Using normalisation process theory to understand workflow implications of decision support implementation across diverse primary care settings.

ABSTRACT:

Background

Effective implementation of technologies into clinical workflow is hampered by lack of integration into daily activities. Normalisation process theory (NPT) can be used to describe the kinds of 'work' necessary to implement and embed complex new practices. We determined the suitability of NPT to assess the facilitators, barriers and 'work' of implementation of two clinical decision support (CDS) tools across diverse care settings.

Methods

We conducted baseline and 6-month follow-up quantitative surveys of clinic leadership at two academic institutions' primary care clinics randomised to the intervention arm of a larger study. The survey was adapted from the NPT toolkit, analysing four implementation domains: sense-making, participation, action, monitoring. Domains

SUBMITTER: Mishuris RG 

PROVIDER: S-EPMC7062348 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature