Building resilience in the Improving Access to Psychological Therapy (IAPT) Psychological Wellbeing Practitioner (PWP) role: a qualitative grounded theory study.

IF 2 4区心理学 Q3 PSYCHOLOGY, CLINICAL

Behavioural and Cognitive Psychotherapy Pub Date : 2024-03-01 Epub Date: 2023-08-07 DOI:10.1017/S1352465823000334

Marco Vivolo, Joel Owen, Paul Fisher

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引用次数: 0

Abstract

Aim: Staff retention, particularly in the Psychological Wellbeing Practitioner (PWP) workforce, has historically been challenging for Improving Access to Psychological Therapy (IAPT) services. This study sought to develop an explanatory model of the resilience-building process in PWPs working within the IAPT programme.

Method: A qualitative design was conducted, using a grounded theory methodology. Participants were recruited from two IAPT services in the National Health Service (NHS), which were part of the same Mental Health Trust. Ten PWPs were interviewed via videoconferencing using semi-structured interviews.

Results: An explanatory model of resilience in PWPs encompassed three phases: the experience of work-related challenges, the connection with their values and the related appraisal of adversity in resilient ways, and the implementation of effective coping strategies.

Conclusions: The model highlights that PWPs develop resilience through values-based sensemaking and by proactively engaging in effective coping mechanisms. This study contributes to the current understanding of the process of resilience in PWPs. More research is needed to explore the developmental processes underlying PWPs' resilience. The implications of the findings in relation to existing conceptualisations of resilience, staff wellbeing and retention are explored. Recommendations for future research are also given.

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提高心理治疗（IAPT）心理健康从业者（PWP）角色中的复原力建设：一项定性基础理论研究。

目的：留住员工，尤其是留住心理健康从业人员（PWP）队伍，一直是 "改善心理治疗"（IAPT）服务面临的挑战。本研究试图建立一个解释性模型，解释在 IAPT 项目中工作的心理健康从业人员的复原力建设过程：方法：采用基础理论方法进行定性设计。参与者来自国民健康服务（NHS）的两个IAPT服务机构，这两个机构隶属于同一个心理健康信托基金。采用半结构化访谈法，通过视频会议对 10 名残疾人进行了访谈：结果：对残疾人抗逆力的解释性模型包括三个阶段：经历与工作相关的挑战、与自身价值观的联系和以抗逆力的方式对逆境进行相关评估，以及实施有效的应对策略：该模型强调了残疾人通过以价值观为基础的感性认识和积极主动地参与有效的应对机制来发展抗逆力。这项研究有助于当前对残疾人抗逆力发展过程的理解。还需要开展更多的研究来探索残疾人抗逆力的发展过程。本研究还探讨了研究结果对现有的复原力、员工福利和留任概念的影响。还对今后的研究提出了建议。

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来源期刊

Behavioural and Cognitive Psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

3.50

自引率

5.60%

发文量

期刊介绍： An international multidisciplinary journal aimed primarily at members of the helping and teaching professions. Behavioural and Cognitive Psychotherapy features original research papers, covering both experimental and clinical work, that contribute to the theory, practice and evolution of cognitive and behaviour therapy. The journal aims to reflect and influence the continuing changes in the concepts, methodology, and techniques of behavioural and cognitive psychotherapy. A particular feature of the journal is its broad ranging scope - both in terms of topics and types of study covered. Behavioural and Cognitive Psychotherapy encompasses most areas of human behaviour and experience, and represents many different research methods, from randomized controlled trials to detailed case studies.