Organizational and Clinician Factors Affecting Clinician Competence

影响临床医生能力的组织和临床医生因素

• 批准号: 8704424
• 负责人: Alan Benjamin McGuire
• 金额: $ 7.98万
• 依托单位: INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-07-19 至 2016-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8704424
• 关键词: Adherence; Affect; Attitude; Caring; Characteristics; Climate; Clinical; Clinical Services; Competence; Complex; Coping Skills; Data; Education; Educational process of instructing; Effectiveness; Environment; Evidence based practice; Funding; Goals; Happiness; Intervention; Knowledge; Lead; Leadership; Learning; Link; Mediating; Mediator of activation protein; Mental Health; Mental disorders; Modeling; Mood Disorders; National Institute of Mental Health; Organizational Culture; Outcome; Perception; Phase; Philosophy; Procedures; Randomized; Readiness; Recovery; Research; Resources; Schizophrenia; Self Determination; Self Efficacy; Self Management; Services; Site; Staging; Strategic Planning; Supervision; Surveys; Training; Work; competence factor; evidence base; organizational climate; programs; public health relevance; severe mental illness; skills

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.

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。保真度是实施结果的关键环节，临床医生的能力被认为是治疗保真度的一个方面。组织和临床医生的特征之间的联系，以保真度的支持已经建立。研究小组提出，IMR能力需要提供一个自主的支持环境，资源，IMR的具体资源，恢复为重点的方向和积极的态度，以证据为基础的做法的组织特征。此外，我们提出了临床医生的因素，如：组织特征的看法，临床医生的治疗理念和他们的感知的重要性和信心，提供IMR将影响IMR的能力。目前的建议将研究组织和临床医生的特点和临床医生的能力之间的关系，在提供IMR。本研究将包括三个目的：1）检查所提出的必要的组织特征和IMR能力之间的关联，2）检查所提出的临床医生因素和IMR能力之间的关系，3）检查组织因素对能力的影响如何受到临床医生对这些组织因素的看法以及临床医生对IMR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临床医生单位内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价组织因素和IMR临床医生调查数据 将用于分析临床医生因素和IMR能力。