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Table 3 Retained items by NPT sub-construct domains

From: Improving the normalization of complex interventions: part 2 - validation of the NoMAD instrument for assessing implementation work based on normalization process theory (NPT)

Construct Sub-Construct Items
Coherence Differentiation I can see how the [intervention] differs from usual ways of working
Communal specification Staff in this organisation have a shared understanding of the purpose of this [intervention]
Individual specification I understand how the [intervention] affects the nature of my own work
Internalization I can see the potential value of the [intervention] for my work
Cognitive Participation Initiation There are key people who drive the [intervention] forward and get others involved
Legitimation I believe that participating in the [intervention] is a legitimate part of my role
Enrolment I’m open to working with colleagues in new ways to use the [intervention]
Activation I will continue to support the [intervention]
Collective Action Interactional workability I can easily integrate the [intervention] into my existing work
Relational integration The [intervention] disrupts working relationships
Relational integration I have confidence in other people’s ability to use the [intervention]
Skill set workability Work is assigned to those with skills appropriate to the [intervention]
Skill set workability Sufficient training is provided to enable staff to use the [intervention]
Contextual Integration Sufficient resources are available to support the [intervention]
Contextual integration Management adequately support the [intervention]
Reflexive Monitoring Systemisation I am aware of reports about the effects of the [intervention]
Communal appraisal The staff agree that the [intervention] is worthwhile
Individual appraisal I value the effects the [intervention] has had on my work
Reconfiguration Feedback about the [intervention] can be used to improve it in the future
Reconfiguration I can modify how I work with the [intervention]