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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