoretical model, to a formal middle-range theory.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Abstract > Results
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
None of the sources cited for this claim have been checked yet.
In the paper
“Reviews of relevant theory published at that time [1-4] explicated these explanatory gaps.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Background > Why was NPT developed?
What the sources say
- Not checked yetcites [1] Ashford AJ: Behavioural change in professional practice: supporting the development of effective implementation strategies. 2002, Newcastle upon Tyne: Centre for Health Services Research
- Not checked yetcites [2] Wensing M, Bosch M, Foy R, Weijden van der T, Eccles M, Grol R: Factors in theories on behaviour change to guide implementation and quality improvement in healthcare. 2005, Nijmegen: University of Nijmegen
- Not checked yetcites [3] Grol R, Wensing M, Hulscher M, Eccles M: Theories on implementation of change in healthcare. 2004, Nijmegan: WOK
- Not checked yetcites [4] Grol RP, Bosch M, Hulscher M, Eccles M, Wensing M: Planning and studying improvement in patient care: the use of theoretical perspectives. Milbank Quarterly. 2007, 85 (1): 93-138. 10.1111/j.1468-0009.2007.00478.x. source
plain- Asserted: passes — The authors put it forward as true.
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A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“In other words, they were observational rather than explanatory.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Phase one: Developing empirical generalizations
plain- Asserted: passes — The authors put it forward as true.
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- Probably not a substantial claim. 38
- It may state two separate claims as one. 20
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“The empirical generalizations produced by these processes were general conclusions about regularities in the data, and were framed as formal propositions.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Phase one: Developing empirical generalizations
plain- Asserted: passes — The authors put it forward as true.
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- Load-bearing: fails — The paper’s conclusions may not depend on it.
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Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“By the end of 2006, the NPM in its published form [7] was sufficient as a set of conceptual tools to analyse specific processes, and it has been successfully applied to this purpose [32-36].”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Research synthesis
What the sources say
- Not checked yetcites [7] May C: A rational model for assessing and evaluating complex interventions in health care. BMC Health Serv Res. 2006, 6: 86-10.1186/1472-6963-6-86. source
- Not checked yetcites [32] Morriss R: Implementing clinical guidelines for bipolar disorder. Psychology and Psychotherapy-Theory Research and Practice. 2008, 81: 437-458. 10.1348/147608308X278105. source
- Not checked yetcites [33] Gask L, Rogers A, Campbell S, Sheaff R: Beyond the limits of clinical governance: the case of mental health in primary care. BMC Health Serv Res. 2008, 8: 63-10.1186/1472-6963-8-63. source
- Not checked yetcites [34] King G, Richards H, Godden D: Adoption of telemedicine in Scottish remote and rural general practices: a qualitative study. J Teleme Telecare. 2007, 13 (8): 382-386. 10.1258/135763307783064430. source
- Not checked yetcites [35] Mair FS, Hiscock J, Beaton SC: Understanding factors that inhibit or promote the utilization of telecare in chronic lung disease. Chronic Ill. 2008, 4 (2): 110-117. 10.1177/1742395308092482. source
- Not checked yetcites [36] Finch TL, Mair FS, May CR: Teledermatology in the UK: lessons in service innovation. Brit J Dermatol. 2007, 156 (3): 521-527. 10.1111/j.1365-2133.2006.07608.x. source
plain- Asserted: passes — The authors put it forward as true.
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It may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“However, we can say that the processes of theoretical development described in this paper were opportunistic and organic in the beginning.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Background > Why was NPT developed?
plain- Asserted: passes — The authors put it forward as true.
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Probably not a substantial claim. The paper’s conclusions may not depend on it.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“'Road testing' the NPM enabled us to work through these problems and provided a context in which to make rational decisions about face validity, and to ask whether the NPM merited formal testing.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Refining and testing the NPM
plaindirect- Asserted: passes — The authors put it forward as true.
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Probably not a substantial claim. It may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“These were linked together by sociological explanations of the relations between its constructs, their dimensions, and components.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Phase two: Building an applied theoretical model
plaincorrelational- Asserted: passes — The authors put it forward as true.
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Probably not a substantial claim.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“We show how these procedures led to a set of propositions that possessed sufficient face validity and conceptual robustness to warrant formal testing.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Background
plaindirect- Asserted: passes — The authors put it forward as true.
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Probably not a substantial claim. It may be too vague to check against evidence. The paper may give no reason why it holds. It may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“The extended NPM that was derived from this work now had a general character, and the generative mechanisms and components to which it referred were not exclusive to complex interventions or even healthcare.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Phase three: Making a formal theory
plain- Asserted: passes — The authors put it forward as true.
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It may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“This process was important because it paralleled the final revisions of the NPT as subsequently accepted for publication.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Road testing the NPT
plaincorrelational- Asserted: passes — The authors put it forward as true.
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- Load-bearing: fails — The paper’s conclusions may not depend on it.
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Probably not a substantial claim. The paper’s conclusions may not depend on it.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“The NPT, however, extends the applied theoretical model to include the ways by which actors make sense of a set of practices (coherence), the means by which they participate in them (cognitive participation), and the forms of appraisal that they apply (reflexive monitoring)”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Relationship between the NPM and NPT
plain- Asserted: passes — The authors put it forward as true.
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It may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“The constructs of the NPM are central to the formal theory and constitute its collective action component.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Relationship between the NPM and NPT
plain- Asserted: passes — The authors put it forward as true.
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Probably not a substantial claim. It may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Between 2006 and 2009, the applied theoretical model of the NPM was extended, new constructs defined, and generative mechanisms defined, so that it formed a formal middle-range theory – NPT.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Phase three: Making a formal theory
plaindirect- Asserted: passes — The authors put it forward as true.
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It may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“It did not, however, explain how practices were formed in ways that held together, how actors were enrolled into them, or how they were appraised.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Research synthesis
plain- Asserted: passes — The authors put it forward as true.
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It may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“They referred instead to generic properties of implementation processes and offered an explanation of them without reference to specific social contexts.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Phase three: Making a formal theory
plain- Asserted: passes — The authors put it forward as true.
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A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Taken together these set the scene for possible empirical verification.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Phase two: Building an applied theoretical model
hedged- Asserted: passes — The authors put it forward as true.
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Probably not a substantial claim. It may be too vague to check against evidence. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“It is important to be clear that this was not formal testing, because we did not at this stage seek to falsify the NPM. Instead, we practically tested its usefulness as an analytic tool.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Qualitative data analysis
plain- Asserted: passes — The authors put it forward as true.
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Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
In the paper
“They reflect calls for the use of theories to generate testable hypotheses linking tailored strategies with factors that promote or inhibit implementation, and various attempts to identify theories or constructs within theories best suited for successful implementation [15].”
§ Development of a theory of implementation and integration: Normalization Process Theory > Background > Why was NPT developed?
What the sources say
- Not checked yetcites [15] Michie S, Johnston M, Abraham C, Lawton R, Parker D, Walker A: Making psychological theory useful for implementing evidence based practice: a consensus approach. Qual Saf Health Care. 2005, 14 (1): 26-33. 10.1136/qshc.2004.011155. source
plaincorrelational- Asserted: passes — The authors put it forward as true.
