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
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“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.”
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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
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- 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 801–900 of 1,000
Myers, G., & Kowal, C. (2023) · Journal of Aggression Conflict and Peace Research · doi:10.1108/jacpr-03-2023-0787 · Cited by 4
Kepplinger, A., Braun, A. L., Fringer, A., & Roes, M. (2023) · JMIR Research Protocols · doi:10.2196/48601 · Cited by 4
“Reflexive monitoring means the continuous formal and informal evaluation of the patterns of collective action and their outcomes by all participants [41,42].”
Influentialvan Moppes, N. M., Nasori, M., Bont, J., van Es, J. M., Visser, M. R. M., & van den Muijsenbergh, M. E. T. C. (2024) · BMC Medical Education · doi:10.1186/s12909-024-05521-z · Cited by 4
“Like most organizational changes, implementing inclusive strategies in GP-specialty training posed challenges and demanded a focus on building confidence and trust in novel approaches [45].”
BackgroundWalugembe, D. R., Plamondon, K., Kaharuza, F. M., Waiswa, P., Wylie, L., Wathen, C. N., & Kothari, A. R. (2024) · Health Research Policy and Systems · doi:10.1186/s12961-024-01191-x · Cited by 3
“Above all, the four NPT constructs and their respective subdomains as described in detail below were considered sufficient to support the exploration of the study objectives [49, 50, 52, 54, 57].”
BackgroundMethodInfluentialLittlewood, R., Canfell, O. J., & Tracey, F. (2020) · BMC Health Services Research · doi:10.1186/s12913-020-05267-6 · Cited by 4
End of life care in Wales: evaluation of a care pathway-based implementation strategy
Johnstone, R., Jones, A., Fowell, A., Burton, C. R., & Rycroft‐Malone, J. (2012) · BMJ Supportive & Palliative Care · doi:10.1136/bmjspcare-2011-000175 · Cited by 4
Telemedicine, Quality Initiative for Concussion Management
Marckmann, C., & John, D. (2019) · The Journal for Nurse Practitioners · doi:10.1016/j.nurpra.2019.09.001 · Cited by 4
A single-centre hospital-wide handoff standardisation report: what is so special about that?
Coffey, M., & Huang, L. (2017) · BMJ Quality & Safety · doi:10.1136/bmjqs-2016-006382 · Cited by 4
Lorente-Català, R., Gili, M., del Hoyo, Y. L., Mayoral, F., Pérez‐Aranda, A., Castro, A., Moreno, E. V., Baños, R., Roca, M., Monreal‐Bartolomé, A., et al. (2022) · Internet Interventions · doi:10.1016/j.invent.2022.100581 · Cited by 5
May, C. R., Finch, T., Ballini, L., MacFarlane, A., Mair, F., Murray, E., Treweek, S., & Rapley, T. (2011) · BMC Health Services Research · doi:10.1186/1472-6963-11-245 · Cited by 3
“This included work to stabilize the constructs of the theory that we have described else-where [40], apply them in practice to statement development for surveys, systematic reviews and qualitative investigations [41,42] and to define appropriate ways to apply the theory.”
MethodSelf-citationHealth checks for autistic adults: study protocol for a cluster randomised controlled trial
Parr, J. R., Taylor, H. M., Wilson, C., Scarlett, C., Al-Ashmori, S., Buckley, C., Cooper, S., Fernandez-García, C., Finch, T. L., Lees, R., et al. (2024) · Trials · doi:10.1186/s13063-024-08641-5 · Cited by 3
Self-citationDigital twin application in healthcare facilities management
Ebiloma, D. O., Aigbavboa, C. O., & Anumba, C. (2025) · Elsevier eBooks · doi:10.1016/b978-0-443-34226-4.00014-9 · Cited by 3
Fox, C., Hammond, S. P., Shepstone, L., Poland, F. M., Henderson, C., Backhouse, T., Penhale, B., Donell, S. T., Knapp, M. R. J., Lewins, D., et al. (2025) · Programme Grants for Applied Research · doi:10.3310/mdtt6530 · Cited by 3
Boyle, E., Laird, P. J., Leslie, G. D., Stokes, S., Andrew, J., Howard, J., Robinson, M., Harris, T., & Gill, F. J. (2025) · Global Implementation Research and Applications · doi:10.1007/s43477-025-00154-w · Cited by 3
“In sub-study one, themes will also be deductively analysed using the NPT constructs (May et al., 2009).”
