There's nothing so practical as a good theory. A theory is a set
of conceptual tools that enable us to describe, explain, and make
claims about aspects of the world we live in. Theories enable us to
do three kinds of conceptual work:
1. Accurate description. A
theory must provide a taxonomy or set of definitions that enable
the identification, differentiation, and codification of the
qualities and properties of cases and classes of phenomena.
NPT
systematically establishes and differentiates the phenomena
with which it is concerned by defining actors, objects and
contexts, and the processes that govern them. It therefore permits
a rational foundation for explanations of observed events and
processes pertaining to the implementation of new technologies and
complex interventions in health care systems.
2. Systematic explanation. A
theory must provide an explanation of the form and significance of
the causal and relational mechanisms at work in cases or classes of
the phenomena defined by the theory, and should propose their
relation to other phenomena.
NPT offers a
systematic explanation of the operation of those processes and
conditions by referring to patterns of action that can be
empirically shown to affect their outcomes, and by defining the
causal mechanisms and relations that underpin these. It may thus be
reasonably employed to make predictions about the normalization
potential of proposed technologies or interventions, and about the
possible outcomes of other implementation processes.
3. Knowledge claims. A theory
must lead to knowledge claims. These may take the form of
abstract explanations, analytic propositions, or experimental
hypotheses. They may also map relations with other phenomena that
are believed to possess similar qualities and properties.
NPT permits
verifiable knowledge claims about process and action, and proposes
a set of analytic propositions that can inform empirical
investigation. This means that it not only accounts for outcomes of
implementation processes, but can also account for differences
between expected and observed outcomes of new technologies or
complex interventions in real health care settings.
A fourth, but not mandatory, component of a theory is that it
proposes a means of testing its knowledge claims. A theory must be
testable. Such tests may be abstract (i.e. formal logical
representations, simulations, or thought experiments); or concrete
(empirical investigations).