Leadership perspectives on key elements influencing implementing a family-focused intervention in mental health services
Leadership perspectives on key elements influencing implementing a family-focused intervention in mental health services
复制标题
DOI：
10.1111/jpm.12615
复制
发表时间：
2020-02-24
影响因子：
2.7
通讯作者：
Weimand, Bente M.
中科院分区：
文献类型：
--
作者：
Allchin, Becca;Goodyear, Melinda;Weimand, Bente M.
摘要：关于这个问题，我们知道些什么？成人心理健康服务中以家庭为重点的干预措施解决父母一方被诊断患有精神疾病的家庭的需求。这些干预措施之一是“让我们谈谈儿童”方案（Solantaus & Toikka，2006年《国际心理健康促进杂志》，8（3），37）。实施研究的综合框架（CFIR）将这些已知的研究要素组合成五个影响领域。影响循证实践实施的要素是相互关联的，需要结合起来理解。了解现实世界中不同利益相关者对实施的看法有助于理解吸收、挑战和机遇。作为第一个记录领导力实施“让我们谈谈”的观点的研究，本文有助于证据基础上的作用，在实施家庭-在心理健康的重点实践模式。有领导的具体作用，需要加以解决，以支持在不断变化的环境中实施让我们谈谈。领导的知识，让我们谈谈和方法来改变影响实施。提出的问题的作用，家长的准备程度以及实践者和家长之间的动态过程对实施“让我们谈谈”的影响。实践的意义是什么？参与领导需要解决他们不同的组织角色在塑造Let's Talk实施过程中的影响。需要进一步研究以了解父母和从业者之间的动态过程，这影响了试用Let's Talk的准备程度。IntroductionDifferent stakeholder’s perspectives are needed to understand challenges and opportunities in implementing and sustaining evidence-based practices（EBP）in real-world settings.Aim/* 确定领导层对影响“让我们谈谈儿童问题”执行进程的关键因素的看法（让我们谈谈），一个以家庭为中心的做法，为从业人员与父母诊断为精神疾病。方法半结构化访谈进行了16个服务经理和执行线索，在随机对照试验中，确定他们对影响Let's Talk实施的关键因素的看法。专题分析采用了归纳和演绎两种方法，使用了《实施研究综合框架》。内外设置冲击机构，领导影响准备和父母和从业人员准备。讨论结果表明，领导的具体角色是至关重要的，在环境中的实施，家长与教师之间的互动过程对家长与教师的互动准备程度有影响，需要进一步研究。
Accessible SummaryWhat is known on the subject?Family-focused interventions in Adult Mental Health Services (AMHS) address the needs of families where a parent is diagnosed with a mental illness. One of these interventions is the "Let's Talk about Children" programme (Let's Talk) (Solantaus & Toikka, 2006 International Journal of Mental Health Promotion, 8(3), 37).There is limited implementation knowledge on family-focused interventions.A body of research to better understand the transfer of evidence-based interventions into everyday practice has identified multiple influencing elements. The Consolidated Framework for Implementation Research (CFIR) has combined these known elements from research into five domains of influence.Elements that influence the implementation of evidence-based practice are inter-related and need to be understood in combination.Understanding different stakeholder perspectives on implementation in real-world settings helps to understand uptake, challenges and opportunities.What the paper adds to existing knowledge?As the first study to document leadership's perspectives of implementing Let's Talk, this paper contributes to the evidence base on their role in implementing family-focused practice models in mental health.There are specific roles of leadership that need to be addressed to support implementing Let's Talk in changing environments.Leadership's knowledge of Let's Talk and approach to change influences implementation.Questions are raised about the role the readiness of the parent and the impact that the dynamic process between the practitioner and parent has on implementing Let's Talk.What are the implications for practice?Engaging leadership needs to address the influence of their different organizational roles in shaping implementation for Let's Talk.Further research is needed to understand the dynamic process between parent and practitioner that influences readiness for trialling Let's Talk.IntroductionDifferent stakeholder's perspectives are needed to understand challenges and opportunities in implementing and sustaining evidence-based practices (EBP) in real-world settings.Aim/QuestionTo identify leadership perspectives on key elements influencing the process of implementation of Let's Talk about Children (Let's Talk), a family-focused practice for practitioners working with parents diagnosed with a mental illness.MethodSemi-structured interviews were conducted with 16 service managers and implementation leads, to establish their views on key elements influencing implementation of Let's Talk during a randomized controlled trial. A thematic analysis applied both inductive and deductive approaches, using the Consolidated Framework for Implementation Research (CFIR).ResultsImpacts to effective translation to practice were grouped into three broad themes with eight subthemes: inner and outer setting impacting organization, leadership affecting readiness and parent and practitioner readiness.DiscussionThe findings suggest that specific roles for leadership are vital to implementation within an environment of constant change, and more attention is needed to understand the dynamics of parent and practitioner readiness for delivering Let's Talk.Implications for practiceDifferent leadership roles need to be engaged to sustain Let's Talk in changing real-world environments.The dynamic processes between parent and practitioner are suggested to influence readiness and need further research.