Sunde, N., & Dahl, O. (2025) · Science & Justice · doi:10.1016/j.scijus.2025.101298 · Cited by 3
Is it time for a paradigm shift to complexity-informed implementation fidelity?
Wiedenman, E. M., Campbell-Scherer, D. L., Iqbal, A., Ofosu, N. N., Hyde, A. M., McKay, R. C., Hunter, K. H., Castillo, E., & Tandon, P. (2025) · npj Complexity · doi:10.1038/s44260-025-00057-9 · Cited by 3
Allison, S., May, T., Roberts, J., Hill‐Tout, R., Hindle, S., Hickman, M., Yardley, L., Todd, R., Heath, R., & Horwood, J. (2026) · Emergency Medicine Journal · doi:10.1136/emermed-2025-215436 · Cited by 3
Şengül, T., Uncu, B., Sarıköse, S., Kaya, N., Lopez, V., & Kirkland‐Kyhn, H. (2026) · BMC Medical Education · doi:10.1186/s12909-026-08717-7 · Cited by 3
“These observations map onto NPT’s reflexive monitoring, in which innovations are sustained through ongoing observation, evaluation, and recalibration of practice over time [19, 35].”
Hashish, E. A. A., & Razek, N. M. F. A. (2026) · Health Informatics Journal · doi:10.1177/14604582261440411 · Cited by 3
“…(NPT), the Consolidated Framework for Implementation Research (CFIR), and the Promoting Action on Research Implementation in Health Services (PARIHS) framework 16,17 provide structured approaches for understanding how innovations are embedded, sustained, and integrated into organizational practice.”
Rapid response systems in hospital settings: an umbrella review
Lee, S., & Kim, G. (2026) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2026.104463 · Cited by 4
Nanton, V., Appleton, R., Ahmed, N., Loew, J., Roscoe, J., Muthuswamy, R., Patel, P., Dale, J. R., & Ahmedzai, S. H. (2022) · JMIR Cancer · doi:10.2196/32153 · Cited by 3
“The normalization process theory [48-51] has been used as the basis for the successful implementation of digital health innovations and may provide a useful framework for the development of implementation and adoption strategies in relation to CHAT-P and its evaluation.”
Guénette, L., Kröger, E., Bonnan, D., Maheu, A., Morin, M., Bélanger, L., Vedel, I., Wilchesky, M., Sirois, C., Durand, É., et al. (2022) · JMIR Research Protocols · doi:10.2196/42577 · Cited by 3
Saxild, S., Wilson, P., de Voss, S. S., & Overbeck, G. (2023) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-023-05671-w · Cited by 3
“The NPT framework consists of four core aspects: clinicians’ sense-making of the new practice; commitment to carrying out the intervention; how workable the new practice is and the clinician’s appraisal of it [18].”
BackgroundBunders, A. E., de Wit, E. E., Dinkgreve, M. A. H. M., Broerse, J. E. W., & Regeer, B. J. (2023) · Child & Youth Services · doi:10.1080/0145935x.2023.2220959 · Cited by 3
Segrott, J., Channon, S., Lloyd, A., Glarou, E., Henley, J., Hughes, J., Jacob, N., Milosevic, S., Moriarty, Y., Pell, B., et al. (2024) · Trials · doi:10.1186/s13063-024-08124-7 · Cited by 3
Arnold, S., Pandit, H. G., Croft, J., Stocken, D. D., & Ellard, D. R. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-083069 · Cited by 3
“18 However, given the difficulties with participant recruitment we took a pragmatic approach, using just thematic content analysis based on the work of Braun and Clarke.”
