Table 1.
Coherence | Cognitive Participation | Collective Action | Reflexive Monitoring | |
---|---|---|---|---|
Construct | The process and work of sense making and understanding that individuals and organisations undertake that promote or inhibit the routine embedding of a practice | The process and work that individuals undertake to promote engagement with the new practice | The work done by individuals and organisations to enact the new practice. | The work inherent to formal and informal appraisal of new practice, to enable assessment of advantages and disadvantages, developing users comprehension of the effects of a practice |
Sub-constructs |
Differentiation Do stakeholders see this as a new way working? |
Enrolment Do the stakeholders believe they are the correct people to drive forward the implementation? |
Interactional workability Does the intervention make it easier or harder to complete tasks? |
Systemisation Will stakeholders be able to judge the effectiveness of the intervention? |
Individual specification Do individuals understand what tasks the intervention requires of them? |
Initiation Are they willing and able to engage others in the implementation? |
Skill set workability Do those implementing the intervention have the correct skills and training for the job? |
Individual appraisal How will individuals judge the effectiveness of the intervention? |
|
Communal specification Do all those involved agree about the purpose of the intervention? |
Activation Can stakeholders identify what tasks and activities are required to sustain the intervention? |
Relational integration Do those involved in the implementation have confidence in the new way of working? |
Communal appraisal How will stakeholders collectively judge the effectiveness of the intervention? |
|
Internalisation Do all the stakeholders grasp the potential benefits and value of the intervention? |
Legitimation Do they believe it is appropriate for them to be involved in the intervention? |
Contextual integration Do local and national resources and policies support the implementation? |
Reconfiguration Will stakeholders be able to modify the intervention based on evaluation and experience? |