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"Using normalization process theory to evaluate the use of patient-cent" by Eva Lehmann-Emele, Maximiliane Jansky et al.

Background: Standardised use of patient-centred outcome measures (PCOMs) improves aspects of quality of care. Normalization Process Theory (NPT) considers the social (inter-)actions of implementation processes operationalised through four constructs: coherence-building, cognitive participation, collective action and reflexive monitoring. The aim of the study was to identify barriers and enablers for the successful use of PCOMs in specialist palliative home care (SPHC) using NPT, to collect clinically meaningful and reliable data to improve patient outcomes. Methods: Qualitative study using semi-structured interviews with palliative care professionals from German SPHC teams who participated in a study using PCOMs. Data were analysed using Framework analysis, and contextualised within NPT. Results: Seventeen interviews across five teams were conducted. Some teams already had an understanding of what PCOMs are and how to use them, based on previous experience. In other teams, this underst ....

Process Theory , Normalization Process Theory , Atient Centred Outcome Measurement , Qualitative Research , Quality Of Care , Pecialist Palliative Home Care ,

Community Barriers, Enablers, and Normative Embedding of Second Year of Life Vaccination in Ghana: A Qualitative Study

"Building robust community demand for 2YL vaccination to the level achieved for Expanded Programme for Immunization infant vaccines requires time and active promotion to diffuse new practices and supporting norms among caregivers and care providers alike." ....

United States , Greater Accra , Kwame Amponsa Achiano , Laura Conklin , Adam Jones , Raymonda Aborigo , Brent Wolff , George Bonsu , Maxwell Dalaba , Josephkl Opare , African Field Epidemiology Network Opare , University Of Health , Health Belief Model , Ghana Health Service Bonsu , Global Health , Navrongo Health Research Centre Aborigo , Us Centers For Disease , Ghana Health Service , United States Centers For Disease , Sciences Dalaba , Programme For Immunization , Disease Control , Navrongo Health Research Centre , Allied Sciences , African Field Epidemiology Network , Expanded Programme ,