MethodBattista, S., Parker, J. L., Ching, A., Culley, J., Long, S., Heard, A., Hammond, A., Radford, K., Holland, P., O’Neill, T. W., et al. (2025) · Rheumatology Advances in Practice · doi:10.1093/rap/rkaf034 · Cited by 3
“Normalization Process Theory (NPT) aids in understanding how patients, healthcare professionals and other stakeholders integrate new practices into their personal and professional lives to understand factors influencing implementation [11, 12].”
Bellander, S., Eriksson, M., Sundqvist, J., & Ghazinour, M. (2025) · European Journal on Criminal Policy and Research · doi:10.1007/s10610-025-09616-1 · Cited by 3
“Among these are the Normalization Process Theory (May et al., 2009), which focuses on integrating new practices into everyday work; the Implementation Climate Scale (Ehrhart et al., 2014), which assesses environmental support for change; the Diffusion of Innovations Theory (Valente & Rogers, 1995),…”
Scott, H. M., Gaczkowska, I., Braybrook, D. E., Harðardóttir, D., Fraser, L., Ellis-Smith, C. I., & Harding, R. (2025) · Palliative Medicine · doi:10.1177/02692163251331165 · Cited by 3
“28,29 The methods for developing the Theory of Change are detailed in Figure 1.”
Ashworth, J., Cornwall, N., Harrisson, S. A., Woodcock, C., Nicholls, E. E., Lancaster, G., Wathall, S., Laing, L., Helliwell, T., Jowett, S. M., et al. (2025) · Pilot and Feasibility Studies · doi:10.1186/s40814-025-01636-2 · Cited by 3
Petersen, E. M., Öfverström, H. A., Johansson, M., Sundström, C., & Berman, A. H. (2025) · Addiction Science & Clinical Practice · doi:10.1186/s13722-025-00570-1 · Cited by 5
“By analyzing these factors, NPT helps researchers and practitioners understand why some innovations succeed while others fail [32].”
A First Look at Package-to-Group Mechanism: An Empirical Study of the Linux Distributions
Jin, D., Li, N., Yang, K., Zhou, M., & Jin, Z. G. (2025) · IEEE International Conference on Software Analysis, Evolution and Reengineering (SANER) · doi:10.1109/saner64311.2025.00035 · Cited by 3
“…1 and larger values indicate smaller differences, we apply interval shifting to normalize the values, restricting them to a range between 0 and 1 [36]. where sim ( g i , g j ) and ddif ( g i , g j ) refer to the similarity score and difference score between the descriptions of the i-th group and…”
Singh, J., Sangwan, R. K., Mudgal, S. K., & Huda, R. K. (2025) · Dialogues in Health · doi:10.1016/j.dialog.2025.100231 · Cited by 3
“Mechanisms represent the work people do — coherence-building, cognitive participation, collective action, and reflexive monitoring — - while outcomes reflect visible changes over time, such as intervention mobilisation, restructuring of relationships or norms, and sustainment of new practices [10].”
Health Systems Integration: Competing or Shared Mental Models?
