Learning from doing: the case for combining normalisation process theory and participatory learning and action research methodology for primary healthcare implementation research

de Brún, T., O’Reilly-de Brún, M., O'Donnell, C. A. and MacFarlane, A. (2016) Learning from doing: the case for combining normalisation process theory and participatory learning and action research methodology for primary healthcare implementation research. BMC Health Services Research, 16, 346. (doi:10.1186/s12913-016-1587-z) (PMID:27488361) (PMCID:PMC4972957)

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Publisher's URL: http://dx.doi.org/10.1186/s12913-016-1587-z

Abstract

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.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:O'Donnell, Professor Catherine
Authors: de Brún, T., O’Reilly-de Brún, M., O'Donnell, C. A., and MacFarlane, A.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > General Practice and Primary Care
Journal Name:BMC Health Services Research
Publisher:BioMed Central
ISSN:1472-6963
ISSN (Online):1472-6963
Copyright Holders:Copyright © 2016 The Authors
First Published:First published in BMC Health Services Research 16: 346
Publisher Policy:Reproduced under a Creative Commons License

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