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A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“3. Integration, by which we mean the processes by which a practice or practices are reproduced and sustained among the social matrices of an organization or institution.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Background > What is NPT?
plain- Asserted: passes — The authors put it forward as true.
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A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“It is a theory of action.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Background > What is NPT?
plain- Asserted: passes — The authors put it forward as true.
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A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The starting point of the theory is that to understand the embedding of a practice we must look at what people actually do and how they work.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Background > What is NPT?
plain- Asserted: passes — The authors put it forward as true.
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Probably not a substantial claim. The paper may give no reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“2. Embedding, by which we mean the processes through which a practice or practices become, (or do not become), routinely incorporated in everyday work of individuals and groups.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Background > What is NPT?
plain- Asserted: passes — The authors put it forward as true.
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A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“1. Practices become routinely embedded – or normalized – in social contexts as the result of people working, individually and collectively, to enact them.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Background > What is NPT?
plaindirect- Asserted: passes — The authors put it forward as true.
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Probably not a substantial claim. The paper may give no reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“3. The production and reproduction of a practice requires continuous investment by agents in ensembles of action that are carried forward in time and space.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Background > What is NPT?
plaindirect- Asserted: passes — The authors put it forward as true.
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Probably not a substantial claim. The paper may give no reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“1. Implementation, by which we mean the social organization of bringing a practice or practices into action.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Background > What is NPT?
plain- Asserted: passes — The authors put it forward as true.
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Probably not a substantial claim.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Normalization Process Theory explains how new technologies, ways of acting, and ways of working become routinely embedded in everyday practice, and has applications in the study of implementation processes.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Abstract > Background
plain- Asserted: passes — The authors put it forward as true.
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Probably not a substantial claim.
In the paper
“An important critique of theory building is that it is sometimes precipitate, proceeding before the generalizability of the phenomena it is concerned with is properly established [26].”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Refining and testing the NPM
What the sources say
- Not checked yetcites [26] Goldthorpe JH: On Sociology: Critique and Program. 2006, Stanford: Stanford University Press
hedged- Asserted: passes — The authors put it forward as true.
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Probably not a substantial claim. It may be too vague to check against evidence. The paper’s conclusions may not depend on it.
In the paper
“A second critique is that theory-builders focus too early on the problem of defining and measuring variables supposed to be relevant, without sufficient consideration of the coherence and robustness of basic concepts and constructs of the theory itself [27].”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Refining and testing the NPM
What the sources say
- Not checked yetcites [27] Wacker JG: A theory of formal conceptual definitions: developing theory-building measurement instruments. J Operations Management. 2004, 22 (6): 629-650. 10.1016/j.jom.2004.08.002. source
plain- Asserted: passes — The authors put it forward as true.
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What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“This was framed as a set of analytic propositions (see Appendix 2) that were supported by rigorous data analysis.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Phase two: Building an applied theoretical model
plain- Asserted: passes — The authors put it forward as true.
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- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Normalization Process Theory explains how new technologies, ways of acting, and ways of working become routinely embedded in everyday practice, and has applications in the study of implementation processes.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Abstract > Background
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper may give no reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“They did not in themselves make a theory because they were specific to particular contexts (i.e., although they were generalizations, they were not necessarily generalizable), and were not linked together by some account of causal relations, generative mechanisms, or organizing principles.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Phase one: Developing empirical generalizations
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“NPT provides a set of sociological tools to understand and explain the social processes through which new or modified practices of thinking, enacting, and organizing work are operationalized in healthcare and other institutional settings.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Background > What is NPT?
plain- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Unless there is already a large body of literature that presents studies that have interrogated or tested a particular theory in play, we are then stuck with the problem of how to evaluate its relation to the phenomena that it seeks to explain.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Results > The importance of transparency
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“So, although there are many papers that seek to present some new theory, we can often discover little about where they come from or about the methods by which they were derived.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Results > The importance of transparency
plain- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The processes of theory development described here have included changes in scope, as well as method.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Results > The changing scope of the theory
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Such theories sometimes seem to spring fully-formed from critiques of the literature, or by assertions about prior theories.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Results > The importance of transparency
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.
In the paper
“The goal of theory-building at this level is to isolate the generic properties of phenomena and understand their operation [37].”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Phase three: Making a formal theory
What the sources say
- Not checked yetcites [37] Turner JH: Analytical Theorizing. Social Theory Today. Edited by: Giddens A, Turner J. 1987, Cambridge: Polity Press, 156-194.
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“We then had to demonstrate that these constructs could be operationalized in a way that conferred an analytic advantage.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Road testing the NPT
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The process of theory-building described in this paper has led from secondary analysis of qualitative data through to the development of a set of generic theoretical propositions that can be employed to explain implementation and integration.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Conclusion
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“The criteria for stability were that the generic constructs could be translated into specific contexts without the addition of ad hoc conditions, and that sceptical researchers were able to use them in practice with minimal support.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Road testing the NPT
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“The production of a formal theory is a quite different enterprise than the work that goes into the identification of empirical generalizations or applied explanations.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Phase three: Making a formal theory
plain- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.
None of the sources cited for this claim have been checked yet.
In the paper
“The NPM is unchanged by this, and researchers can continue to successfully use the NPM in settings where only those factors that promoted or inhibited collective action are at issue [32-35,45,46].”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Relationship between the NPM and NPT
What the sources say
- Not checked yetcites [32] Morriss R: Implementing clinical guidelines for bipolar disorder. Psychology and Psychotherapy-Theory Research and Practice. 2008, 81: 437-458. 10.1348/147608308X278105. source
- Not checked yetcites [33] Gask L, Rogers A, Campbell S, Sheaff R: Beyond the limits of clinical governance: the case of mental health in primary care. BMC Health Serv Res. 2008, 8: 63-10.1186/1472-6963-8-63. source
- Not checked yetcites [34] King G, Richards H, Godden D: Adoption of telemedicine in Scottish remote and rural general practices: a qualitative study. J Teleme Telecare. 2007, 13 (8): 382-386. 10.1258/135763307783064430. source
- Not checked yetcites [35] Mair FS, Hiscock J, Beaton SC: Understanding factors that inhibit or promote the utilization of telecare in chronic lung disease. Chronic Ill. 2008, 4 (2): 110-117. 10.1177/1742395308092482. source
- Not checked yetcites [45] May C, Mair FS, Dowrick C, Finch T: Process evaluation of complex interventions in primary care: understanding trials using the normalization process model. BMC Fam Pract. 2007, 8: 42-10.1186/1471-2296-8-42. source
- Not checked yetcites [46] Wilkes S: Evaluation of open access hysterosalpingography in the initial management of infertility in primary care. 2007, Unpublished PhD Thesis, University of Sunderland
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“The development of a set of explanatory ideas around normalization has shifted from an initial set of empirical generalizations presented as synthetic propositions or assertions [17], to a robust conceptual model that presented generalizable propositions [7], and finally to a middle-range theory that offers a set of mechanism-based explanations for processes of implementation, embedding, and integ”
§ Development of a theory of implementation and integration: Normalization Process Theory > Results > The changing scope of the theory
What the sources say
- Not checked yetcites [17] May CR, Harrison R, Finch T, MacFarlane A, Mair FS, Wallace P: Understanding the normalization of telemedicine services through qualitative evaluation. J Am Med Informat Ass. 2003, 10 (6): 596-604. 10.1197/jamia.M1145. source
- Not checked yetcites [7] May C: A rational model for assessing and evaluating complex interventions in health care. BMC Health Serv Res. 2006, 6: 86-10.1186/1472-6963-6-86. source
- Not checked yetcites [5] May C, Finch T: Implementation, embedding, and integration: an outline of Normalization Process Theory. Sociology. 2009,
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“It is important to emphasise that the purpose of this work was not to formally test the theory, but rather to demonstrate that it was fit to be tested:”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Road testing the NPT
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Normalization Process Theory has been developed through procedures that were properly sceptical and critical, and which were opened to review at each stage of development.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Abstract > Conclusion
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper may give no reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“This theory-building process has been a highly collaborative one, in which many people have made very important contributions to the development of theoretical explanation.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Conclusion
plain- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“To summarise, 'road testing' NPT required that we establish that its constructs actually defined mechanisms, components, and investments that could all be prospectively revealed by empirical research, and that these could be characterised in a stable way.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Road testing the NPT
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“When they exist, these often take the form of personal histories [56], or accounts of particular social networks [57].”
