Understanding complex healthcare interventions: A user's guide to Normalization Process Theory

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Collective Action

This is the work that people do to enact a new technology or complex intervention.
It leads us to four further questions about collective action:

  • How does a complex intervention affect interactions between people and practices? In particular, we are interested in how a complex intervention is operationalized in practice by the people using it (we call this interactional workability)

  • How does a complex intervention relate to existing patterns of knowledge and relationships? In particular, we are interested in how knowledge and practice about a complex intervention is mediated and understood within networks, (we call this relational integration)

  • How is the allocation and performance of work affected by a complex intervention? In particular, we are interested in how work associated with a complex intervention is distributed and performed in a division of labour, (we call this skill-set workability).

  • How does a complex intervention relate to the organisation in which it is set? In particular, we are interested in how a complex intervention is linked to, and resourced through, organizational structures, (we call this contextual integration).