Leadership Development for Evidence Based Practice Implementation

描述(由申请人提供)：这项拟议的研究解决了精神卫生工作人员危机和精神卫生机构准备在精神卫生服务机构实施循证实践(EBP)之间的关键联系。本研究的公共卫生意义在于提高精神卫生机构在现实社区环境中有效实施和维持循证服务的能力，最终提高服务效果。研究表明，有效的领导有助于改善组织氛围，而更积极的氛围与积极的员工工作态度和服务提供商对采用EBP的态度有关。国家、机构和计划越来越多地致力于实施EBP，而经理领导技能通常不是为最大限度地为实施EBP做好组织准备而量身定做的。事实上，国立卫生研究院服务和干预研究司已将改善在服务环境中实施循证干预措施的目标确定为高度优先事项。EBP的实施代表着工作技术和程序的重大变化，领导力影响着变化的准备情况。然而，关于促进EBP实施的组织干预方面的实证工作很少。解决这一关键的劳动力和公共卫生问题的一个有希望的解决方案是改善精神卫生服务机构的领导力。一级领导是指在精神卫生服务提供一线直接与消费者互动的工作人员。这恰如其分地描述了许多心理健康项目经理，他们具有行政、管理和人力资源职能，还负责临床监督和领导、实施和监督实践中的变化，包括实施EBPS。有效的领导通过加强和交流来激励和激励追随者，并支持有效的员工行为。拟议的工作建立在经验支持和理论上健全的组织有效领导方法的基础上，以便培训一级领导人有效地实施企业资源规划。因此，虽然精神卫生工作人员有许多担忧，但本申请侧重于改善领导力，以改善精神卫生组织为有效实施循证医学计划所做的准备。公共卫生相关性：拟议的研究旨在开发领导力干预，以提高心理健康项目经理的领导力知识、技能、能力和表现，以改善工作场所环境，并为实施循证实践做好准备。这项研究使用了一种包括项目经理、临床医生、机构主任和主题专家在内的协作方法和经验性验证的框架来制定干预措施，并在课程和干预措施制定之后，将进行随机试点试验，以检查关键的组织和工作人员结果。这项工作很重要，因为许多实施循证护理的努力都失败了，这个项目有可能改善精神卫生工作人员和客户的结果。

DESCRIPTION (provided by applicant): This proposed study addresses a critical link between the mental health workforce crisis and mental health agency readiness to implement evidence-based practice (EBP) in mental health service organizations. The public health significance of this research lies in improving mental health agencies ability to effectively implement and sustain EBPs in real-world community settings, ultimately improving service effectiveness. Research suggests that effective leadership leads to improved organizational climate and that more positive climate is associated with positive staff work attitudes and service provider attitudes toward adopting EBP. States, agencies, and programs are increasingly working to implement EBPs and manager leadership skills are generally not tailored to maximize organizational readiness to implement EBPs. Indeed, the NIMH Division of Services and Intervention Research have identified, as a high priority, the objective of improving the implementation of evidence-based interventions into service settings. EBP implementation represents significant change to work techology and procedures and leadership impacts readiness for change. Yet there has little empirical work on organizational interventions to facilitate EBP implementation. One promising solution to address this critical workforce and public health issue lies in improving leadership in mental health service organizations. First-level leaders are those who supervise staff who interact directly with consumers at the front lines mental health service delivery. This aptly describes many mental health program managers who have administrative, management, and human resources functions, and are also responsible for clinical supervision and leading, implementing, and supervising change in practice including implementing EBPs. Effective leadership inspires and motivates followers and supports effective staff behaviors through reinforcement and exchanges. The proposed work builds on an empirically supported and theoretically sound approach to effective leadership in organizations in order to train first-level leaders to effectively implement EBP. Thus, while there are a number of concerns for the mental health workforce, the present application focuses on improving leadership in order improve mental health organizational readiness to effectively implement EBPs. PUBLIC HEALTH RELEVANCE: The proposed study seeks to develop a leadership intervention to improve leadership knowledge, skills, abilities, and performance of mental health program managers in order to improve workplace climate, and readiness for implementation of evidence-based practice. The study uses a collaborative approach involving program managers, clinicians, agency directors, and subject matter experts and an empirically validated framework to develop the intervention and after curriculum and intervention development, a randomized pilot trial will be conducted to examine key organizational and staff outcomes. This work is important because many efforts to implement evidence-based care fail and this project has the potential to improve the mental health workforce and outcomes for clients.