IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i9p5251-d802283.html
   My bibliography  Save this article

Pain Management Program in Cardiology: A Template for Application of Normalization Process Theory and Social Marketing to Implement a Change in Practice Quality Improvement

Author

Listed:
  • Kerstin Bode

    (Department of Electrophysiology, Heart Center Leipzig, Struempellstr. 39, 04289 Leipzig, Germany
    Department of Cardiology, Asklepios Clinic Weißenfels, Naumburger Str. 76, 06667 Weissenfels, Germany
    These authors contributed equally to this work.)

  • Peter Whittaker

    (The University of Edinburgh, Old College, South Bridge, Edinburgh EH8 9YL, UK
    These authors contributed equally to this work.)

  • Miriam Dressler

    (Medical Faculty, University of Leipzig, Liebigstr. 21, 04109 Leipzig, Germany)

  • Yvonne Bauer

    (Department of Electrophysiology, Heart Center Leipzig, Struempellstr. 39, 04289 Leipzig, Germany)

  • Haider Ali

    (Business School, The Open University, Walton Hall, Milton Keynes MK7 6AA, UK)

Abstract

Quality improvement plays a major role in healthcare, and numerous approaches have been developed to implement changes. However, the reasons for success or failure of the methods applied often remains obscure. Normalization process theory, recently developed in sociology, provides a flexible framework upon which to construct quality improvement. We sought to determine if examination of a successful quality improvement project, using normalization process theory and social marketing, provided insight into implementation. We performed a retrospective analysis of the steps taken to implement a pain management program in an electrophysiology clinic. We mapped these steps, and the corresponding social marketing tools used, to elements of normalization process theory. The combination of mapping implementation steps and marketing approaches to the theory provided insight into the quality-improvement process. Specifically, examination of the steps in the context of normalization process theory highlighted barriers to implementation at individual, group, and organizational levels. Importantly, the mapping also highlighted how facilitators were able to overcome the barriers with marketing techniques. Furthermore, integration with social marketing revealed how promotion of tangibility of benefits aided communication and how process co-creation between stakeholders enhanced value. Our implementation of a pain-management program was successful in a challenging environment composed of several stakeholder groups with entrenched initial positions. Therefore, we propose that the behavior change elements of normalization process theory combined with social marketing provide a flexible framework to initiate quality improvement.