§ Development of a theory of implementation and integration: Normalization Process Theory > Results > The importance of transparency
What the sources say
- Not checked yetcites [56] Rogers EM: A prospective and retrospective look at the diffusion model. J Health Communicat. 2004, 9: 13-19. 10.1080/10810730490271449. source
- Not checked yetcites [57] Collins HM: Tacit knowledge in scientific networks. Science in context: readings in the sociology of science. Edited by: Barnes B, Edge D. 1982, Buckingham: Open University Press, 44-64.
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“We therefore presented it as a general, and generalizable, middle-range theory, NPT [5,41]), that seeks to explain the processes of implementation, embedding, and integration of material practices in formally defined contexts, relates these processes to causal social mechanisms [42], identifies components of those mechanisms, and defines the investments that are required to energize them.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Phase three: Making a formal theory
What the sources say
- Not checked yetcites [5] May C, Finch T: Implementation, embedding, and integration: an outline of Normalization Process Theory. Sociology. 2009,
- Not checked yetcites [41] May C: Mundane Medicine, Therapeutic Relationships, and the Clinical Encounter.'. Handbook of the Sociology of Health, Illness, and Healing: A Blueprint for the 21st Century. Edited by: Pescosolido B, Martin JA, Rogers A. New York: Springer
- Not checked yetcites [42] Hedstrom P: Dissecting the Social: On the Principles of Analytical Sociology. 2005, Cambridge: Cambridge University Press source
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Although it has been developed through a series of multi-disciplinary collaborations, NPT is a sociological theory in that it takes as its focus the contribution of social action to implementation, embedding, and integration.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > NPT is a middle-range theory
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
The paper relies on this without support.
It is important to show that a theory has been derived through rigorous methods, applied sceptically, and critically assessed.
“It is important to show that the theory has been derived through processes that have involved the application of rigorous methods, that these methods have been applied in a properly sceptical way, and that the outcomes of their application have been critically assessed.”
The paper relies on this without support.
The limited scope, conceptual range, and claims of middle-range theories make them practically workable in analysing practice.
“The limited scope, conceptual range, and claims of middle-range theories are important because they are what make them practically workable in analysing practice.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“NPT is a theory of implementation that focuses on what people—both individuals and groups—do rather than what they believe or intend, and it has been built up from studies of practice in many different healthcare systems.”
From Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review (2018) · cites this paper as [8]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“The development of NPT first involved the iterative development of a robust generic theory of implementation [5–9, 11, 12].”
From Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review (2018) · cites this paper as [8]
The cited source says what the claim attributes to it.
In the citing paper
“In the second iteration of the theory—Normalization Process Theory (NPT) [7, 8]—we characterised mechanisms (coherence, cognitive participation, collective action and reflexive monitoring) that motivate and shape implementation processes and explained their operation.”
From Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review (2018) · cites this paper as [8]
The cited source says what the claim attributes to it.
In the citing paper
“the content of our framework (data derived from primary care) is comparable and overlaps considerably with the CFIR which is not primary care specific and has resonance with NPT.”
From Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews (2015) · cites this paper as [92]
The cited source says what the claim attributes to it.
In the citing paper
“NPT is a theory of implementation that focuses on what people—both individuals and groups—do rather than what they believe or intend, and it has been built up from studies of practice in many different healthcare systems.”
From Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review (2018) · cites this paper as [8]
The cited source says what the claim attributes to it.
In the citing paper
“Normalization Process Theory (NPT) identifies, characterises and explains key mechanisms that promote and inhibit the implementation, embedding and integration of new health techniques, technologies and other complex interventions.”
From Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review (2018) · cites this paper as [8]
The cited source says what the claim attributes to it.
In the citing paper
“we have argued that theories are conceptual toolkits that can be used flexibly to deal with practical problems.”
From Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review (2018) · cites this paper as [8]
The cited source says what the claim attributes to it.
In the citing paper
“For example, the social influences and environmental context and resource domains point to organisational and systems context for change and can be further elaborated, e.g. by Normalisation Process Theory [66], the Consolidated Framework For Implementation Research [67] and the Yorkshire Contributory Factors Framework [68].”
From A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems (2017) · cites this paper as [66]
In the citing paper
“One that has been applied in healthcare is normalisation process theory [77, 78], which acknowledges the interaction of actors (recipients) within their context and proposes four constructs titled coherence, cognitive participation, collective action and reflexive monitoring as the generative mechanisms required to routinely embed innovations.”
From PARIHS revisited: from heuristic to integrated framework for the successful implementation of knowledge into practice (2015) · cites this paper as [78]
In the citing paper
“Normalization includes supporting staff to make sense of the new technology in the context of their work; engaging them to participate; coordinating their implementation efforts; and monitoring benefits and costs (23).”
From Planning and Evaluating Remote Consultation Services: A New Conceptual Framework Incorporating Complexity and Practical Ethics (2021) · cites this paper as [23]
In the citing paper
“Previously published approaches primarily focus on implementation, although the details of implementation theory, implementation strategy or a comprehensive implementation process are often neglected (e.g., [14, 53, 84, 85]).”
From Making sense of complexity in context and implementation: the Context and Implementation of Complex Interventions (CICI) framework (2017) · cites this paper as [84]
In the citing paper
“There is currently no published review of its empirical application, but it has been seen to have been applied to good effect in a number of social and health-care settings.121,134,135”
From ReseArch with Patient and Public invOlvement: a RealisT evaluation – the RAPPORT study (2015) · cites this paper as [135]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Refining and testing the NPM
“This consisted of two main pieces of work, quantitative data analysis and research synthesis.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Methods > Qualitative data analysis
“### Qualitative data analysis We integrated the NPM in qualitative data analysis in three large studies”
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
§ Development of a theory of implementation and integration: Normalization Process Theory > Abstract > Methods
“Between 1998 and 2008, we developed a theory.”
