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Speaking Rate: 0.7852420658792226
Voice name: en-AU-Wavenet-D
"I cannot teach anybody anything, I can only make them think."
- Socrates
SUMMARY
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Normalization process theory (NPT) is a derivative sociological theory of the implementation, embedding, and integration of new technologies and organizational innovations developed originally from a collective set of learning workshops and included a large number of people including Carl R. May, Tracy Finch, Elizabeth Murray, Anne Rogers, Catherine Pope, Anne Kennedy, Pauline Ong and . The theory is a contribution to the field of science and technology studies (STS), and is the result of a programme of theory building by May and a range of academics from applied social science to medicine. Through three iterations, the theory has built upon the normalization process model previously developed by May et al. to explain the social processes that lead to the routine embedding of innovative health technologies.Normalization process theory focuses attention on agentic contributions – the things that individuals and groups do to operationalize new or modified modes of practice as they interact with dynamic elements of their environments. It defines the implementation, embedding, and integration as a process that occurs when participants deliberately initiate and seek to sustain a sequence of events that bring it into operation. The dynamics of implementation processes are complex, but normalization process theory facilitates understanding by focusing attention on the mechanisms through which participants invest and contribute to them. It reveals "the work that actors do as they engage with some ensemble of activities (that may include new or changed ways of thinking, acting, and organizing) and by which means it becomes routinely embedded in the matrices of already existing, socially patterned, knowledge and practices". These have explored objects, agents, and contexts. In a paper published under a creative commons license, May and colleagues describe how, since 2006, NPT has undergone three iterations.
Objects. The first iteration of the theory focused attention on the relationship between the properties of a complex healthcare intervention and the collective action of its users. Here, agents' contributions are made in reciprocal relationship with the emergent capability that they find in the objects – the ensembles of behavioural and cognitive practices – that they enact. These socio-material capabilities are governed by the possibilities and constraints presented by objects, and the extent to which they can be made workable and integrated in practice as they are mobilized.
Agents. The second iteration of the theory built on the analysis of collective action, and showed how this was linked to the mechanisms through which people make their activities meaningful and build commitments to them. Here, investments of social structural and social cognitive resources are expressed as emergent contributions to social action through a set of generative mechanisms: coherence (what people do to make sense of objects, agency, and contexts); cognitive participation (what people do to initiate and be enrolled into delivering an ensemble of practices); collective action (what people do to enact those practices); and reflexive monitoring (what people do to appraise the consequences of their contributions). These constructs are the core of the theory, and provide the foundation of its analytic purchase on practice.
Contexts. The third iteration of the theory developed the analysis of agentic contributions by offering an account of centrally important structural and cognitive resources on which agents draw as they take action. Here, dynamic elements of social contexts are experienced by agents as capacity (the social structural resources, that they possess, including infor ...
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