BackgroundTreatment outcomes for people diagnosed with psychosis remain suboptimal due in part to the limited systematic application of evidence based practice (Adm Policy Ment Health, 36: 1-7, 2009) [1]. The Implementation science literature identifies a number of factors organisationally that need to be considered when planning to introduce a particular EBP. Profiling these organisational characteristics at baseline, prior to commencement of service reform can determine the focus of a subsequent implementation plan. This study examined the organisational baseline factors existing in two services promoting the routine use of cognitive interventions for psychosis. One of the services studied has since undertaken organisational structural reform to facilitate the greater uptake of Evidence Based Practice (EBP). The results of this study were used to design an implementation strategy to make cognitive therapies a part of routine psychosis care.
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机译:背景技术诊断为精神病患者的治疗结果仍然不是最佳选择,部分原因是基于证据的实践的系统应用有限(Adm Policy Ment Health,36:1-7,2009)[1]。实施科学文献从组织角度确定了计划引入特定EBP时需要考虑的许多因素。在服务改革开始之前,在基线时对这些组织特征进行概要分析可以确定后续实施计划的重点。这项研究检查了两种服务中存在的组织基准因素,这些因素促进了精神病患者认知干预的常规使用。此后,所研究的一项服务已进行了组织结构改革,以促进更多地采用循证实践(EBP)。这项研究的结果被用来设计一种实施策略,使认知疗法成为常规精神病治疗的一部分。
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