基于世界卫生组织康复胜任力架构探讨我国儿童康复治疗师胜任力和专业活动

doi:10.3969/j.issn.1006-9771.2024.07.002

Abstract

Abstract:

Objective To construct the competency and professional activities of pediatric rehabilitation therapists in China based on World Health Organization rehabilitation competency framework (RCF).
Methods Competencies, activities, and tasks in the field of pediatric rehabilitation were collected through literature, official websites and interviews with key informants using RCF. Competency requirements suitable for pediatric rehabilitation therapists were selected, competency dimensions and activities were adjusted based on the context of pediatric rehabilitation therapy. Similar content was integrated through thematic framework analysis and content analysis. Competencies were matched with typical professional activities. A competency framework and professional activities for Chinese pediatric rehabilitation therapists were developed, and the Delphi method was used to survey 22 experts, ultimately confirming competency dimensions and activity content.
Results The enthusiasm coefficient of experts was 88.00%, the authority coefficient was 0.84, and the expert opinions were more focused on importance. The CV values of all competency dimensions and activities were ≤ 0.25, and the W test was statistically significant (P < 0.05), indicating a high degree of coordination among experts. A competency framework for pediatric rehabilitation therapists in China, included 17 competency dimensions and 17 professional activities.
Conclusion To explore the competency of typical professions through RCF may enhance the application of research results in the field of rehabilitation, which provides a reference for clarifying the job content and cultivating the competency of Chinese pediatric rehabilitation therapists.

Key words: rehabilitation competency framework, children, rehabilitation therapist, competency, activities

CLC Number:

FENG Lei, LÜ Jun, WANG Xiaoqian, ZHENG Hongying, SHAO Ping, WANG Anni, SUN Mei, CHEN Gang. Competency and professional activities for Chinese pediatric rehabilitation therapists based on World Health Organization rehabilitation competency framework[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(7): 752-759.

