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护理学报 ›› 2024, Vol. 31 ›› Issue (5): 39-43.doi: 10.16460/j.issn1008-9969.2024.05.039

• 循证护理 • 上一篇    下一篇

实施理论—常态化过程理论的解读

李春萍1a,1b, 张兰萍1b, 王晓辉2, 钟乐欣1b, 杨薇3, 赵青1a,1b, 吕森森1b, 李嘉琪1b, 谢昀筠1b, 黄婉晴1b, 陈晓珊1b, 徐东1b,1c,4,1a   

  1. 1.南方医科大学 a.公共卫生学院;b.卫生管理学院卫生管理系Acacia实施科学实验室;c.世界卫生组织研究中心,广东 广州 510515;
    2.兰州大学 公共卫生学院,甘肃 兰州 730000;
    3.贵州医科大学 公共卫生与健康学院环境污染与疾病监控教育部重点实验室,贵州 贵阳 561113;
    4.南方医科大学皮肤病医院 全球健康研究中心,广东 广州 510515
  • 收稿日期:2023-12-15 出版日期:2024-03-10 发布日期:2024-04-08
  • 通讯作者: 徐东（1972-）,男,四川乐山人,博士,博士研究生导师,教授,南方医科大学全球健康研究中心执行副主任、世界卫生组织研究中心主任。E-mail: romanxu@i.smu.edu.cn
  • 作者简介:李春萍（1998-）,女,广东湛江人,本科学历,硕士研究生在读。
  • 基金资助:
    瑞士发展与合作署（#81067392）

Interpretation of Normalization Process Theory—a Theory of Implementation Science

LI Chun-ping1a,1b, ZHANG Lan-ping1b, WANG Xiao-hui2, ZHONG Le-xin1b, YANG Wei3, ZHAO Qing1a,1b, LV Sen-sen1b, LI Jia-qi1b, XIE Yun-yun1b, HUANG Wan-qing1b, CHEN Xiao-shan1b, XU Dong1b,1c,4,1a   

  1. 1. Southern Medical University a.School of Public Health; b.Acacia Lab for Implementation Science, School of Health Management; c.Center for World Health Organization Studies and Department of Health Management, School of Health Management,Guangzhou 510515, China;
    2. School of Public Health, Lanzhou University, Lanzhou730000, China;
    3. School of Public Health, the key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang 561113 China;
    4. Acacia Lab for Implementation Research, Southern Medical University Institute for Global Health, Dermatology Hospital of Southern Medical University, Guangzhou510515, China
  • Received:2023-12-15 Online:2024-03-10 Published:2024-04-08

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摘要： 目的 常态化过程理论（Normalization Process Theory,NPT）是实施研究中常用的理论之一,但较难理解。本文将详细介绍NPT,为研究者理解NPT提供指引。方法 通过检索与NPT理论相关的文献并结合团队实际使用NPT的体验,描述NPT的起源、开发与演变、核心要素解读、运用并讨论其特点。结果 NPT以新技术在日常工作中的嵌入（即常态化）为实施结局,指出这个结局是实施者、实施对象和实施环境相互作用的过程。经过20余年的演变,NPT最终包含4个维度和16个构念。结论 NPT逐步完善,为实施科学提供了重要的理论基础;但NPT比较抽象,且存在逻辑和概念的不足,研究者需要在透彻了解其含义的基础上灵活使用。

关键词: 常态化过程理论（NPT）, 实施科学, 实施研究, 循证实践

Abstract: Objective The Normalization Process Theory(NPT) is commonly utilized in implementation research but is often perceived as challenging to understand. This paper aims to offer a detailed introduction to NPT to assist researchers in comprehending its intricacies. Methods A meticulous literature review was conducted, and the findings were integrated with our firsthand experiences of applying NPT in our research. This approach facilitated the illustration of NPT's origin, evolution, components, and a discussion on its distinct attributes. Results NPT takes the embedding of new technology in daily work (i. e. normalization) as the implementation outcome, and that is the interaction between the implementer, the implementation object and the implementation environment. After more than 20 years of evolution, NPT eventually contained 4 domains and 16 constructs. Conclusion NPT has progressively developed and now provides a vital theoretical underpinning for the field of implementation science. Despite its importance, the theory's abstract nature and certain logical and conceptual limitations require that researchers apply it with flexibility and a deep understanding of its principles.

Key words: Normalization Process Theory (NPT), implementation science, implementation research, evidence-based medicine

中图分类号: 

  • R47
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