Skip to main content

Table 2 Codes identified and their relation to the four main constructs of extended Normalization Process Theory

From: Implementation of secondary fracture prevention services after hip fracture: a qualitative study using extended Normalization Process Theory

‘Capacity’

‘Potential’

‘Capability’

‘Contribution’

Role of dedicated fracture prevention coordinator

High levels of support for introducing service

Fracture prevention coordinators ‘freeing up’ professionals previously engaged in care

Multi-disciplinary team meetings

Multi-disciplinary paperwork: protocols and proforma records

Lack of support for introducing service from some professionals

Lack of time to deliver intervention

Clinical databases

Multi-disciplinary team-work: multi-disciplinary team meetings, joint ward rounds

Relationships between different professional groups

Lack of capacity to administer DXA scans

Internal monitoring systems

Positive working relationships

Multi-disciplinary team working

Challenges faced by service users in accessing services

External monitoring systems linked to funding

Location of professionals close to the service and each other

Role of fracture prevention coordinator

  

Challenge of securing co-operation and communication with GPs

Varying commitment from practitioners in primary care

  

High workload in primary care impacting on time spent implementing intervention

   

Written communication with GPs, especially discharge summaries and DXA reports

   

Potential role of fracture prevention coordinators in primary care

  Â