9. four constructs of NPT reflexive Monitoring : defines and organizes assessment of the outcomes of a practice cognitive Participation : defines and organizes the people implicated in a complex intervention collective Action : defines and organizes the enacting of a practice coherence : defines and organizes the components of a practice
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13. the structure of NPT/ constructs, components, and constraints CONSTRUCT A CONSTRUCT B CONSTRUCT C CONSTRUCT D IMMEDIATE COMPONENTS C 3 & C 4 ORGANIZING COMPONENTS C 1 & C 2 CONSTRAINT: STRUCTURES & NORMS CONSTRAINT: PROCESSES & CONVENTIONS
The model seeks to provide a systematic framework for analyzing how a complex intervention becomes routinely embedded in practice. It does so from the standpoint of analyzing the work that appears in the interactions between elements of the complex intervention and its operational context. The challenge is therefore to deploy a model that is simple enough to be workable in practice and transportable between interventions, while also being sufficiently flexible to accommodate the dynamic and contingent character of social processes and relationships in health care (and other) settings.
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