Figures/Tables 5

Table 1

Table 2

Table 3

Table 4

Table 5

References 29

[1]	世界卫生组织. 健康服务体系中的康复:行动指南[EB/OL]. (2019-06-25)[2023-09-16]. https://www.who.int/china/zh/publications-detail/rehabilitation-in-health-systems-guide-for-action.
[2]	孙启良, 周谋望. 中国康复医疗服务体系的发展历程[J]. 中国康复医学杂志, 2019, 34(7): 753-755.
[3]	国务院. 关于建立残疾儿童康复救助制度的意见[J]. 中国民政, 2018(13): 45-46.
[4]	白青云, 张鹤, 党伟利, 等. 分层管理模式对儿童康复病区物理治疗师职业倦怠的影响[J]. 中国康复医学杂志, 2021, 36(9): 1146-1149.
[5]	郑红颖, 孙梅, 吕军, 等. 基于全面康复视角的残疾儿童照护需求分析[J]. 中国康复理论与实践, 2021, 27(10): 1117-1126. doi: 10.3969/j.issn.1006-9771.2021.10.001
	ZHENG H Y, SUN M, LÜ J, et al. Current situation analysis of care support needs in children with disabilities: from a comprehensive rehabilitation perspective[J]. Chin J Rehabil Theory Pract, 2021, 27(10): 1117-1126.
[6]	孟繁媛, 莫晓艳, 唐欣, 等. 国内外物理治疗师岗位胜任力比较研究与思考[J]. 中国康复医学杂志, 2021, 36(4): 462-465.
[7]	夏聪. 残疾儿童康复服务持续利用行为的影响机制及干预研究[D]. 上海: 复旦大学, 2022.
	XIA C. Research on the influencing mechanism and intervention of continuance behaviors in rehabilitation service utilization among children with disabilities[D]. Shanghai: Fudan University, 2022.
[8]	李晓捷, 庞伟, 郭津. 中国儿童康复事业1980-2020年发展历程回顾与展望[J]. 中国康复理论与实践, 2020, 26(8): 869-880. doi: 10.3969/j.issn.1006-9771.2020.08.001
	LI X J, PANG W, GUO J. Review and prospects of development of rehabilitation for children in China from 1980 to 2020[J]. Chin J Rehabil Theory Pract, 2020, 26(8): 869-880.
[9]	龚翔, 潘颖颖, 曾玲丽, 等. 儿童康复治疗师的人格特质与职业满意度影响因素调查[J]. 中国康复理论与实践, 2022, 28(10): 1224-1230. doi: 10.3969/j.issn.1006-9771.2022.10.014
	GONG X, PAN Y Y, ZENG L L, et al. Investigation on personality traits and related factors of job satisfaction for pediatric therapists[J]. Chin J Rehabil Theory Pract, 2022, 28(10): 1224-1230.
[10]	World Health Organization. Rehabilitation Competency Framework[EB/OL]. (2021-01-22) [2023-05-02]. https://www.who.int/publications/i/item/9789240008281.
[11]	世界卫生组织. 康复胜任力架构[J]. 邱卓英,郭键勋,孙宏伟,等, 译. 中国康复理论与实践, 2022, 28(3): 249-264.
[12]	BEAMISH N, FOOTER C, LOWE R, et al. Rehabilitation professions' core competencies for entry-level professionals: a thematic analysis[J]. J Interprof Care, 2024, 38(1): 32-41.
[13]	Australian Physiotherapy Association. Physiotherapy competence framework[EB/OL]. (2023-02-10) [2024-05-06]. https://australian.physio/sites/default/files/APA_COMPETENCE_FRAMEWORK_v7.1_FINAL.pdf.
[14]	MILLS J A, CIEZA A, SHORT S D, et al. Development and validation of the WHO rehabilitation competency framework: a mixed methods study[J]. Arch Phys Med Rehabil, 2021, 102(6): 1113-1123.
[15]	邱卓英, 郭键勋, 孙宏伟, 等. 世界卫生组织康复胜任力架构及其在康复领域的系统应用:理论架构、方法和应用领域[J]. 中国康复理论与实践, 2022, 28(3): 265-274. doi: 10.3969/j.issn.1006-9771.2022.03.002
	QIU Z Y, KWOK J K F, SUN H W, et al. Systematic implementation of World Health Organization rehabilitation competency framework in rehabilitation: conceptual framework, approaches and application[J]. Chin J Rehabil Theory Pract, 2022, 28(3): 265-274.
[16]	JING W, ZHANG X, CHI R, et al. Exploration of factors influencing nurse competence through nursing profile analysis[J]. J Contin Educ Nurs, 2019, 50(12): 572-580. doi: 10.3928/00220124-20191115-09 pmid: 31774929
[17]	萧敦武, 陈楠, 王詠, 等. 中国物理治疗师胜任特征模型的探索性研究[J]. 中国康复理论与实践, 2021, 27(3): 341-348. doi: 10.3969/j.issn.1006-9771.2021.03.016
	XIAO D W, CHEN N, WANG Y, et al. Competency model of physical therapists in China: an exploratory research[J]. Chin J Rehabil Theory Pract, 2021, 27(3): 341-348.
[18]	杨延砚, 邱卓英, 于博洋, 等. 基于世界卫生组织康复胜任力架构的康复医师胜任力调查[J]. 中国康复理论与实践, 2023, 29(11): 1241-1248. doi: 10.3969/j.issn.1006-9771.2023.11.001
	YANG Y Y, QIU Z Y, YU B Y, et al. Survey of rehabilitation competency of Chinese rehabilitation physicians using WHO rehabilitation competency framework[J]. Chin J Rehabil Theory Prac, 2023, 29(11): 1241-1248.
[19]	邹敏, 孙宏伟, 邱卓英, 等. 基于世界卫生组织康复胜任力架构的康复心理学专业人才胜任力研究[J]. 中国康复理论与实践, 2022, 28(3): 327-334. doi: 10.3969/j.issn.1006-9771.2022.03.008
	ZOU M, SUN H W, QIU Z Y, et al. Research on competency of professionals in rehabilitation psychology using World Health Organization rehabilitation competency framework[J]. Chin J Rehabil Theory Pract, 2022, 28(3): 327-334.
[20]	吴芳, 井淇, 邱卓英, 等. 基于世界卫生组织康复胜任力架构的康复人力资源管理理论与应用[J]. 中国康复理论与实践, 2022, 28(3): 275-284. doi: 10.3969/j.issn.1006-9771.2022.03.003
	WU F, JING Q, QIU Z Y, et al. Conceptual framework and its application of World Health Organization rehabilitation competency framework in rehabilitation human resource management[J]. Chin J Rehabil Theory Pract, 2022, 28(3): 275-284.
[21]	段明雪, 井淇, 邱卓英, 等. 基于世界卫生组织康复胜任力架构的康复工作者绩效评价研究[J]. 中国康复理论与实践, 2022, 28(3): 285-294. doi: 10.3969/j.issn.1006-9771.2022.03.004
	DUAN M X, JING Q, QIU Z Y, et al. Performance evaluation of rehabilitation workers using World Health Organization rehabilitation competency framework[J]. Chin J Rehabil Theory Pract, 2022, 28(3): 285-294.
[22]	College of Physiotherapists of Alberta. Competencies for physiotherapists[EB/OL]. (2024-07-16) [2024-07-24]. https://www.cpta.ab.ca/for-physiotherapists/regulatory-expectations/competencies-for-physiotherapists/.
[23]	KLEINER M J, KINSELLA E A, MICIAK M, et al. An integrative review of the qualities of a 'good' physiotherapist[J]. Physiother Theory Pract, 2023, 39(1): 89-116.
[24]	张芳芳. 康复治疗师岗位胜任力模型构建与应用研究[D]. 石家庄: 河北医科大学, 2023.
	ZHANG F F. Construction and application of competency model for rehabilitation therapists[D]. Shijiazhuang: Hebei Medical University, 2023.
[25]	王秀玲. 心脏康复专科护士岗位胜任力评价指标体系的构建[D]. 沈阳: 中国医科大学, 2023.
	WANG X L. Establishment of competency evaluation index system for nurses in cardiac rehabilitation specialty[D]. Shenyang: China Medical University, 2023.
[26]	王静. 基于RCF的康复治疗师岗位胜任力模型构建与实证研究[D]. 锦州: 锦州医科大学, 2023.
	WANG J. Construction and empirical study of post competency model for rehabilitation therapists based on RCF[D]. Jinzhou: Jinzhou Medical University, 2023.
[27]	Occupational Therapy Board of New Zealand. Competencies for Registration and Continuing Practice[EB/OL]. (2022-01-30) [2023-06-11]. https://otboard.org.nz/document/4842/Competencies-Handbook.pdf.
[28]	卢迪迪. 康复机构从业人员现状及需求分析[J]. 中国康复理论与实践, 2019, 25(7): 859-864.
	LU D D. Current situation and demand analysis of rehabilitation personnel by stratified sampling[J]. Chin J Rehabil Theory Pract, 2019, 25(7): 859-864.
[29]	中华人民共和国人力资源社会保障部. 关于对«中华人民共和国职业分类大典(2022年版)»(公示稿)进行公示的公告[EB/OL]. (2022-07-12)[2023-09-19]. http://www.mohrss.gov.cn/SYrlzyhshbzb/zcfg/SYzhengqiuyijian/202207/t20220714_457833.html.

