Exploration of an On-Site Pharmacist Intervention within Australian Residential Aged Care Facilities Using Normalisation Process Theory: A Mixed-Methods Study

Table 1

Definition of each NPT construct.

NPT construct	Definition
Coherence	The first NPT construct of coherence (making sense of the intervention) relates to how participants make sense of the intervention at the individual and team level. Making sense of the intervention includes having an understanding of how the new practice compares to usual practice and the perceived value of the new practice [18]
Cognitive participation	The second NPT construct of cognitive participation (investment in the intervention) relates to the engagement of participants in operationalising the new practice. Investment in the intervention includes key people driving the new practice and perceiving the intervention as being a legitimate part of their new practice, as well as being willing to adopt the new practice [18]
Collective action	The third NPT construct of collective action (enacting the intervention) relates to the work which participants undertake to operationalise a new practice. Enactment of the intervention includes the ease of intervention integration into existing work, the impact on working relationships, confidence of others participating, and adequate management support of the new practice [18]
Reflexive monitoring	The fourth NPT construct of reflexive monitoring (appraising the intervention) relates to the work which participants undertake when assessing a new practice at the individual and team level. Appraisal of the intervention includes awareness of the new practice, perception of the new practice’s impact, potential to modify work to incorporate the new practice, and support future improvements [18]