Introduction
As described in earlier sections there are a number of methods
currently being advocated and used to analyse qualitative data as
part of systematic reviews. It is not necessary to use NPT
either as a tool for analysis or as a method of framing the
research questions for the review in order to allow one to use it
as a conceptual framework to aid understanding and interpretation
of results obtained through any number of different approaches such
as narrative review or meta-ethnography. NPT provides a set
of principles that can be used to provide focus to a
discussion section and can provide a good analytical framework with
good explanatory power. Considering, how the key findings of
a review relate to implementation processes as outlined within NPT
may permit development of ideas about mechanisms of action and the
formation of new propositions or hypotheses. NPT describes
how the work of implementation is operationalized through four
generative social mechanisms (see NPT Core Constructs), if a
literature review shows a paucity of data in one or more areas this
suggests a clear deficiency. Thus, mapping identified themes
onto the constructs of the NPT and identifying what, if any, issues
fall outside the model should provide important information about
key steps in the implementation process and aid the development of
recommendations in relation to what is known and what merits
further investigation.
Things to consider
- NPT will be most useful in helping to interpret systematic
reviews that are looking at implementation processes, ranging from
new procedures or new ways of working to the introduction of new
technologies or clinical guidelines.
- As NPT focuses on the "work" that people do it will also be
helpful when exploring self care processes.
EXAMPLE - IMPLEMENTING TELECARE
In this study (1) a systematic
review of qualitative studies examining telecare implementation was
undertaken. Once again, explicit search strategies were
adopted with predefined inclusion and exclusion criteria. The
data was analysed thematically and then these findings were
interpreted in relation to NPT as illustrated by the following
table:
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References
- May C. et al.
Integrating Telecare For Chronic Disease Management In The
Community: What Needs To Be Done? Department of Health 2010,
London. Back to example
