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

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1. Coherence
2.Cognitive Participation
4. Reflexive Monitoring
3. Collective Action
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Reflexive Monitoring

This is the informal and formal work that people do to appraise the effects of the new technologies complex interventions that they have enacted.


NPT proposes that:

  • Embedding of a complex intervention is dependent on work that defines and organizes the everyday understanding of it in practice.
  • The work of embedding (implementing and integrating) a complex intervention is shaped by factors that promote or inhibit individual and collective appraisal of the complex intervention.
  • The production and reproduction of a complex intervention requires that participants collectively invest in its understanding.