Development and Validation of the WHO Rehabilitation Competency Framework: A Mixed Methods Study
| Autor: | James W. Middleton, Stephanie Short, Alarcos Cieza, Jody-Anne Mills |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Professional competence 030506 rehabilitation Consensus Delphi Technique medicine.medical_treatment Psychological intervention Clinical competence Physical Therapy Sports Therapy and Rehabilitation World Health Organization WHO World Health Organization Education 03 medical and health sciences 0302 clinical medicine TWG technical working group Surveys and Questionnaires medicine Humans Service user Health Workforce Desk Original Research Medical education Competency-based education Rehabilitation Scope (project management) Scope of Practice Middle Aged Physical and Rehabilitation Medicine Quality Improvement RCF Rehabilitation Competency Framework Content analysis Research Design Workforce Female Curriculum 0305 other medical science Psychology Inclusion (education) 030217 neurology & neurosurgery |
| Zdroj: | Archives of Physical Medicine and Rehabilitation |
| ISSN: | 1532-821X |
| Popis: | Objectives To identify the competencies, behaviors, activities, and tasks required by the rehabilitation workforce, and their core values and beliefs, and to validate these among rehabilitation professionals and service users. Design Mixed methods study, involving a content analysis of rehabilitation-related competency frameworks, a modified Delphi study, and a consultation-based questionnaire of service users. Setting Desk-based research. Participants Participants who completed the first (N=77; 47%) and second (N=68; 67%) iterations of the modified Delphi study. Thirty-seven individuals participated in the service user consultation. Collectively, the participants of the mixed methods study represented a significant range of rehabilitation professions from a broad range of countries, as well as both high- and low-income settings. Interventions Not applicable. Main Outcome Measures Not applicable. Results The mixed methods study resulted in the inclusion of 4 core values, 4 core beliefs, 17 competencies, 56 behaviors, 20 activities, and 62 tasks in the Rehabilitation Competency Framework. The content analysis of rehabilitation-related competency frameworks produced an alpha list of competencies, behaviors, activities and tasks (“statements”), which were categorized into 5 domains. The final iteration of the modified Delphi study revealed an average of 95% agreement with the statements, whereas the service user consultation indicated an average of 87% agreement with the statements included in the questionnaire. Conclusions Despite the diverse composition of the rehabilitation workforce, this mixed methods study demonstrated that a strong consensus on competencies and behaviors that are shared across professions, specializations, and settings, and for activities and tasks that collectively capture the scope of rehabilitation practice. The development of the Rehabilitation Competency Framework is a pivotal step toward the twin goals of building workforce capability to improve quality of care and strengthening a common rehabilitation workforce identity that will bolster its visibility and influence at a systems-level. |
| Databáze: | OpenAIRE |
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