§ Development of a theory of implementation and integration: Normalization Process Theory > Background
“this paper described the processes by which one of them – Normalization Process Theory (or NPT) [5-7] – was developed between 2000 and 2009.”
Citations
Cites
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Qualitative Analysis for Social Scientists
Strauss, A. L. (1987) · doi:10.1017/cbo9780511557842 · Cited by 12,277 · cited 2×
“Between 2003 and 2007, using grounded theory-building techniques [21,22], an applied theoretical model of normalization processes – the Normalization Process Model, or NPM, [7] – was derived from earlier empirical generalizations across all four domains of study.”
(1990) · Cited by 11,110
Social Theory and Social Structure
Ross, E. J., & Merton, R. Κ. (1958) · The American Catholic Sociological Review · doi:10.2307/3709394 · Cited by 10,318
Research works printed but not linked: 8
- Ashford AJ: Behavioural change in professional practice: supporting the development of effective implementation strategies. 2002, Newcastle upon Tyne: Centre for Health Services Research
- May C, Finch T: Implementation, embedding, and integration: an outline of Normalization Process Theory. Sociology. 2009,
- Glaser BG, Strauss A: The discovery of grounded theory. 1967, Chicago: Aldine
- Goldthorpe JH: On Sociology: Critique and Program. 2006, Stanford: Stanford University Press
- Hechter M, Horne C: Theory is explanation. Theories of social order. Edited by: Hechter M, Horne C. 2003, Stanford CA: Stanford University Press
- May C: Mundane Medicine, Therapeutic Relationships, and the Clinical Encounter.'. Handbook of the Sociology of Health, Illness, and Healing: A Blueprint for the 21st Century. Edited by: Pescosolido B, Martin JA, Rogers A. New York: Springer
- Mair F, May C, Murray E, Finch T, Anderson G, O'Donnell C, Wallace P, Sullivan F: Understanding the Implementation and Integration of E-Health Services. 2009, London: National Co-ordinating Centre for the National Institute for Health Research Service Delivery and Organisation Programme (NCCSDO)
- Wilkes S: Evaluation of open access hysterosalpingography in the initial management of infertility in primary care. 2007, Unpublished PhD Thesis, University of Sunderland
Cited by
Sorted by citations
Items 901–1,000 of 1,000
Walugembe, D. R., Plamondon, K., Kaharuza, F. M., Waiswa, P., Wylie, L., Wathen, C. N., & Kothari, A. R. (2024) · PLOS Global Public Health · doi:10.1371/journal.pgph.0003290 · Cited by 5
“Its intent, level of abstraction, evidence of utilization in previous empirical studies, provision of how-to support tools and dual purpose as a theory and evaluation framework made it well-suited to the objectives of this study [43, 52–55].”
A Cross-Disciplinary Analysis of the Complexities of Scaling Up eHealth Innovation
Allers, S., Carboni, C., Eijkenaar, F., & Wehrens, R. (2024) · Journal of Medical Internet Research · doi:10.2196/58007 · Cited by 2
“Studies that we group under the ecological perspective emphasize, for example, the importance of conducting sensemaking work among stakeholders before replicating an innovation [32].”
Liu, S., Gao, L., Jin, Y., Chen, J., Wu, D., Cai, Y., Wang, T., Huang, S., Yan, C., Wang, R. S., et al. (2025) · BMC Health Services Research · doi:10.1186/s12913-024-12032-6 · Cited by 2
DiMartino, L., Carroll, A. J., Ridgeway, J. L., Revette, A. C., Griffin, J. M., Weiner, B. J., Mitchell, S. A., Norton, W. E., Cronin, C. M., Cheville, A. L., et al. (2025) · Implementation Science Communications · doi:10.1186/s43058-025-00701-4 · Cited by 2
“The frameworks originally were: Normalization Process Theory [21], CFIR [22], and the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework [23].”
Remawi, B. N., Preston, N. J., & Gadoud, A. (2025) · BMC Palliative Care · doi:10.1186/s12904-025-01776-5 · Cited by 2
“Normalisation Process Theory is a theory that evaluates factors that affect the routine incorporation of a complex intervention into everyday life and thus helps to understand how and why a complex intervention works [37, 38].”
Duxbury, J. A., Haines‐Delmont, A., Baker, J. A., Baker, P. A., Bourlet, G., Craig, E., Ridley, J., Whyte, R., Morrison, B., Thomson, M., et al. (2024) · Health and Social Care Delivery Research · doi:10.3310/pgas1755 · Cited by 3
Scobie, H., Mackinnon, S., Wood, K., Albanese, A., Cunningham, Y., Williamson, A. E., Moir, J., McPherson, A., Lombard, C., Ross, S., et al. (2025) · PLoS ONE · doi:10.1371/journal.pone.0324654 · Cited by 2
“Initial quantitative studies from previous evaluation of the PHOENIx model [11,36,37] have also highlighted the potential positive impact of the intervention on health-related quality of life [9], treatment burden, and delaying time to hospitalisation.”
Self-citationYoung, A., Byrnes, A., McRae, P., & Mudge, A. (2025) · Nutrition in Clinical Practice · doi:10.1002/ncp.70030 · Cited by 2
“…and organizational change, and improvement (eg, diffusion of innovations, 8 theory of organizational readiness for change, 12 and normalization process theory 13 ) as well as theoretical perspectives on facilitation as an enabling approach (eg, a system of profound knowledge for improvement).”
Fernholm, R., Wachtler, C., Malm-Willadsen, K., Holzmann, M. J., Carlsson, A. C., Nilsson, G. H., & Härenstam, K. P. (2020) · Scandinavian Journal of Primary Health Care · doi:10.1080/02813432.2020.1841531 · Cited by 2
“Patient involvement in safety work is critical [8], and it is well understood that intervention implementation is facilitated when solutions originate from people present in the system [9].”
