OBJECTIVES: To perform a process evaluation of a randomized controlled trial (RCT) of home telecare for the management of acute exacerbations of chronic obstructive pulmonary disease (COPD), using the normalization process model (NPM) as an explanatory framework. METHODS: Semi-structured interviews were carried out with patients (n = 9) and nurses (n = 11) participating in a RCT. A framework approach to data analysis was used. RESULTS: The telecare service did not provide an interactional advantage for the nurses providing this service and did not fit with the nurses' views of the most appropriate or preferred use of their skills. The telecare service seemed unlikely to become normalized as part of routine healthcare delivery, because the nursing team lacked confidence that it was a safe way to provide healthcare in this context and it was not perceived as improving efficiency. DISCUSSION: The NPM effectively mapped onto the study findings and explained those factors that inhibited the routine delivery of COPD services by telecare.
RCT Entities:
OBJECTIVES: To perform a process evaluation of a randomized controlled trial (RCT) of home telecare for the management of acute exacerbations of chronic obstructive pulmonary disease (COPD), using the normalization process model (NPM) as an explanatory framework. METHODS: Semi-structured interviews were carried out with patients (n = 9) and nurses (n = 11) participating in a RCT. A framework approach to data analysis was used. RESULTS: The telecare service did not provide an interactional advantage for the nurses providing this service and did not fit with the nurses' views of the most appropriate or preferred use of their skills. The telecare service seemed unlikely to become normalized as part of routine healthcare delivery, because the nursing team lacked confidence that it was a safe way to provide healthcare in this context and it was not perceived as improving efficiency. DISCUSSION: The NPM effectively mapped onto the study findings and explained those factors that inhibited the routine delivery of COPD services by telecare.
Authors: Carl R May; Tracy Finch; Luciana Ballini; Anne MacFarlane; Frances Mair; Elizabeth Murray; Shaun Treweek; Tim Rapley Journal: BMC Health Serv Res Date: 2011-09-30 Impact factor: 2.655
Authors: Tracy L Finch; Tim Rapley; Melissa Girling; Frances S Mair; Elizabeth Murray; Shaun Treweek; Elaine McColl; Ian Nicholas Steen; Carl R May Journal: Implement Sci Date: 2013-04-11 Impact factor: 7.327