领域	胜任力维度
实践	C1实践中以儿童及其家庭为中心
	C2与儿童及其家庭建立合作关系
	C3与儿童及其家庭及时有效沟通
	C4良好专业判断力和临床推理能力
	C5在胜任力范围内工作
	C6探索创新
管理与领导力	C7致力于提高康复团队绩效
	C8致力于提高康复服务提供绩效
	C9成为康复倡导者
专业精神	C10遵守道德规范
	C11保持专业精神
	C12协作工作
	C13承担专业职责
学习与发展	C14继续学习和发展
学习与发展	C15支持他人学习与发展
研究	C16循证实践
研究	C17强化康复证据

领域	专业活动
实践	A1儿童档案管理^a
	A2开展康复评估
	A3制定和调整干预计划
	A4提供转介服务^a
	A5实施康复干预
	A6与儿童家庭的保持沟通
	A7康复中断或结束确保获得康复服务连续性^a
管理与领导力^b	A8管理康复团队
	A9管理康复服务提供
	A10监测和评估康复服务提供情况
专业精神	A11一般性职责
	A12获得知情同意
	A13采取质量改进措施
	A14参与团队讨论
	A15提供专业咨询
学习与发展	A16管理自我专业发展
学习与发展	A17监督和培训他人^a
研究	A18设计和实施科学研究
研究	A19传播研究证据

基本特征	类型	n	百分比/%
性别	男	5	22.73
	女	17	77.27
年龄	≤ 35岁	10	45.45
	36~45岁	9	40.91
	46~55岁	3	13.64
最高学历	本科	10	45.45
	硕士	7	31.82
	博士	5	22.73
最高学历专业	康复治疗类	8	36.36
	康复医学与理疗学	1	4.55
	中医康复	1	4.55
	临床医学	4	18.18
	管理学(卫生事业管理)	6	27.27
	其他医学专业	2	9.09
工作单位性质	政府部门	2	9.09
	事业单位	10	45.45
	专业机构	5	22.73
	高校/科研机构	5	22.73
职称	初级及无职称	7	31.82
	中级	8	36.36
	高级	7	31.82
从事儿童康复相关工作年限	3~10年	9	40.91
从事儿童康复相关工作年限	11~15年	11	50.00
	> 15年	2	9.09

