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Table 2 Normalisation Process Theory frequencies of agreement, total scores, and reliability coefficients (n = 59)

From: Using normalisation process theory to evaluate the implementation of a complex intervention to embed the surgical safety checklist

Item

Mean

SD

Agree n (%)

Disagree n (%)

Neutral n (%)

Sense Making (coherence)

 I can see how pass the baton differs from usual ways of working

3.3

0.9

29 (50.0)

10 (17.2)

18 (31.0)

 Staff in this organisation have shared understanding of the purpose of pass the baton

3.6

0.9

36 (62.1)

8 (13.8)

13 (22.4)

 I understand how pass the baton affects the nature of my own work

3.8

0.7

44 (75.9)

3 (5.2)

10 (17.2)

 I can see the value of pass the baton for my work

3.9

0.8

45 (77.6)

3 (5.2)

9 (15.5)

Cognitive participation

 There are key people who drive pass the baton forward and get others involved

3.8

1.0

42 (72.4)

7 (12.1)

6 (10.3)

 I believe that participating in pass the baton is a legitimate part of my role

4.1

0.7

48 (82.8)

1 (1.7)

7 (12.1)

 I am open to working with colleagues in new ways to use pass the baton

4.1

0.5

49 (84.5)

0 (0.0)

6 (10.3)

 I will continue to support pass the baton

4.1

0.5

50 (86.2)

0 (0.0)

6 (10.3)

Collective Action

 I can easily integrate Pass The Baton into my existing work

3.9

0.7

45 (77.6)

1 (1.7)

10 (17.2)

 aPass The Baton disrupts working relationships

3.8

0.9

4 (6.9)

36 (62.1)

15 (25.9)

 I have confidence in other people’s ability to use Pass The Baton

3.5

0.8

33 (56.9)

6 (10.3)

17 (29.3)

 Work is assigned to those with skills appropriate to Pass The  Baton

3.1

0.9

18 (31.0)

8 (13.8)

30 (51.7)

 Sufficient training is provided to enable staff to implement Pass The Baton

3.4

0.9

29 (50.0)

10 (17.2)

17 (29.3)

 Sufficient resources are available to support Pass The Baton

3.6

0.8

34 (58.6)

6 (10.3)

16 (27.6)

 Management adequately supports Pass The Baton

3.7

0.8

36 (62.1)

4 (6.9)

16 (27.6)

Reflexive Monitoring

 I am aware of reports about the effects of Pass The Baton

3.1

1.1

21 (36.2)

15 (25.9)

22 (37.9)

 The staff agree that Pass The Baton is worthwhile

3.4

0.8

27 (46.6)

6 (10.3)

25 (43.1)

 I value the effects that Pass The Baton has had on my work

3.7

0.6

36 (62.1)

1 (1.7)

21 (36.2)

Feedback about Pass The Baton can be used to improve it in the future

4.0

0.6

48 (82.8)

1 (1.7)

9 (15.5)

 I can modify how I work with Pass The Baton

3.7

0.7

36 (62.1)

3 (5.2)

18 (31.0)

Total Scores

Mean

SD

95% CI

Range

Alpha

 Sense Making (coherence) (4–20)

14.6

2.4

14.0–15.3

5–20

0.74

 Cognitive Participation (4–20)

16.0

2.0

15.5–16.6

11–20

0.68

 Collective Action (7–35)

25.1

3.9

24.0–26.1

14–34

0.72

 Reflexive Monitoring (5–25)

17.9

2.7

17.2–18.7

12–25

0.71

  1. aItem reverse scored