Organizational and Clinician Factors Affecting Clinician Competence

描述(由申请人提供)：疾病管理和康复(IMR)是一种以证据为基础的方法，通过提供教育和教授应对技能来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。对组织和临床医生特征与保真度之间的联系的支持以前已经建立。研究小组提出，IMR能力需要组织特征，即提供自主的支持环境、资源、特定于IMR的资源、注重恢复的方向以及对循证做法的积极态度。此外，我们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的重要性和信心等因素会影响IMR的能力。目前的提案将审查组织和临床医生特征与临床医生在提供IMR方面的能力之间的关系。本研究将包括三个目的：1)检验所建议的必要组织特征与IMR能力之间的关系；2)检验所建议的临床医生因素与IMR能力之间的关系；3)检验组织因素对能力的影响如何受临床医生对这些组织因素的感知以及临床医生对IMR的重要性和信心的感知的影响。为了实现这些目标，研究小组将对提供IMR的临床医生和IMR临床医生单位内的临床工作人员进行在线调查。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 将用于分析临床医生因素和IMR能力。

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.