Building organizational readiness: initial field testing of an expert-informed typology of implementation strategies.
Building organizational readiness: initial field testing of an expert-informed typology of implementation strategies.
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DOI：
10.1186/s43058-022-00257-7
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发表时间：
2022-03-02
影响因子：
--
通讯作者：
Russinova Z
中科院分区：
文献类型：
--
作者：
Vax S;Farkas M;Mueser KT;Drainoni ML;Russinova Z
组织准备是在社区精神卫生服务中实施循证实践（ebp）的已知障碍。加强组织实施准备（ORI）的有力方法有可能改善ebp的实施结果，并确保为精神障碍患者提供更好的服务。先前的工作通过要求来自不同领域的实施专家将“实施变革的专家建议”（ERIC）项目中的策略分类为三个准备阶段，从而建立了一个针对ORI增强的实施策略框架，这与行为改变的跨理论模型的行动前阶段相一致：预先思考、沉思和准备。目前的研究基于社区心理健康领域的经验，为这种专家驱动的类型提供了初步的确认和完善。我们对参与最近EBP实施项目的利益相关者进行了深入访谈。参与者包括来自四个社区精神卫生机构的工作人员（n=9）和促进该项目的执行小组（n=3）。将他们的实施前经验与专家的类型进行比较，以确定一致性和差异。参与者的经验与专家为特定ORI阶段确定的三分之二的策略一致。这些改进包括在专家分类之外的其他阶段使用的12种策略，ERIC列表中未包括在ORI类型学中的4种策略，以及5种新策略。这项研究为先前发表的ORI类型学提供了初步的确认和完善。研究结果为如何在社区精神卫生领域加强ORI提供了指导。在线版本包含补充材料，可在10.1186/s43058-022-00257-7获得。
Organizational readiness is a known barrier to implementing evidence-based practices (EBPs) in community mental health services. A robust methodology for enhancing organizational readiness for implementation (ORI) has the potential to improve implementation outcomes of EBPs and ensure better services for people with a psychiatric disability. Prior work established a framework of implementation strategies targeting ORI enhancement by asking a group of implementation experts from various fields to categorize strategies from the “Expert Recommendations for Implementing Change” (ERIC) Project into three readiness stages, consistent with the pre-action stages of the Transtheoretical Model of behavioral change: Pre-contemplation, Contemplation, and Preparation. The current study provides initial confirmation and refinement to this expert-driven typology based on community mental health field experiences. We conducted in-depth interviews with stakeholders involved in a recent EBP implementation project. Participants included staff (n=9) from four community mental health agencies and the implementation team who facilitated the project (n=3). Their pre-implementation experiences were compared with the experts’ typology to identify consistencies and discrepancies. The participants’ experiences were congruent with two thirds of the strategies identified by the experts for specific ORI stages. The refinements included 12 strategies used in additional stages beyond the experts’ classification, four strategies from the ERIC list that were not included in the ORI typology, and five new strategies. This study provides initial confirmation and refinements to the previously published ORI typology. The results offer guidance as to how ORI could be enhanced in the community mental health field. The online version contains supplementary material available at 10.1186/s43058-022-00257-7.
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影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
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影响因子：
2.1
作者：
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DOI：
10.1007/s10488-008-0197-4
发表时间：
2009-01
影响因子：
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作者：
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通讯作者：
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作者：
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