Evans, J. M. (2014) · International Journal of Integrated Care · doi:10.5334/ijic.1578 · Cited by 4
“, 2010) Mental Models of Integrated Care (MMIC) Socially constructed cognitive structures that represent knowledge and beliefs about integrating services; used interchangeably with “mental models of integration” Modified Delphi method A version of the Delphi Method in which (a) the process begins with a set of careful…”
MethodMorton, A., & Wigley, W. (2014) · Journal of Health Visiting · doi:10.12968/johv.2014.2.12.670 · Cited by 3
3 Effectieve implementatie van verbetering in de zorg: een systematische aanpak
Grol, R. P. T. M., & Wensing, M. (2015) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-1077-7_3 · Cited by 3
E-Learning Readiness in Language Learning: Students\' Readiness Survey and Normalization Process
Lee, S.-L. (2016) · Journal of Technology and Chinese Language Teaching · Cited by 3
Holloway, A. S., Guthrie, V., Waller, G., Smith, J., Boyd, J., Mercado, S., Smith, P. A., Stenhouse, R., Sheikh, A., Parker, R. A., et al. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-040636 · Cited by 3
Mangin, D. A., Lamarche, L., Oliver, D., Blackhouse, G., Bomze, S., Borhan, S., Carr, T., Clark, R. E., Datta, J., Dolovich, L. R., et al. (2023) · The Annals of Family Medicine · doi:10.1370/afm.2944 · Cited by 3
A qualitative evaluation of pharmacy technician opinions about administering immunizations
McKeirnan, K. C., & Hanson, E. (2023) · Exploratory Research in Clinical and Social Pharmacy · doi:10.1016/j.rcsop.2023.100280 · Cited by 3
Blair, P. S., Young, G., Clement, C., Dixon, P., Seume, P., Ingram, J. C., Taylor, J., Horwood, J. P., Lucas, P. J., Cabral, C., et al. (2023) · Health Technology Assessment · doi:10.3310/ucth3411 · Cited by 3
Coetzer-Liversage, A., Stein, L. A. R., Stephens, M., Jefferis, E. S., Step, M. M., Crowe, A. R., & Sloboda, Z. (2024) · Health Behavior Research · doi:10.4148/2572-1836.1265 · Cited by 2
Xu, D. R., He, W., Hao, C., Zhao, Q., Guo, P., Zhang, L., Chen, Z., 蔡媐媛, Lv, S., Cai, Y., et al. (2025) · BMJ Open · doi:10.1136/bmjopen-2023-078103 · Cited by 3
Applying Realist Retroduction to EHR-Based Clinical Decision Support Tool Development
Morrissey, S. E., Bunce, A., Donovan, J., McGrath, R., Gottlieb, L. M., Pisciotta, M., Watkins, S., & Gold, R. B. (2025) · International Journal of Qualitative Methods · doi:10.1177/16094069251326415 · Cited by 3
“…is a theory-driven approach to program evaluation that may be applied alongside other theoretical frameworks (e.g., Normalization Process Theory, see Bunce et al., 2023a, 2023b; Dalkin et al., 2021; May et al., 2009; May & Finch, 2009) to enhance the explanatory power of research findings.”
Using one’s own professional activities to promote research and publishing
Coniam, D. (2014) · European Journal of Teacher Education · doi:10.1080/02619768.2014.983067 · Cited by 3
“Such a GT approach is not unlike the Normalisation Process Theory approach described by May et al. (2009), whereby bottom-up GT techniques are used in an attempt to define a ‘theory of action’; that is, understand what people do in a given workplace situation. The corollary with the current study is that the present a…”
MethodResultInfluentialNordin, H., Rørtveit, K., Mathisen, G. E., Joa, I., Johannessen, J. O., Ruud, T., & Hartveit, M. (2022) · Journal of Health Organization and Management · doi:10.1108/jhom-08-2021-0286 · Cited by 7
Implementation science challenges: hearing care professionals identify barriers to clinical research
Meyer, C., Scarinci, N., Lind, C., Tulloch, K., Atkins, J., & Hickson, L. M. H. (2022) · International Journal of Audiology · doi:10.1080/14992027.2022.2142162 · Cited by 3
“…understand real or potential implementation challenges, including for example, the Theoretical Domains Framework (Cane, O ’ Connor, and Michie 2012), Consolidated Framework For Implementation Research (Damschroder et al. 2009), and Normalisation Process Theory (May and Finch 2009; May et al. 2009).”
