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. 2017 Mar 28;14(4):350. doi: 10.3390/ijerph14040350
  • Coherence: is the “sense-making” work that people do individually and collectively when a new practice is implemented (e.g., to understand the differences between new and existing practice, to build a shared view of its purpose, to understand how it will affect them personally, and to grasp its potential benefits).

  • Cognitive participation: is the “relational” work involved in engaging and legitimizing a new practice (e.g., whether individuals are prepared to invest in and/or sustain the intervention).

  • Collective action: is the “operational” work performed by individuals or teams of professionals to organize and enact a new practice (e.g., the interactive work involved in reshaping relationships, policies and processes to accommodate the new practice, including the allocation of people and resources).

  • Reflexive monitoring: is the “appraisal” work that people do to understand and evaluate the impact of a new practice (e.g., how it affects them and the people around them, and how individuals or groups come to decide whether the intervention is worthwhile or not over time).