Organizational and Clinician Factors Affecting Clinician Competence

描述（由申请人提供）：疾病管理和康复（IMR）是一种基于证据的方法，通过提供教育和教授应对技能，帮助消费者学习如何有效地管理他们的精神疾病。忠实度是实施结果的关键环节，临床医生的能力被认为是治疗忠实度的一个方面。先前已经建立了组织和临床特征与保真度之间联系的支持。研究小组提出，IMR能力需要提供自主支持环境、资源、特定于IMR的资源、以恢复为重点的导向和对基于证据的实践的积极态度的组织特征。此外，我们还提出临床医生对组织特征的认知、临床医生的治疗理念以及他们对提供IMR的重要性和信心的认知等因素将影响IMR能力。目前的建议将检查组织和临床医生的特点和临床医生的能力之间的关系，以提供IMR。本研究将包括三个目标：1)检验所建议的必要组织特征与临床医师医师胜任能力之间的关联；2)检验所建议的临床医师因素与临床医师医师胜任能力之间的关系；3)检验组织因素对胜任能力的影响如何受到临床医师对这些组织因素的认知以及临床医师对临床医师医师胜任能力的重要性和信心的影响。为了实现这些目标，研究小组将对提供IMR的临床医生和在IMR临床医生单位工作的临床工作人员进行在线调查。来自临床单位工作人员的调查数据将用于评估组织因素和IMR临床医生调查数据

DESCRIPTION (provided by applicant): Illness management and recovery (IMR) is an evidence based approach that helps consumers learn how to effectively manage their mental illnesses by providing education and teaching coping skills. Fidelity is a critical link to implementation outcome, and clinician competence is considered to be one aspect of treatment fidelity. Support for a link between organizational and clinician characteristics to fidelity has been previously established. The study team proposes that IMR competence requires organizational characteristics of providing an autonomy supporting environment, resources, IMR-specific resources, a recovery focused orientation and positive attitudes towards evidence based practices. In addition, we propose clinicians' factors such as: perceptions of organizational characteristics, clinicians' treatment philosophy and their perceived importance and confidence in providing IMR will affect IMR competence. The current proposal will examine the relationship between organizational and clinician characteristics and clinician competence in providing IMR. This study will include three aims: 1) examining the association between the proposed necessary organizational characteristics and IMR competence, 2) examining the relationship between the proposed clinician factors and IMR competence, and 3) examining how the effect of organizational factors on competence is influenced by clinicians' perceptions of those organizational factors as well as clinicians' perceived importance and confidence in IMR. To accomplish these aims the research team will conduct an online survey of clinicians providing IMR and the clinical staff that work within the IMR clinician's unit. Survey data from th clinical unit staff will be used in evaluating organizational factors and IMR clinician survey data will be utilized in analyzing clinician factors and IMR competence.