Impact of Visual Merchandising on Impulsive Buying Behavior of Sri Lankan Modern Trade Customers
Kahaduwa, K. K. P. D., & Rasanjalee, R. M. K. S. (2021) · Zenodo (CERN European Organization for Nuclear Research) · doi:10.5281/zenodo.5168430 · Cited by 2
Wouters, E. (2021) · Routledge eBooks · doi:10.4324/9781003155317-3 · Cited by 2
Flett, L., Abdelatif, R., Baz, S. A., Brady, S., Corbacho, B., Common, K., Cowling, A., Fairhurst, C. M., Fitzmaurice, E., Gandhi, S., et al. (2024) · Trials · doi:10.1186/s13063-024-08272-w · Cited by 2
Nordic Contributions in IS Research
Commisso, T. H., Jacob Nørbjerg, B., Pries-Heje, J., & Ringsted, S. C. O. I. S. 2. (2014) · Lecture notes in business information processing · doi:10.1007/978-3-319-09546-2 · Cited by 2
Investigating nurse practitioners in the private sector: a theoretically informed research protocol
Adams, M., Gardner, G. E., & Yates, P. M. (2016) · Journal of Clinical Nursing · doi:10.1111/jocn.13492 · Cited by 6
Stepped Care for Depression: A Systematic Review and Feasibility Study
Hill, J. J. (2016) · Open Research Exeter (University of Exeter) · Cited by 2
Polypharmacy and Adherence: Key Components of Integrated Care - The case of Sweden
Kempen, T. G. H., Gillespie, U., Forsström, A., & McIntosh, J. (2016) · International Journal of Integrated Care · doi:10.5334/ijic.2977 · Cited by 2
Behavior Change in Community Contexts
Trickett, E. J., & Paterson, S. E. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.028 · Cited by 2
The effects of interoperable information technology networks on patient safety: a realist synthesis
Keen, J., Abdulwahid, M., King, N. V., Wright, J. M., Randell, R., Gardner, P. H., Waring, J. J., Longo, R., Nikolova, S., Sloan, C., et al. (2020) · Health Services and Delivery Research · doi:10.3310/hsdr08400 · Cited by 3
Shanthosh, J., Kapoor, D., Lakshmi, J. K., Patel, A. A., Gupta, Y., Tandon, N., Jan, S., Teede, H. J., Desai, A. K., Joshi, R., et al. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-037774 · Cited by 2
Knowledge Transfer and Exchange in Healthcare: A Literature Review
Beretta, V. (2021) · Contributions to management science · doi:10.1007/978-3-030-70308-0_2 · Cited by 3
Wankah, P., Gaboury, I., Belzile, L., & Breton, M. (2022) · International Journal of Integrated Care · doi:10.5334/ijic.5965 · Cited by 2
Implementation Design of a Complex Nursing Intervention in Dutch Hospitals: A Methods Paper
Jordens, Y. J., Ettema, R. G. A., Bleijenberg, N., Schuurmans, M. J., & Schoonhoven, L. (2022) · Global Implementation Research and Applications · doi:10.1007/s43477-021-00031-2 · Cited by 2
“We chose a general predefined approach for support, measurements and feedback and combined this with a local tailored approach to enhance the fit between the intervention and its implementation context (Damschroder et al., 2009; May et al., 2009).”
MethodReplicating or franchising a STEM afterschool program model: core elements of programmatic integrity
Stevenson, N., Sommers, A. S., Grandgenett, N. F., Tapprich, W. E., McQuillan, J., Phillips, M., Jensen, R., & Cutucache, C. E. (2022) · International Journal of STEM Education · doi:10.1186/s40594-021-00320-0 · Cited by 2
“Namely, we utilize the normalization process theory (NPT) to describe the program comprehensively to demonstrate inputs, outputs, feedback loops, and orientation of these items within the wider programmatic system (May & Finch, 2009; May et al., 2015).”
BackgroundInfluentialUNDERSTANDING SWISS DRUG POLICY CHANGE AND THE INTRODUCTION OF HEROIN MAINTENANCE TREATMENT
Khan, R., Khazaal, Y., Thorens, G., ZULLINO, D. F., & Uchtenhagen, A. (2014) · The Canadian Journal of Addiction · doi:10.1097/02024458-201406000-00010 · Cited by 2
Identifying and Managing Treatment Nonadherence
Halabi, J. E., Minteer, W. B., & Boehmer, K. R. (2022) · Medical Clinics of North America · doi:10.1016/j.mcna.2022.02.003 · Cited by 3
Moreland‐Russell, S., Jost, E., & Gannon, J. (2023) · Frontiers in Health Services · doi:10.3389/frhs.2023.1026484 · Cited by 5
Informal Learning Trends on YouTube during the COVID ‐19 Pandemic: A Topic Modeling Analysis
Lim, K. K., & Lee, C. S. (2023) · Proceedings of the Association for Information Science and Technology · doi:10.1002/pra2.941 · Cited by 2
“…et al., 2009), which explains three interrelated issues, (1) implementation - bringing practices into action; (2) embedding - incorporating into routine practices; and (3) integration - sustaining practices over time (May et al., 2009), would promote or impede new changes into routine processes.”
BackgroundCo-evolution and Fisheries Policy Implementation in Sub Saharan Africa
Mugambwa, J., Ntamu, D. N., Kwemarira, G., Sewante, L., & Kyambade, M. (2024) · Public Organization Review · doi:10.1007/s11115-023-00758-6 · Cited by 2
“Given that the Normalization process theory focuses on the contribution of social action to policy implementation (May et al., 2009; Finch et al., 2016), it focuses on how implementing a new intervention involves people working individually and collectively.”
Implementation Science in the Global Context
Geng, E. H., Moshabela, M., & Alonge, O. (2023) · doi:10.1093/oso/9780197660690.003.0026 · Cited by 2
Simpson, S. N. Y., & Aboagye‐Otchere, F. (2014) · Journals & Books Hosting (International Knowledge Sharing Platform) · Cited by 2
Crossing Boundaries : Transferring eHealth services across the Northern Periphery
Pesola, U.-M. (2013) · KTH Publication Database DiVA (KTH Royal Institute of Technology) · Cited by 2
Implementation of a New Working Method in Psychiatric Care
Alverbratt, C. (2015) · Gothenburg University Publications Electronic Archive (Gothenburg University) · Cited by 2
Alaradi, L. (2017) · Enlighten: Theses (The University of Glasgow) · Cited by 2
WISH4Campus: Evaluating College Food Insecurity and Promoting Solutions for Student Wellbeing
Hagedorn, R. L. (2019) · doi:10.33915/etd.3905 · Cited by 2
Health Information Standardisation as a basis for Learning Health SystemsPreprint
McLachlan, S. (2020) · arXiv (Cornell University) · doi:10.48550/arxiv.2004.04811 · Cited by 4
“ecome established, and even after we have re-evaluated and standardised that tool, effectively integrating it with the other tools and processes currently in use can still prove exceedingly difficult [491, 492, 493]. In these situations it is common to investigate a framework that can inform and assist integration [49…”
BackgroundImplementing YouthCHAT – Evaluation and Development of An Implementation FrameworkPreprint
Martel, R., Darragh, M., & Goodyear‐Smith, F. (2021) · Research Square · doi:10.21203/rs.3.rs-394425/v1 · Cited by 2
Saunders, B., Chudyk, A., Protheroe, J., Cooper, V., Bartlam, B., Birkinshaw, H., Foster, N. E., & Hill, J. C. (2022) · Research Square · doi:10.21203/rs.3.rs-1473984/v1 · Cited by 2
Leon, N. (2011) · Open University of Cape Town (University of Cape Town) · Cited by 2
Alagood, J., Senn, W. D., & Prybutok, G. (2025) · Healthcare · doi:10.3390/healthcare13233031 · Cited by 1
Cost-Effectiveness Evaluations of Behavior Change Interventions
Wang, T., Downes, M., Byrnes, J., & Scuffham, P. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.026 · Cited by 1
Meuleman, B., Vrijsen, J. N., Vanderhasselt, M., Koster, E. H. W., Oostelbos, P., Naarding, P., Bolier, L., Tendolkar, I., Smit, F., Spijker, J., et al. (2021) · BMC Psychiatry · doi:10.1186/s12888-021-03597-1 · Cited by 1
“Moreover, all healthcare professionals involved will receive an online survey, containing the same topics as in the focus group, as well as the Normalization MeAsure Development (NoMAD) questionnaire: a 20-item self-report instrument based on Normalization Process Theory that measures implementation processes [38, 62].”
