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Background
Despite positive responses of staff to move to more recovery orientated styles of working, a translational gap remains between the valued importance of supporting personal recovery and its implementation in routine practice. A practice shift is required if recovery is to be the primary focus of mental health care and recovery orientated styles of working are to become embedded in routine practice. This research focuses on developing a grounded theory of staff experiences of implementing recovery. Implementation experiences of staff must be considered in order to understand the determinants of incorporating recovery into routine front-line practice
Methods
A qualitative study using grounded theory methodology will be conducted. Focus groups and individual interviews with front-line staff will be conducted to identify staff experiences of blocks and enablers to implementation, and to explore the impact of implementing recovery orientated practice on staff. A thematic analysis of existing international recovery practice guidelines provides overarching conceptual clarity and identifies characteristics of recovery orientated practice.
Results
Four levels of practice emerged from the synthesis of recovery orientated practice guidelines: the socio-political environment, work environment, practice approach and practice-environment interaction. Early focus group analysis identifies factors that influence the success of implementing recovery orientated practice. At the individual level, initial themes relate to personal and professional values, knowledge and understanding of recovery, and managing competing demands and philosophies. At the team level, initial themes relate to a shared approach and definition of recovery, and team reflection and learning time.
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