Learning from doing: the case for combining normalisation process theory and participatory learning and action research methodology for primary healthcare implementation research
| Autor: | de Brún, Tomas, O’Reilly-de Brún, Mary, O'Donnell, Catherine A., MacFarlane, Anne |
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| Přispěvatelé: | HRB, ERC |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Implementation research
Debate Process (engineering) controlled-trials Participatory action research dissemination 03 medical and health sciences primary healthcare 0302 clinical medicine conceptual-framework normalisation process theory Nursing Normalisation process theory older-people implementation research Process theory evaluating complex interventions theoretical frameworks Humans Medicine 030212 general & internal medicine participatory learning & action research Action research improvement Qualitative Research Primary Health Care Management science business.industry behavior 030503 health policy & services Nursing research Health Policy diffusion Models Theoretical communities Action (philosophy) pain management Research Design Health Services Research 0305 other medical science business Theoretical frameworks Primary healthcare participatory learning & action research Social theory |
| Zdroj: | BMC Health Services Research |
| ISSN: | 1472-6963 |
| Popis: | Background The implementation of research findings is not a straightforward matter. There are substantive and recognised gaps in the process of translating research findings into practice and policy. In order to overcome some of these translational difficulties, a number of strategies have been proposed for researchers. These include greater use of theoretical approaches in research focused on implementation, and use of a wider range of research methods appropriate to policy questions and the wider social context in which they are placed. However, questions remain about how to combine theory and method in implementation research. In this paper, we respond to these proposals. Discussion Focussing on a contemporary social theory, Normalisation Process Theory, and a participatory research methodology, Participatory Learning and Action, we discuss the potential of their combined use for implementation research. We note ways in which Normalisation Process Theory and Participatory Learning and Action are congruent and may therefore be used as heuristic devices to explore, better understand and support implementation. We also provide examples of their use in our own research programme about community involvement in primary healthcare. Conclusions Normalisation Process Theory alone has, to date, offered useful explanations for the success or otherwise of implementation projects post-implementation. We argue that Normalisation Process Theory can also be used to prospectively support implementation journeys. Furthermore, Normalisation Process Theory and Participatory Learning and Action can be used together so that interventions to support implementation work are devised and enacted with the expertise of key stakeholders. We propose that the specific combination of this theory and methodology possesses the potential, because of their combined heuristic force, to offer a more effective means of supporting implementation projects than either one might do on its own, and of providing deeper understandings of implementation contexts, rather than merely describing change. Electronic supplementary material The online version of this article (doi:10.1186/s12913-016-1587-z) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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