MethodTalkhan, H., Stewart, D., McIntosh, T., Hail, M. A., Rouf, P. V. A., Ziglam, H. M., & Cunningham, S. (2019) · International Journal of Pharmacy Practice · doi:10.1111/ijpp.12532 · Cited by 1
Co-Production of Assessment Rubrics in an Online Education Context
Harrison, A., Breier, M., Power, H. D., & Williams, B. P. (2023) · Advances in educational marketing, administration, and leadership book series · doi:10.4018/978-1-6684-6086-3.ch008 · Cited by 1
Vella, C., Berry, C., Easterbrook, M. J., Bibby-Jones, A.-M., Michelson, D., Bogen‐Johnston, L., & Fowler, D. G. (2023) · PLoS ONE · doi:10.1371/journal.pone.0288676 · Cited by 1
Ball, H. L., Grieve, L. M., Keegan, A.-A., Cooper, L., Lovell-Kennedy, S. R., Newbury‐Birch, D., Cleghorn, N., & Healy, A. (2024) · Health & Social Care in the Community · doi:10.1155/2024/4944268 · Cited by 1
“Te three formal propositions of NPT are that: people to be continuously invested in the intervention [19].”
BackgroundSengupta, A., Mukherjee, A., & VanderMeer, D. E. (2024) · Information Systems Frontiers · doi:10.1007/s10796-024-10524-8 · Cited by 2
Dell’Olio, M., & Reeve, J. L. (2024) · Journal of Continuing Education in the Health Professions · doi:10.1097/ceh.0000000000000566 · Cited by 1
“We used Normalization Process Theory 11 (NPT) to identify the processes whereby advanced generalist practice fostered by Catalyst could be implemented, embedded, and integrated into the participants ’ clinical practice.”
Liu, R., Chen, C., Liu, F., Lin, Y., Chu, H., Liu, H., Anderson, C. S., Yang, J., Li, G., Song, L., et al. (2024) · Cerebrovascular Diseases · doi:10.1159/000541322 · Cited by 1
“Nor-malization Process Theory (NPT) is used to explore the adoption and integration of the intervention into routine practice [13 – 15].”
Belrhiti, Z. (2024) · International Journal of Health Policy and Management · doi:10.34172/ijhpm.8744 · Cited by 1
“2,3 To this end, we aim to expand on the result of this review to provide plausible explanatory accounts.”
Dittmer, K., Okumu, M.-R., Beckmann, M., Cecon, N., di Gion, P., Hansen, T. J., Jaschke, J., Karbach, U., Köberlein–Neu, J., Nocon, M., et al. (2025) · Zeitschrift für Evidenz Fortbildung und Qualität im Gesundheitswesen · doi:10.1016/j.zefq.2024.11.009 · Cited by 2
Bisschops, E. H., Frielink, N., de Schipper, J. C., Schuengel, C., & Embregts, P. J. C. M. (2025) · Journal of Applied Research in Intellectual Disabilities · doi:10.1111/jar.70007 · Cited by 1
Stochkendahl, M. J., Nicholl, B. I., Wood, K., Mair, F. S., Mork, P. J., Søgaard, K., & Rasmussen, C. D. N. (2025) · Digital Health · doi:10.1177/20552076241313159 · Cited by 1
“It 19 – 22”
Self-citationStaffurth, J. N., Sivell, S., Baddeley, E., Ahmedzai, S. H., Andreyev, J. N., Campbell, S. E., FARNELL, D. J. J., Ferguson, C., Green, J., Muls, A., et al. (2025) · PLoS ONE · doi:10.1371/journal.pone.0303356 · Cited by 1
Wray, F., Cruice, M. N., Kellar, I., & Förster, A. (2025) · Pilot and Feasibility Studies · doi:10.1186/s40814-024-01589-y · Cited by 1
Müller, I., Stuart, B. L., Sach, T., Yardley, L., Greenwell, K., Becque, T., Leighton, P. A., Howells, L., Harvey, J., Hooper, J., et al. (2025) · Programme Grants for Applied Research · doi:10.3310/fnhd8546 · Cited by 1
Koopman, M. Y., Reijnders, J. J. W., Kietselaer, B., van der Harst, P., van Bruggen, R., Dinant, G., Vliegenthart, R., & Willemsen, R. T. A. (2025) · Primary Health Care Research & Development · doi:10.1017/s1463423625000258 · Cited by 1
“By aiming on creating routine instead of complicated actions to include patients, the main principles of the normalization process theory (NPT) were followed (Murray et al. , 2010, May et al. , 2009).”
InfluentialBalayah, Z., Stavropoulou, C., Scarbrough, H., Nigam, A., & Ziemann, A. (2025) · Frontiers in Health Services · doi:10.3389/frhs.2025.1373429 · Cited by 2
“The second aspect, routinization and normalization, refers to an innovation becoming part of the organization ’ s everyday activities (42 – 45).”
Line manager perspectives on workplace-based efforts to reduce sickness absence: a qualitative study
Rasmussen, L., Nielsen, M. B. D., Garde, A. H., & Kristiansen, J. (2025) · International Journal of Qualitative Studies on Health and Well-Being · doi:10.1080/17482631.2025.2510560 · Cited by 1
“The NPT constructs (as presented by May and Finch, 2009).”
InfluentialPromoting nurse participation in hospital antimicrobial stewardship: A realist review
Luo, Y., He, L., Li, W., Zhao, J., Deng, R., & Zong, Z. (2025) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2025.105142 · Cited by 1
Hawkes, R. E., Ashpole, D., Baxter, M. S., Bickerton, A. S. T., Osei-Kwasi, H., Rutter, M. K., Taylor, D. R., Wake, D. J., Willis, T., & Brooks, J. M. (2025) · BMJ Open · doi:10.1136/bmjopen-2025-105869 · Cited by 1
Trusson, D., Powers, K., Radford, K., Bowen, A., Craven, K., Farrin, A. J., McKevitt, C., Murray, J., Phillips, J. S., Stevens, J., et al. (2025) · Frontiers in Sociology · doi:10.3389/fsoc.2025.1434353 · Cited by 1
“Similarly to the RETAKE process evaluation, Normalisation Process Theory (NPT) informed data collection and analysis (Clarke et al., 2024).”
