期刊
BMC PSYCHIATRY
卷 16, 期 -, 页码 -出版社
BMC
DOI: 10.1186/s12888-016-0999-y
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资金
- National Institute for Health Research (NIHR) under Programme Grants for Applied Research scheme [RP-PG-0610-10097]
- National Institute for Health Research [RP-PG-0610-10097, RP-PG-0707-10093] Funding Source: researchfish
- National Institutes of Health Research (NIHR) [RP-PG-0610-10097, RP-PG-0707-10093] Funding Source: National Institutes of Health Research (NIHR)
Background: Long-term change in recovery-based practice in mental health rehabilitation is a research priority. Methods: We used a qualitative case study analysis using a blend of traditional 'framework' analysis and 'realist' approaches to carry out an evaluation of a recovery-focused staff training intervention within three purposively selected mental health rehabilitation units. We maximised the validity of the data by triangulating multiple data sources. Results: We found that organisational culture and embedding of a change management programme in routine practice were reported as key influences in sustaining change in practice. The qualitative study generated 10 recommendations on how to achieve long-term change in practice including addressing pre-existing organisational issues and synergising concurrent change programmes. Conclusions: We propose that a recovery-focused staff training intervention requires clear leadership and integration with any existing change management programmes to facilitate sustained improvements in routine practice.
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