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Table 2 Normalisation Process Theory constructs [2427]

From: Development of a managed clinical network for children’s palliative care – a qualitative evaluation

Construct name

Construct definition

Coherence

The sense-making work that people do to differentiate the MCN from existing practice, to develop a shared understanding of the Network’s goals, and to understand what this means for their own individual practice and what the benefits are.

Cognitive participation

The relational work that people do to initiate the new set of practices associated with the MCN, and to build commitment and engagement from other members to ensure new ways of working are legitimised and sustained.

Collective action

The operational work that people do to implement a set of practices and build confidence in these, for example developing ways to share patient information or specialist palliative care resources between organisations.

Reflexive monitoring

The appraisal work that people do individually and together to understand the ways that the MCN affects them and others around them (e.g. children and their families), and to modify new processes to make them workable in practice.