InfluentialPithara, C., Stone, T. J., Treloar, E., Donovan, J., Luyt, K., & Redwood, S. (2025) · Implementation Science Communications · doi:10.1186/s43058-025-00758-1 · Cited by 1
McGovern, R., Mayrhofer, A. M., Sarma, K., Smiles, C., Alderson, H., Toma, M., Mansuri, N., Akeju, D., Forder, J., Gabbay, M., et al. (2025) · Journal of Family Violence · doi:10.1007/s10896-025-00937-7 · Cited by 1
Challenges of COVID: Lessons Learned From Living Kidney Donors’ Experience
Nottingham, K. L., Crawford, R. P., Starkie, S. D., & Shaffer, L. K. (2025) · Journal of Patient Experience · doi:10.1177/23743735251360491 · Cited by 1
Krishnamoorthy, S., Armstrong, G., Mathieu, S. L., Ross, V. L., & Kõlves, K. (2025) · Frontiers in Health Services · doi:10.3389/frhs.2025.1473682 · Cited by 1
Adetunji, O., Alonge, I., Ayinmode, E. O., Owoyemi, T. L., Ogunbanjo, A., White, S. J., Adebajo, A., Mallen, C. D., Dziedzic, K., & Babatunde, O. O. (2025) · Osteoarthritis and Cartilage Open · doi:10.1016/j.ocarto.2025.100678 · Cited by 1
Lorente-Català, R., Díaz‐García, A., Jaén, I., Gili, M., Mayoral, F., García‐Campayo, J., del Hoyo, Y. L., Castro, A., Hurtado, M. M., Planting, C. H. M., et al. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14176347 · Cited by 2
“Other studies also included interventions related to bonding aspects, specifically with the family, with Based Family Therapy [58] and Multi-Family Psychoeducational Psychotherapy (MF-PEP) [65].”
Sundbye, J., Hammarberg, A., Guterstam, J., Salomonsson, S., & Finn, S. W. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-07553-1 · Cited by 1
Voogdt-Pruis, H. R., Grobbee, D. E., Peters, S. A. E., Hehakaya, C., Jambroes, M., Klipstein‐Grobusch, K., & Janssens, A. I. W. A. (2025) · Frontiers in Public Health · doi:10.3389/fpubh.2025.1708209 · Cited by 1
Moore, C., Kingston, M. R., Baker, I., Campling, N. C., Hills, M., Jones, E., Jones, S., Kumar, R. N., O’Brian, E., Porter, A. M., et al. (2025) · British Paramedic Journal · doi:10.29045/14784726.2025.12.10.3.1 · Cited by 1
“NPT characterises implementation in relation to the work undertaken by a range of actors across four domains: • How people understand the innovation and its purpose (coherence).”
InfluentialAllemann, H., Thylén, I., Andréasson, F., & Strömberg, A. (2025) · Journal of Medical Internet Research · doi:10.2196/77576 · Cited by 2
“DIEGO is underpinned by 2 empirical theories: the normalization process theory (NPT) [37,38] and the burden of treatment theory (BOTT) [39].”
Castaner, M. M., Thomsen, C. E., Elliott, A. F., Holt, E., Husedzinovic, S., Madsen, K. B., & Munk‐Olsen, T. (2025) · JMIR Formative Research · doi:10.2196/73948 · Cited by 1
“The interview guide was inspired by the Normalization Process theory [18] (see interview guide in Multimedia Appendix 3) to elicit insights related to adoption and integration within routine care.”
Sarfo, F. S., Wahab, K., Matuja, S. S., Adebayo, P. B., Adoukonou, T., Tagge, R., & Ovbiagele, B. I. (2026) · Equity Neuroscience · doi:10.1016/j.neuros.2026.100020 · Cited by 1
Williams, N. J., Choy-Brown, M., Vega, N. R., Aarons, G. A., Ehrhart, M. G., & Marcus, S. C. (2026) · Implementation Science · doi:10.1186/s13012-026-01485-4 · Cited by 1
Onietan, D., Obi‐Jeff, C., Adelabu, Y. A., Balogun, M. R., Akinajo, O. R., Oluwole, E. O., Banke-Thomas, A. O., Afolabi, B. B., & Eboreime, E. (2026) · PLoS ONE · doi:10.1371/journal.pone.0337162 · Cited by 1
“…on these normalization processes is particularly relevant for resource-constrained settings, where successful integration requires fundamental shifts in how maternal anemia care is conceptualized and delivered through coordinated efforts across multiple levels of the healthcare system [26,27.]”
Emerging trends and underexplored frontiers in stroke nursing care: A bibliometric review
Borromeo, A. S., Manaloto, A. M., Cruz, F. V. D., Laderas, R., Jr., Viray, R. C., Vicedo, R. V., & Wider, W. (2026) · Collegian Journal of the Royal College of Nursing Australia · doi:10.1016/j.colegn.2026.02.001 · Cited by 1
Tailored interventions to address determinants of practice
McHugh, S., Riordan, F., O'Mahony, A., McCarthy, L.-J., Navarro, A. C., Kerins, C., Murphy, J., Morrissey, E. C., O’Reilly, É. J., O'Connor, S., et al. (2026) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005470.pub4 · Cited by 2
Yang, H., Chang, F., Muroi, F., Liu, Z., Zhang, W., & Cai, J. (2026) · Translational Psychiatry · doi:10.1038/s41398-026-03872-3 · Cited by 2
Designing an implementation study: rationale and considerations for design
Lewis, K. B., Straiton, N., Graham, I. D., & Lauck, S. (2026) · European Journal of Cardiovascular Nursing · doi:10.1093/eurjcn/zvag078 · Cited by 1
Ibrahim, A. M., Sweelam, R. K., Hassabelnaby, F. G. E., Negm, L. M. M. A., Zaghamir, D. E. F., Elneblawi, N. H., Ahmed, S. I., Mohamed, L. Z. G., & Shahin, M. A. H. (2026) · Palliative & Supportive Care · doi:10.1017/s1478951526102107 · Cited by 1
“…NPT in this review enabled a structured interpretation of how nurse-led tele-palliative interventions were adopted, integrated, and sustained, and how implementation processes, facilitators, and barriers were linked to observed patient and caregiver outcomes (May et al. 2009; Murray et al. 2010).”
Thomson, D., Newton, A. S., Hartling, L., Caine, K. J., Hand, L., Oetomo, A., & Ebi, K. L. (2026) · SSM - Health Systems · doi:10.1016/j.ssmhs.2026.100229 · Cited by 1
Perceived barriers and facilitators to app use in Australian audiology clinics
Bennett, R. J., Ferguson, M., Tsiolkas, J., Ravichandran, A., Bamber, J. D. L., & Saunders, G. H. (2026) · International Journal of Audiology · doi:10.1080/14992027.2026.2658538 · Cited by 1
Muriithi, G. N., Arasa, R., & Mutetei, T. M. (2026) · Frontiers in Health Services · doi:10.3389/frhs.2026.1818937 · Cited by 3
“One notable theory is the Normalisation Process Theory (NPT) developed in 2009 by May and colleagues (22 – 24), who tried to explain how new innovations are introduced and become normalised into the daily routine of the users.”
