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Journal of Nursing ›› 2024, Vol. 31 ›› Issue (5): 39-43.doi: 10.16460/j.issn1008-9969.2024.05.039

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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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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

CLC Number: 

  • R47
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