ECLIPSE Study 4: Organisational climate: Qualitative study
Research type
Research Study
Full title
Enhancing Cognition and quality of LIfe in the early PSychosEs (ECLIPSE) - Study 4: Organisational climate: Qualitative study of implementation views
IRAS ID
166296
Contact name
Til Wykes
Contact email
Sponsor organisation
Kings College London
Duration of Study in the UK
3 years, 10 months, 1 days
Research summary
The current study looks at the organisational climate of NHS Early Intervention Services (EIS) for psychosis. Effective leaders can foster change and innovation in teams and organizations. In mental health services effective leadership is associated with better staff work attitudes and organizational commitment, improved working alliance, employee attitudes toward evidence-based practice, and client-level outcomes including satisfaction with services and quality-of-life. It can also improve organizational climate and moderate negative effects of service system change on organizational climate, resulting in better staff retention. Leadership focused on a specific strategic imperative can create a context for effective services, implementation and maintenance.
Team managers are responsible for their staff implementing interventions, engaging service users, and meeting administrative requirements and can be considered as organizational “change agents” with potential to inspire and motivate staff to implement change. General organizational culture and climate are the foundation for “strategic climates” that support team objectives and involve the “kinds of behaviours that get rewarded, supported and expected in a setting”. An effective “implementation climate” captures the extent to which employees perceive implementation as valued, rewarded and supported by their organization.
The proposed study is a qualitative study drawing on interviews and focus groups with those involved in the delivery of CRT treatment. A contextual analysis will be undertaken and data will be collected on: structure, culture, staffing, financial issues and strategy intentions. Interviews will be conducted of attitudes to implementation in the teams (4 teams and approximately 10 interviews per team). We will draw on interview protocol that explores barriers and facilitators of implementation efforts in complex health settings. The interview data will be triangulated with secondary data, observations where possible and focus group discussions. The qualitative data will be analysed drawing using content analysis.
REC name
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REC reference
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