Subhi, R., Burhin, M., Sogbesan, A., Muramuzi, D., Bakare, A. A., Falade, A. G., Kitutu, F. E., Ssengooba, F., King, C., Dawson-McClaren, B., et al. (2026) · The Lancet Global Health · doi:10.1016/j.langlo.2026.103972 · Cited by 1
Wu, Z., Zhang, H., Li, M., Xu, X., Zheng, Y., Yang, C., Wang, P., Wei, J., Zhang, F., & 周利華 (2026) · Midwifery · doi:10.1016/j.midw.2026.104947 · Cited by 1
Eklind, S., Hylén, M., Orre, C. J., & Åkerman, E. (2026) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2026.104561 · Cited by 1
Rise, M. B. (2012) · Tidsskrift for Den norske legeforening · doi:10.4045/tidsskr.12.0620 · Cited by 1
Price, D. W. (2017) · Journal of Graduate Medical Education · doi:10.4300/jgme-d-17-00217.1 · Cited by 2
Healthcare experiences of patients with chronic heart failure in Germany: a scoping review
Dieckelmann, M., Petersen, J. J., Güthlin, C., Reinhardt, F., Plath, J., Jeitler, K., Semlitsch, T., Gerlach, F. M., & Siebenhofer, A. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-037158 · Cited by 1
Markussen, H. V., Aasdahl, L., & Rise, M. B. (2020) · BMC Health Services Research · doi:10.1186/s12913-020-05926-8 · Cited by 1
Horizontal Leadership and Its Scenarios
Müller, R., Drouin, N., & Sankaran, S. (2021) · Oxford University Press eBooks · doi:10.1093/oso/9780190076122.003.0002 · Cited by 1
Pannu, S. R., Haddad, T. C., Exline, M. C., Christman, J. W., Horowitz, J. C., Peters, J., Brock, G. N., Diaz, P., & Crouser, E. D. (2022) · Contemporary Clinical Trials · doi:10.1016/j.cct.2022.106811 · Cited by 1
Benson, T. (2022) · Springer eBooks · doi:10.1007/978-3-030-97071-0_17 · Cited by 1
Integration of Twelve Step with Evidence-Based Practices in a Residential Treatment Center
Mutschler, C., Haines, H., Gryspeerdt, C., Bushe, J., McShane, K., Lochran, M., & Bhoi, L. (2022) · Substance Use & Misuse · doi:10.1080/10826084.2022.2136496 · Cited by 1
“The themes were organized as a process based on their alignment with Normalization Process Theory (May et al., 2009).”
BackgroundMethodInfluentialHaag, L., Richardson, J., Cunningham, Y., Fraser, H., Brosnahan, N., Ibbotson, T. R., Ormerod, J. A., White, C., McIntosh, E., O'Donnell, K., et al. (2022) · NIHR Open Research · doi:10.3310/nihropenres.13315.1 · Cited by 1
The impact of COVID-19 on electronic repeat dispensing (eRD) in general practice
Sharma, R., Chand, Z. B., & Javid, F. A. (2023) · Journal of Pharmaceutical Policy and Practice · doi:10.1186/s40545-023-00566-9 · Cited by 1
“, advocated that planned improvements are embedded in routine practices and integrated into the normal organisational processes to prevent relapse [28].”
BackgroundKahn, L. S., Brimmer, M. J., Berdine, D. E., Lawson, S. C., & Homish, D. L. (2023) · Victims & Offenders · doi:10.1080/15564886.2023.2230476 · Cited by 1
“May et al., 2009).”
BackgroundInfluentialFredriksson, M., Gustafsson, I., & Winblad, U. (2023) · Health Services Insights · doi:10.1177/11786329231189402 · Cited by 1
“12 13-17 In order to further understand sustainable implementation, a number of frameworks have been developed, largely including similar factors considered significant.”
McCormack, H., Wand, H. C., Newman, C. E., Bourne, C., Kennedy, C. M., & Guy, R. (2023) · JMIR Medical Informatics · doi:10.2196/51387 · Cited by 1
“In this paper, normalization is defined as per May et al [29] as the work of actors when engaging with new or changed activities by which the new activities become routinely embedded into existing knowledge and practices.”
BackgroundOntario Adults’ Mental Health and Wellbeing During the First 16 Months of the COVID-19 Pandemic
Shillington, K. J., Vanderloo, L. M., Burke, S. M., Ng, V., Tucker, P., & Irwin, J. D. (2023) · Journal of Prevention and Health Promotion · doi:10.1177/26320770231200211 · Cited by 1
“This interpretation aligns with the Normalization Process Theory, which suggests that “practices become routinely embedded–or normalized–in social contexts as the result of people working, individually and collectively, to enact them” (May et al., 2009, p. 2).”
Result
Metadata
- Authors
- May, C. R., Mair, F., Finch, T., MacFarlane, A., Dowrick, C., Treweek, S., Rapley, T., Ballini, L., Ong, B. N., Rogers, A., Murray, E., Elwyn, G., Légaré, F., Gunn, J., & Montori, V. M.
- Affiliations
- Newcastle University (GB)
- University of Glasgow (GB)
- Ollscoil na Gaillimhe – University of Galway (IE)
- University of Liverpool (GB)
- University of Dundee (GB)
- Agenzia Sanitaria e Sociale Regionale (IT)
- Keele University (GB)
- University of Manchester (GB)
- University College London (GB)
- Cardiff University (GB)
- Université Laval (CA)
- The University of Melbourne (AU)
- Corresponding author
- May, Carl R
- ORCID
- Venue
- Implementation Science
- Published
- 2009-05-21
- Volume
- 4
- Issue
- 1
- Pages
- 29-29
- ISSN
- 1748-5908 (ISSN-L)
- PMC
- PMC2693517
- OpenAlex
- W2124199620
- Cited by
- 1,409
- References
- 62
- Citations by year
- 2026: 113 · 2025: 133 · 2024: 156 · 2023: 112 · 2022: 124 · 2021: 143 · 2020: 164 · 2019: 63 · 2018: 79 · 2017: 68 · 2016: 63 · 2015: 52 · 2014: 52 · 2013: 23 · 2012: 25
- FWCI
- 37.64
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Implementation Science (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Discovery Research Portal (University of Dundee) (publishedVersion, cc-by)
- ORCA Online Research @Cardiff (Cardiff University) (acceptedVersion)
- Northumbria Research Link (Northumbria University) (acceptedVersion, other-oa)
- Arrow@dit (Dublin Institute of Technology) (acceptedVersion)
- BIBSYS Brage (BIBSYS (Norway)) (acceptedVersion, cc-by)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- Arrow@dit (Dublin Institute of Technology) (submittedVersion)
- ARAN (University of Galway Research Repository) (Ollscoil na Gaillimhe – University of Galway) (submittedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- ePrints Soton (University of Southampton) (submittedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- Radboud Repository (Radboud University) (submittedVersion)
- University of Limerick Institutional Repository (University of Limerick) (submittedVersion, cc-by-nc-sa)
- Radboud Repository (Radboud University) (submittedVersion, other-oa)
- Newcastle University ePrints (Newcastle Univesity)
- Funders
- National Institute for Health and Care Research (RP-PG-0407-10386)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Education › Qualitative Research Methods and Applications
- Social Sciences › Business, Management and Accounting › Management Information Systems › Information Systems Theories and Implementation
- Keywords
- Normalization Process Theory, theory development, implementation theory, middle-range theory, empirical generalization, theory testing
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
A language model drew the claims from the paper on 2026-10-06, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).
A second model labelled each claim on 2026-10-06 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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