BackgroundUei, S.-L., Tsai, C.-H., & Kuo, Y.-M. (2016) · Technology and Health Care · doi:10.3233/thc-161178 · Cited by 3
Utfordringer med å etablere en ny praksis
Foss, C., Knutsen, I. R., Henni, S. H., & Myrstad, H. (2016) · Sykepleien Forskning · doi:10.4220/sykepleienf.2016.59483 · Cited by 3
Partridge, J. S. L., Daly, M., Hemsley, C. J., Shah, Z., Sathanandan, K., Mainwaring, C., & Dhesi, J. K. (2020) · Journal of Bone and Joint Infection · doi:10.5194/jbji-6-57-2020 · Cited by 3
Retiring the Golden Hammer: Identifying Situational Practices for Public Strategy Implementation
Mitchell, D. A., Kanaan, D. Z., Stoeckel, S., & Myser, S. (2021) · Journal of Public and Nonprofit Affairs · doi:10.20899/jpna.7.3.343-368 · Cited by 3
“Finally, May et al. (2009) view integrating as the process of weaving new practice into the enduring social fabric of an organization, including the concepts of summative evaluation (Poister et al., 2010), handover (Edkins et al., 2013), and operation (Van den Ende & Van Marrewijk, 2014).”
BackgroundMethodInfluentialEffectieve implementatie van verbetering in de zorg: een systematische aanpak
Grol, R. P. T. M., & Wensing, M. (2017) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-1732-5_3 · Cited by 3
Successful Implementation of Technological Innovations in Health Care Organizations
Wouters, E., Weijers, T. C. M., & Finch, T. L. (2015) · Springer eBooks · doi:10.1007/978-3-319-01904-8_68-1 · Cited by 3
Self-citationAnis, L., Letourneau, N. L., Ross, K. M., Hart, M. J., Graham, I. M., Lalonde, S., Varro, S., Baldwin, A., Soulsby, A., Majnemer, A., et al. (2022) · BMC Pediatrics · doi:10.1186/s12887-022-03439-3 · Cited by 5
“NPT will guide qualitative semistructured interviews and analysis exploring patients’, health and social service providers’, and health system administrators’ perceptions and experiences of the benefits, facilitators, barriers, and challenges to ATTACHTM implementation in community agencies.”
BackgroundMethodInfluentialFox, C., Hammond, S. P., Backhouse, T., Poland, F. M., Waring, J. J., Penhale, B., & Cross, J. (2023) · PLoS ONE · doi:10.1371/journal.pone.0279651 · Cited by 3
“NPT describes four linked sets of mechanisms involved in the normalization of change [10, 11].”
BackgroundTeixeira, M. J. C., Tehrany, R., Jaggi, A., Ahmed, R. Z., Dove, L., & Ramanuj, P. (2023) · BJPsych Open · doi:10.1192/bjo.2023.80 · Cited by 3
O’Toole, C., Lyons, R., Ó’Doibhlín, D., O’Farrell, F., & Houghton, C. (2020) · HRB Open Research · doi:10.12688/hrbopenres.12974.2 · Cited by 3
Body Changes with Baby: A Qualitative Insight into Body Image After Birth
Lewis, S. (2017) · doi:10.15760/honors.490 · Cited by 3
“processes through which the motherly body comes to be seen as 'normal' or 'natural' in everyday life, normalization, in this context, served the purpose of preventing, minimizing, or reversing the effects of being viewed as different from society as a result of the changes endured during pregnancy and childbirth (May…”
BackgroundZiegler, E., Valaitis, R. K., Yost, J., Carter, N., & Risdon, C. (2022) · doi:10.32920/21689333.v1 · Cited by 3
Feasibility of using health and wellbeing data for school planning: the SHINE pilot in Scotland
Chambers, S., Haughton, D., Mabelis, J., Brown, J. E., & Inchley, J. (2022) · Health Promotion International · doi:10.1093/heapro/daac149 · Cited by 2
“NPT is a middle-range theory of implementation that can assist in identifying the extent to which an organization is working towards the full implementation of a new practice (May and Finch, 2009; May et al., 2009).”
BackgroundHerkama, S., Larose, M., Harjuniemi, I., Pöyhönen, V., Yanagida, T., Kankaanpää, E., Rissanen, E., & Salmivalli, C. (2023) · Contemporary Clinical Trials · doi:10.1016/j.cct.2023.107407 · Cited by 2
Engdawork, K., Tadele, G., Anagnostopoulou, V., Nahar, P., Davey, G., & Zaman, S. (2024) · PLoS neglected tropical diseases · doi:10.1371/journal.pntd.0012507 · Cited by 2
Terpou, B. A., Bird, M., Srinivasan, D., Bains, S., Rosella, L. C., & Desveaux, L. (2024) · Journal of Healthcare Leadership · doi:10.2147/jhl.s475322 · Cited by 2
“Normalization Process Theory (NPT) 23,24 provides a framework to understand the dynamics of adopting a new process by focusing on the individual and collective behaviours shown to be critical to successful implementation.”
