عنوان

Transferring new skills and knowledge to practice :

شماره

TLets694184

عنوان اصلي

Transferring new skills and knowledge to practice :

نام عام مواد

[Thesis]

نام نخستين پديدآور

Mcgonagle, Ian

عنوان اصلي به قلم نويسنده ديگر

a mixed methods case study of Improving Access to Psychological Therapy (IAPT) in a single English region

نام ناشر، پخش کننده و غيره

University of Lincoln

تاریخ نشرو بخش و غیره

2015

جزئيات پايان نامه و نوع درجه آن

Ph.D.

کسي که مدرک را اعطا کرده

University of Lincoln

امتياز متن

2015

متن يادداشت

Background. This thesis examined facilitative and inhibitory issues in the transfer of new skills and learning to support implementation of national policy for Improving Access to Psychological Therapy (IAPT) in primary care services within the English National Health Service (NHS). The policy for IAPT had two principal implementation strands; a) development of new services in primary care and development of a new, national education and b) training programme to support delivery of effective evidence based psychological treatments for a specified range of common mental disorders; particularly depression and anxiety. There is a paucity of research on transfer of skills and learning from formal education programmes to application in healthcare practice. Methodology. A mixed methods case study design was developed to obtain quantitative and qualitative data on the experiences of IAPT therapists prior to commencing their training programme; on completion of their educational programme and again at a follow-up period. In-depth interviews were held with key policy leads that devised, developed and implemented the IAPT initiative to examine their expectations and reflections on the programme. Formal interviews were held with IAPT therapists; their managers and clinical supervisors from a single education cohort in an English region. Focus groups were also held with other IAPT therapists to examine emerging findings from the data. Results A number of themes emerged from the merged quantitative and qualitative data. Motivation to maintain fidelity to the work of being an IAPT therapist was seen as crucial. This motivation was highly related to the self-reported force of external pressures to adapt IAPT practice in line with changed NHS commissioning requirements. System feedback was seen as a unique feature of the programme and part of this feedback process centred on the role of clinical supervision in supporting the transfer of learning and continuous development of practice. Educational programmes were based on a prescribed competency model which was designed to provide core knowledge and skills to support new workers in new roles in new service providers within Primary Care. However, respondents reported high degrees of complexity, practice isolation and political and economic stressors that were not reflected in the curriculum. Therefore the role of the curriculum as a front end model to prepare practitioners for practice was questioned. Despite this, evidence existed of high levels of confidence and capability of IAPT therapists in the extension of their core educational skills. This transfer behaviour was a feature of practice when set within the context of supported supervision. Discussion on the implications from this research Implementation of new services and a new workforce (such as IAPT) within the NHS remains challenging with few significant successes. The IAPT programme has a number of unique features, such as a focus on feedback processes and clinical supervision. These enabling forces particularly those of supervision, were considered to be under threat from cost saving initiatives. Such financial pressures appear to have the potential to destabilise one of the major enabling building blocks of learning transfer. This thesis adds to the body of knowledge in workforce development and education and training in the NHS by offering a detailed case study analysis of a range of factors that can inhibit or enable transfer of learning and promote change in professional practice. There is little research in the mental health literature on the transfer of learning that takes such a comprehensive whole systems and long term perspective on this issue.

موضوع مستند نشده

C800 Psychology

مستند نام اشخاص تاييد نشده

Mcgonagle, Ian

مستند نام تنالگان تاييد نشده

University of Lincoln

نام الکترونيکي

فرمت انتشار

p

نوع ماده

[Thesis]

کد کاربرگه

276903

سطح دسترسي

a

تكميل شده

Y