Suggested Citation

  • Kerstin Bode & Peter Whittaker & Miriam Dressler & Yvonne Bauer & Haider Ali, 2022. "Pain Management Program in Cardiology: A Template for Application of Normalization Process Theory and Social Marketing to Implement a Change in Practice Quality Improvement," IJERPH, MDPI, vol. 19(9), pages 1-12, April.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5251-:d:802283
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/9/5251/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/19/9/5251/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Panter-Brick, Catherine & Clarke, Sian E. & Lomas, Heather & Pinder, Margaret & Lindsay, Steve W., 2006. "Culturally compelling strategies for behaviour change: A social ecology model and case study in malaria prevention," Social Science & Medicine, Elsevier, vol. 62(11), pages 2810-2825, June.
    2. Kristine de Valck & Roberts V. Kozinets & Andrea C. Wojnicki & Sarah J.S. Wilner, 2010. "Networked Narratives: Understanding Word-of-Mouth Marketing in Online Communities," Post-Print hal-00458424, HAL.
    3. Amy O’Donnell & Eileen Kaner, 2017. "Are Brief Alcohol Interventions Adequately Embedded in UK Primary Care? A Qualitative Study Utilising Normalisation Process Theory," IJERPH, MDPI, vol. 14(4), pages 1-16, March.
    4. Schudson, Michael & Baykurt, Burcu, 2016. "How does a culture of health change? Lessons from the war on cigarettes," Social Science & Medicine, Elsevier, vol. 165(C), pages 289-296.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Choo Yeon Kim & Seong Soo Cha, 2023. "Effect of SNS Characteristics for Dining Out on Customer Satisfaction and Online Word of Mouth," SAGE Open, , vol. 13(3), pages 21582440231, September.
    2. Carmela Milano, 2015. "Democratization or else vulgarization of cultural capital? The role of social networks in theater’s audience behavior," Working Papers CEB 15-004, ULB -- Universite Libre de Bruxelles.
    3. Yucheng Zhang & Zhiling Wang & Lin Xiao & Lijun Wang & Pei Huang, 2023. "Discovering the evolution of online reviews: A bibliometric review," Electronic Markets, Springer;IIM University of St. Gallen, vol. 33(1), pages 1-22, December.
    4. Langford, Rebecca & Panter-Brick, Catherine, 2013. "A health equity critique of social marketing: Where interventions have impact but insufficient reach," Social Science & Medicine, Elsevier, vol. 83(C), pages 133-141.
    5. Anke Hoeffler, 2017. "Violence Against Children: A Critical Issue for Development," The European Journal of Development Research, Palgrave Macmillan;European Association of Development Research and Training Institutes (EADI), vol. 29(5), pages 945-963, November.
    6. Rydén, Pernille & Ringberg, Torsten & Wilke, Ricky, 2015. "How Managers' Shared Mental Models of Business–Customer Interactions Create Different Sensemaking of Social Media," Journal of Interactive Marketing, Elsevier, vol. 31(C), pages 1-16.
    7. Carmela Milano & Sandra Rothenberger, 2018. "Democratization or Vulgarization - The Impact of Facebook on Cultural Capital," Post-Print CEB, ULB -- Universite Libre de Bruxelles, vol. 5(1), pages 129-144, February.
    8. Inyoung Chae & Andrew T. Stephen & Yakov Bart & Dai Yao, 2017. "Spillover Effects in Seeded Word-of-Mouth Marketing Campaigns," Marketing Science, INFORMS, vol. 36(1), pages 89-104, January.
    9. Yadav, Manjit S. & de Valck, Kristine & Hennig-Thurau, Thorsten & Hoffman, Donna L. & Spann, Martin, 2013. "Social Commerce: A Contingency Framework for Assessing Marketing Potential," Journal of Interactive Marketing, Elsevier, vol. 27(4), pages 311-323.
    10. McConnell, Bonnie B., 2016. "Music and health communication in The Gambia: A social capital approach," Social Science & Medicine, Elsevier, vol. 169(C), pages 132-140.
    11. Sebastian Schneider, 2022. "Price-related consumer discussions in China and the United States: a cross-cultural study investigating price perceptions and word-of-mouth transmission," Journal of Revenue and Pricing Management, Palgrave Macmillan, vol. 21(3), pages 274-290, June.
    12. Gerrath, Maximilian H.E.E. & Usrey, Bryan, 2021. "The impact of influencer motives and commonness perceptions on follower reactions toward incentivized reviews," International Journal of Research in Marketing, Elsevier, vol. 38(3), pages 531-548.
    13. Wee-Kheng Tan & Ching-Hsiang Lin, 2021. "Why do individuals word-of-mouth destinations they never visited?," Service Business, Springer;Pan-Pacific Business Association, vol. 15(1), pages 131-149, March.
    14. Schau, Hope Jensen & Dang, Yan Mandy & Zhang, Yulei Gavin, 2017. "Learning to navigate the American retail servicescape: Online forums as consumer acculturation platforms and consumer gift systems," Journal of Business Research, Elsevier, vol. 72(C), pages 178-188.
    15. Bastos, Wilson, 2020. "“Speaking of Purchases”: How Conversational Potential Determines Consumers' Willingness to Exert Effort for Experiential Versus Material Purchases," Journal of Interactive Marketing, Elsevier, vol. 50(C), pages 1-16.
    16. Anakwenze, Obianujunwa, 2022. "The cultural sensitivity continuum of mental health interventions in Sub-Saharan Africa: A systematic review," Social Science & Medicine, Elsevier, vol. 306(C).
    17. M.N. Tripathi, 2015. "Swachh Odisha: A Case on Attempting to Inculcate Healthy Sanitation Practices in Rural Odisha," Asian Journal of Management Cases, , vol. 12(2), pages 109-127, September.
    18. Wang, Kai-Yu & Ting, I-Hsien & Wu, Hui-Ju, 2013. "Discovering interest groups for marketing in virtual communities: An integrated approach," Journal of Business Research, Elsevier, vol. 66(9), pages 1360-1366.
    19. Maise Soares Pereira & Ivan Lapuente Garrido & Celso Augusto de Matos, 2015. "Firm-Created Word-of-Mouth Recommendation: is it Also Worthwhile?," Brazilian Business Review, Fucape Business School, vol. 12(3), pages 91-118, May.
    20. Yap, Kenneth B. & Soetarto, Budi & Sweeney, Jillian C., 2013. "The relationship between electronic word-of-mouth motivations and message characteristics: The sender’s perspective," Australasian marketing journal, Elsevier, vol. 21(1), pages 66-74.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5251-:d:802283. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.