BackgroundMethodWells, A., Reeves, D., Belcher, A., Wilson, P. M., Doherty, P., & Capobianco, L. (2024) · Frontiers in Health Services · doi:10.3389/frhs.2024.1296596 · Cited by 2
Improving the Sustainability of Public Health Interventions: The INNOVATE Model
Haregu, T., Kwaśnicka, D., Shrestha, A., Lynch, C., Absetz, P., Miranda, J. J., Thankappan, K. R., & Oldenburg, B. F. (2025) · Global Implementation Research and Applications · doi:10.1007/s43477-025-00149-7 · Cited by 5
“The Normalization Process Theory (NPT) considers embedding and integration as the major strategies for sustainability and examines the embedding and integration of interventions into health systems (May et al., 2009 ).”
van der Smissen, D., Schreijer, M. A., van Gemert‐Pijnen, J. E. W. C., Verdaasdonk, R. M., van der Heide, A., Korfage, I. J., & Rietjens, J. A. C. (2025) · JMIR Aging · doi:10.2196/49507 · Cited by 2
“…as well as other models that can be used for implementation or sustainability evaluation, such as the Normalization Process Theory (a framework to understand how interventions become embedded or “normalized” in health care settings) [46] and the Centre for eHealth Research Roadmap (CeHRes) [47,48].”
Yohanna, S., Wilson, M. K., Naylor, K. L., Garg, A. X., Sontrop, J. M., Mucsi, I., Belenko, D., Dixon, S. N., Blake, P. G., Cooper, R., et al. (2025) · Canadian Journal of Kidney Health and Disease · doi:10.1177/20543581251323959 · Cited by 2
Harniess, P., Basu, A. P., Gibbs, D., & Bezemer, J. (2025) · Health Expectations · doi:10.1111/hex.70215 · Cited by 2
Letourneau, N., Anis, L., Cui, C., Graham, I. D., Ross, K., Nixon, K., Reimer, J., Pilipchuk, M., Wang, E., Lalonde, S., et al. (2025) · BMC Pediatrics · doi:10.1186/s12887-024-05232-w · Cited by 2
Benson, T. (2025) · Springer eBooks · doi:10.1007/978-3-031-87260-0_5 · Cited by 2
Robson, E., & Greenwood, K. (2025) · Early Intervention in Psychiatry · doi:10.1111/eip.70055 · Cited by 1
“Twelve studies were identified across a range of digital mental health interventions, four of which used an implementation framework; three of those utilised the normalisation process theory (NPT).”
InfluentialThermaenius, I., Holm, M., Årestedt, K., Udo, C., Alvariza, A., Lundberg, T., Wallin, L., & Lövgren, M. (2025) · Frontiers in Health Services · doi:10.3389/frhs.2025.1527431 · Cited by 2
Ashworth, J., Cornwall, N., Harrisson, S. A., Woodcock, C., Nicholls, E. E., Hughes, G., Marshall, E., Lawton, S., Wathall, S., Helliwell, T., et al. (2025) · NIHR Open Research · doi:10.3310/nihropenres.13961.1 · Cited by 3
Mahalingam, L., Tan, B. K., Bee, P. C., Teoh, C. H., Sellappans, R., Ng, D.-L.-C., Husin, A., Tan, S. M., & Chen, L. (2025) · Digital Health · doi:10.1177/20552076251361221 · Cited by 3
“…cognitive participation, collective action, and re fl exive monitoring) of the normalisation process theory (NPT) developed by May et al., 36 which explains how new practices like mHealth become integrated into routine care; (4) reviewing themes collaboratively to ensure coherence and…”
InfluentialBoersema, G. C., Botma, Y., & Mulder, M. (2025) · International Journal of Older People Nursing · doi:10.1111/opn.70044 · Cited by 2
“The NPT explains that complex interventions can be embedded or integrated into daily practice through the collective work of people who are engaged (May et al. 2009, 2022).”
