Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review.
Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review.
复制标题
DOI：
10.1186/s13012-018-0758-1
复制
发表时间：
2018-06-07
期刊：
影响因子：
--
通讯作者：
Finch T
中科院分区：
文献类型：
--
作者：
May CR;Cummings A;Girling M;Bracher M;Mair FS;May CM;Murray E;Myall M;Rapley T;Finch T
正常化过程理论（NPT）确定、描述并解释了促进和抑制新卫生技术、技术和其他复杂干预措施的实施、嵌入和整合的关键机制。现在已经出现了大量采用NPT为复杂保健干预措施的可行性研究和过程评估提供信息的文献。这篇综述的目的是回顾这些文献；在关于保健干预措施的实施和整合的研究中，确定和描述《不扩散核武器法》的用途和局限性；并探讨《不扩散核武器条约》对理解这些进程动态的贡献。进行了定性系统评价。我们在Web of Science、Scopus和谷歌Scholar上搜索了同行评议期刊上的具有经验数据的文章，这些文章引用了提出和发展《不扩散核武器条约》的关键论文，或《不扩散核武器条约》在线工具包（www.normalizationprocess.org）。我们在回顾中只纳入了在卫生保健技术、技术或其他干预措施的实施研究中使用NPT作为收集、分析或报告数据的主要方法的文章。采用结构化数据提取仪，对数据进行定性分析。搜索结果显示有3322条引用。我们显示，在消除2337个重复和损坏或垃圾url后，985个被筛选为标题和摘要。其中101例因不符合纳入标准而被排除。这就留下了884篇文章进行全文筛选。其中，754例不符合纳入标准。这使得来自108项可识别研究的130篇论文被纳入综述。《不扩散条约》似乎为研究人员和实践者提供了严格研究执行过程的概念词汇。它识别，特征和解释经验上可识别的机制，激励和塑造实施过程。综上所述，这意味着利用不扩散条约进行的分析可以有效地协助解释具体执行项目的成功或失败。10%的论文包括对《不扩散核武器条约》某些方面的批评，而那些批评主要集中在其术语上。然而，有两项研究批评了《不扩散条约》对机构的强调，一项研究批评了《不扩散条约》的规范性重点。这篇综述表明，研究人员发现NPT是有用的，并将其应用于广泛的干预措施。它已被有效地用于帮助干预发展和实施规划，以及评估和了解实施过程本身。特别是，《不扩散条约》似乎提供了一套宝贵的概念工具，以帮助理解执行是一个动态的过程。本文的在线版本（10.1186/s13012-018-0758-1）包含补充资料，仅供授权用户使用。
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. A large body of literature that employs NPT to inform feasibility studies and process evaluations of complex healthcare interventions has now emerged. The aims of this review were to review this literature; to identify and characterise the uses and limits of NPT in research on the implementation and integration of healthcare interventions; and to explore NPT’s contribution to understanding the dynamics of these processes. A qualitative systematic review was conducted. We searched Web of Science, Scopus and Google Scholar for articles with empirical data in peer-reviewed journals that cited either key papers presenting and developing NPT, or the NPT Online Toolkit (www.normalizationprocess.org). We included in the review only articles that used NPT as the primary approach to collection, analysis or reporting of data in studies of the implementation of healthcare techniques, technologies or other interventions. A structured data extraction instrument was used, and data were analysed qualitatively. Searches revealed 3322 citations. We show that after eliminating 2337 duplicates and broken or junk URLs, 985 were screened as titles and abstracts. Of these, 101 were excluded because they did not fit the inclusion criteria for the review. This left 884 articles for full-text screening. Of these, 754 did not fit the inclusion criteria for the review. This left 130 papers presenting results from 108 identifiable studies to be included in the review. NPT appears to provide researchers and practitioners with a conceptual vocabulary for rigorous studies of implementation processes. It identifies, characterises and explains empirically identifiable mechanisms that motivate and shape implementation processes. Taken together, these mean that analyses using NPT can effectively assist in the explanation of the success or failure of specific implementation projects. Ten percent of papers included critiques of some aspect of NPT, with those that did mainly focusing on its terminology. However, two studies critiqued NPT emphasis on agency, and one study critiqued NPT for its normative focus. This review demonstrates that researchers found NPT useful and applied it across a wide range of interventions. It has been effectively used to aid intervention development and implementation planning as well as evaluating and understanding implementation processes themselves. In particular, NPT appears to have offered a valuable set of conceptual tools to aid understanding of implementation as a dynamic process. The online version of this article (10.1186/s13012-018-0758-1) contains supplementary material, which is available to authorized users.
登录
查看更多内容
影响因子：
3
作者：
Agbakoba R;McGee-Lennon M;Bouamrane MM;Watson N;Mair FS
通讯作者：
Mair FS
影响因子：
7.4
作者：
Ariens, Lieneke F. M.;Schussler-Raymakers, Florine M. L.;van Os-Medendorp, Harmieke
通讯作者：
van Os-Medendorp, Harmieke
影响因子：
2.4
作者：
Al Shemeili, Saeed;Klein, Susan;Stewart, Derek
通讯作者：
Stewart, Derek
影响因子：
2.9
作者：
Bayliss, Kerin;Riste, Lisa;Chew-Graham, Carolyn A.
通讯作者：
Chew-Graham, Carolyn A.
影响因子：
7.2
作者：
Birken, Sarah A.;DiMartino, Lisa D.;Albert, Nancy M.
通讯作者：
Albert, Nancy M.