Table 5 NPT coding frame
NPT construct | Sense-making | Cognitive Participation | Enacting | Appraisal work |
|---|---|---|---|---|
Descriptor | Stakeholders making sense of the G TIs presented to them Which ones do they think have value and benefit for their local setting? What are the positive and negative features of the G/TIs they examined? Were there shared views or not during this phase of thinking about the G/TIs? | Stakeholders’ engagement with the implementation project, process of direct ranking and selecting one G/TI to Process of selecting a G/TI reveals data about their motivation, willingness and perceived capacity to implement the G or TI, plus their feelings that it is right to be involved in the implementation work. Stakeholders thinking about other relevant stakeholders to enrol e.g., migrants, other practice staff members, trainers is part of the work of driving it forward Active enrolment work e.g., meeting someone to recruit them to the project | Stakeholders activities to introduce G Tis into clinical settings Planning imminent activities e.g. discussing divisions of labour about who makes a poster Information on what resources are available in their context to them to support these activities Stakeholders’ skills and participation in training to develop their skills Stakeholders fine tune their selected GTI to improve its quality or relevance for them Stakeholders implement knowledge from their selected G Tis into practice Divisions of labour to progress the implementation project e.g. who does what to enrol other stakeholders, to ensure smooth running of an interpreted consultation Descriptions of trying out new ways of working/communication with migrants and how it felt to apply the new way of working in e.g., consultations – did stakeholders have confidence in it? Data about the length of consultations and whether the new ways of working had positive or negative effects on consultations in practice | Stakeholders’ appraising the impact of the new way of working preferably after a period of use Stakeholders’ discussions about planning formal appraisals e.g. setting up exit interviews or patient questionnaires to monitor impact; collecting data on number of interpreted consultations Stakeholders’ reflections on findings from these appraisals, informal appraisals also relevant Can the new way of working be sustained in practice and what changes do stakeholders think are necessary to the service to ensure this? |