InfluentialKnippen, K. L., Woodcock, L., Papoutsakis, C., & Gonzales‐Pacheco, D. (2025) · Nutrition in Clinical Practice · doi:10.1002/ncp.70043 · Cited by 2
“Mapping the qualitative themes to NPT and CFIR highlighted how PDSA helped RDNs operationalize implementation constructs.”
InfluentialHackshaw‐McGeagh, L., Stewart, S.-J., Norris, R. P., Wells, M., Thompson, S. E., Mawson, P., Brett, J., Turner, M., Wolstenholme, J. L., Dakin, H., et al. (2025) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2025.103026 · Cited by 2
Huang, W., Wu, Y., Škorić, M. M., & Zhang, X. (2025) · Journalism · doi:10.1177/14648849251398655 · Cited by 2
“To explore how journalists navigate this tension, this study applies the Normalization Process Theory (NPT) (May et al., 2009; May and Finch, 2009), which examines the work actors undertake to implement new practices.”
InfluentialAufenberg, B., Offermann, J., Pauge, S., Ziefle, M., & Greiner, W. (2025) · BMC Geriatrics · doi:10.1186/s12877-025-06786-9 · Cited by 3
“Similarly, the Normalization Process Theory (NPT) offers a framework for understanding how new technologies become routinely embedded in healthcare practices [37].”
Oesch, S., Verweij, L., Riguzzi, M., Finch, T. L., Clack, L., & Naef, R. (2025) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2025.105308 · Cited by 2
Self-citationCui, S., Wang, S., Deng, J., Jia, R., & Jiang, Y. (2026) · Healthcare · doi:10.3390/healthcare14020268 · Cited by 2
Nyatuka, D. R., Siva, F., & Jabin, M. S. R. (2026) · Frontiers in Digital Health · doi:10.3389/fdgth.2026.1883524 · Cited by 3
“The findings additionally reinforce principles from Normalization Process Theory, which emphasizes that implementation sustainability depends on whether innovations can be effectively integrated into routine operational practices (41 – 45).”
Nyatuka, D. R., Macharia, P. M., Khakata, E., Siva, F., Muriithi, B., & Jabin, M. S. R. (2026) · JMIR Human Factors · doi:10.2196/94828 · Cited by 2
“Normalization process theory is also useful: it articulates how new practices become embedded through coherence (sense-making), cognitive participation (engagement), collective action (operational work), and reflexive monitoring [44].”
Changing Behavior Using Control Theory
Mansell, W. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.009 · Cited by 11
Ankersen, P. V., Steffensen, R. G., Blæhr, E. E., & Beedholm, K. (2021) · Journal of Integrated Care · doi:10.1108/jica-07-2020-0047 · Cited by 2
Sarkies, M., Skinner, E. H., Bowles, K., Taljaard, M., Cheng, W., & Haines, T. P. (2021) · Global Implementation Research and Applications · doi:10.1007/s43477-021-00026-z · Cited by 3
Allen, D. A., Lloyd, A., Edwards, D. L., Grant, A., Hood, K., Huang, C., Hughes, J., Jacob, N., Lacy, D., Moriarty, Y., et al. (2022) · Health and Social Care Delivery Research · doi:10.3310/chck4556 · Cited by 2
Talsma, E. F., de Jonge, R., Cassel, F., van de Loo, M., Marcus, K. A., Mulder, E. E. M., Niemarkt, H. J., Prins, S. A., van der Putten, M. E., van Stuijvenberg, M., et al. (2022) · Indian Pediatrics · doi:10.1007/s13312-022-2516-3 · Cited by 3
“One of the theories for understanding and measuring implementation is the normalization process theory (NPT) [13,14].”
