Page - 184 - in Applied Interdisciplinary Theory in Health Informatics - Knowledge Base for Practitioners

Figure 2. Johnson et al.'s (2017) adapted model of NPT [15]. 3. Exercise As we have seen, NPT can be used in prospective planning, as well as ongoing and/or retrospective evaluation of implementation of new technologies and processes. In this final section, we present a worked example of how NPT may be used to frame research questions for either purpose. It is important to note that this is only one way in which the theory has been used, and that other applications may be appropriate for different implementation projects. For an overview of how NPT has been applied in study design, data collection and analysis, we recommend that readers consult the 2018 systematic review conducted by May et al [1]. The exercise will involve using NPT to derive research questions in relation to implementation of a hypothetical health informaticssystem. To do this, we will use tables (see Appendices) containing descriptions of NPT constructs and components as a tool for linking research questions to components of the theory. We will provide a worked example for a single component, after which we invite readers to continue the exercise with remaining questions. 3.1. The scenario Background - A community team of HCPs (comprizing nurses, occupational therapists, and dietitians) are implementing a new electronic patient record system for screening and treatment of malnutrition for patients in the community. These patients live in their own homes and are visited by members of the community team at regular intervals. Many are older, with multiple conditions including dementia, and as a result are at risk of undernutrition. Current team policy requires patients to be screened at monthly intervals using a clinical assessment tool, results of which are recorded and used to monitor nutritional health, and if necessary develop care plans for malnutrition. M.BracherandC.R.May / ImplementingandEmbeddingHealth InformaticsSystems184