BackgroundJones, J. W., Saravia, A., Mamidi, I. S., Torres, J. I., & Evans, A. K. (2022) · Annals of Otology Rhinology & Laryngology · doi:10.1177/00034894221129014 · Cited by 2
Lee, L. E., Kulnik, S. T., Curran, G. M., Boaz, A., & Ramdharry, G. M. (2023) · Pilot and Feasibility Studies · doi:10.1186/s40814-022-01231-9 · Cited by 2
Nazir, M. F., Wayenberg, E., & Qureshi, S. F. (2023) · Public Administration and Policy · doi:10.1108/pap-04-2022-0033 · Cited by 2
Professional Understanding of a Special Needs Educator: Roles, Expectations, and Implications
Tan, C. (2023) · European Journal of Teaching and Education · doi:10.33422/ejte.v5i2.1020 · Cited by 2
McKinnon, I., Iranpour, A., Charlton, A., Green, E., Groom, F., Watts, O., McKenna, D., & Hackett, S. (2024) · Criminal Behaviour and Mental Health · doi:10.1002/cbm.2328 · Cited by 4
Greene, L., Barber, R., Bingham, A., Connors, J., Conroy, S., Elkhafer, K., Fox, C., Goodwin, V. A., Gordon, A. L., Hall, A., et al. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-083494 · Cited by 2
“31 32 Interviews about the acceptability and feasibility of study processes (eg, randomisation) will also be conducted with the clinical researcher at all six sites.”
BackgroundBjørnerud, A. M., Falkenberg, H. K., Braathu, N., Skar, A. S., & Engell, T. (2024) · Global Implementation Research and Applications · doi:10.1007/s43477-024-00116-8 · Cited by 2
“Seven different theories, models, and frameworks (TMFs) were used, and Active Implementation Framework (Fixsen & Blase, 2020) and Normalization Process Theory (May et al., 2009) was used by two separate presentations.”
Rimmer, B., Finch, T. L., Balla, M., Dutton, L., Williams, S., Lewis, J., Gallagher, P., Burns, R., Araújo‐Soares, V., Menger, F., et al. (2024) · Health Expectations · doi:10.1111/hex.14073 · Cited by 4
“We commenced sufficiency was reached when we judged that sufficient data had been generated to support and understand the implementation considerations for SMS. 28 Following this, we deductively mapped our codes to the four constructs of NPT, 24 1.”
InfluentialSelf-citationSait, M. I., Christie, R., Cox, C., Michèle Board, Thomas, S., O'Sullivan, C., Davies, C., Walker, D., Vassallo, M., Sadler, E., et al. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-080480 · Cited by 2
Leresche, E., Singh, N., May, C. R., de Rubeis, M. L., Pellecchia, U., Kazmi, S. Y., Albertini, M., Suleiman, B. A., & Hossain, M. (2024) · Social Sciences & Humanities Open · doi:10.1016/j.ssaho.2024.101064 · Cited by 2
“(May et al., 2009; Nilsen, 2015) Operational research allows one to produce new knowledge through qualitative or quantitative scientific methods, useful for decision-makers and practitioners to improve the quality of the programme, increase its coverage or enhance its effectiveness.”
BackgroundSelf-citationChallenges in reliable preoperative blood ordering: A qualitative interview study
Yang, P., Zijlstra, E., Hall, B. L., Gregory, S. H., Jackups, R., Li, J., Abraham, J., & Lou, S. S. (2024) · Transfusion · doi:10.1111/trf.18012 · Cited by 2
“The semi-structured interview guide was drafted by the lead researcher (SL), a cardiac anesthesiologist, based on Normalization Process Theory 16 and revised based on feedback from study team members with expertise in qualitative research (JL and JA).”
Rasmussen, L., Nielsen, M. B. D., Garde, A. H., & Kristiansen, J. (2024) · Health Research Policy and Systems · doi:10.1186/s12961-024-01224-5 · Cited by 2
“Additionally, NPT operates with the concept of reflexive monitoring, which concerns how individuals assess the value and effect of a new practice [23, 24].”
Background
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.
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