指标	重要性				适用性
指标	CV	W	χ²值	P值	CV	W	χ²值	P值
胜任力维度	0.082	0.176	62.113	< 0.001	0.122	0.169	59.571	< 0.001
专业活动	0.164	0.295	116.688	< 0.001	0.223	0.197	77.869	< 0.001

领域	胜任力维度	专业活动
1.实践	C1实践中以儿童及其家庭作为重心 C2与儿童及其家庭建立合作关系 C3与儿童及其家庭进行及时有效沟通 C4具有良好专业判断和临床推理能力 C5在专业标准和胜任力范围内工作 C6探索创新	A1儿童档案等的规范书写和保存 A2进行康复评估 A3制定和调整干预计划 A4实施康复干预 A5保持与儿童家庭的沟通 A6转介、离训及随访
2.管理与领导力^a	C7致力于提高康复团队绩效 C8致力于提高康复服务提供绩效 C9成为康复倡导者	A7管理康复团队 A8管理康复服务提供 A9监测和评估康复服务提供情况
3.专业精神	C10遵守道德规范 C11保持专业精神 C12协作工作 C13承担专业职责	A10一般性职责 A11获得知情同意 A12采取质量改进措施 A13参与团队讨论
4.学习与发展	C14继续学习和发展 C15支持他人学习与发展	A14管理自我专业发展 A15同伴教育和培训他人
5.研究	C16循证实践 C17强化康复证据	A16设计和实施科学研究 A17传播分享研究证据

Competency and professional activities for Chinese pediatric rehabilitation therapists based on World Health Organization rehabilitation competency framework

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 5

References 29

Related Articles 15

Metrics

Comments

Recommended 0

[1]	ZHOU Jing, YI Ling, CHEN Jianchao, CHEN Xuefen, WEI Xingxing, CHEN Jingjing. Speech and language rehabilitation services for children with hearing impairment based on ICF: theoretical framework and service system [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(7): 745-751.
[2]	CHEN Lanqing, LÜ Jun, WANG Xiaoqian, ZHENG Hongying, SHAO Ping, WANG Anni, SUN Mei, CHEN Gang. Competency and professional activities of pediatric rehabilitation therapists in three provinces/cities of East China [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(7): 760-767.
[3]	YANG Jiakun, ZHANG Xiaoxia. Effect of adapted physical activity on functioning, activity and participation in children with intellectual and developmental disabilities: a systematic review [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(7): 768-777.
[4]	HE Aiqun, LI Jingbo, HE Maoli, YE Simei, SONG Qiushuang, LIU Haiou, XIE Youshu. Effect of occupational skills relearning on hemiplegic arm function after stroke: a randomized controlled trial [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(7): 823-830.
[5]	RONG Xianfeng, LI Fanghui, TAN Jiali. Construction of exercise rehabilitation specility based on World Health Organization Rehabilitation Competency Framework [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(6): 639-647.
[6]	WEI Xiaowei. Effect of digital empowerment techniques on physical activity and health for children with intellectual and developmental disabilities: a systematic review [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(5): 497-504.
[7]	WANG Hongzhi, YANG Jian. Application of virtual reality technology in physical activity and health of children and adolescents with cerebral palsy: a systematic review of systematic reviews [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(5): 505-512.
[8]	SU Rufeng, ZHONG Xiaoke, GAO Xiaoyan, JIANG Changhao. Application of artificial intelligence in anxiety and depression among children and adolescents: a scoping review [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(5): 513-519.
[9]	ZHONG Xiaoke, WANG Qi, CHANG Siqin, JIANG Changhao. Effect of long-term physical activity on executive function of children with autism spectrum disorder: a systematic review [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(5): 535-542.
[10]	WU Jiaming, ZHANG Qing, WU Aihong. Functioning, health and developmental benefits of music interventions for children and adolescents with intellectual and developmental disabilities: a systematic review of systematic reviews [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(5): 543-553.
[11]	WEI Ning, ZENG Yanling, JIANG Na, ZHANG Qian, YI Xiaozhe, WANG Jianyun, WANG Dengting, ZHANG Yan, PEI Hongbo, HUANG Chaorong. Impact of parental efficacy in doctor-patient communication on rehabilitation outcomes for children with autism spectrum disorder [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(5): 577-585.
[12]	TANG Letian, LIU Yushu, YANG Yaru, CUI Liangbo, XIAO Xiaofei. Construction of undergraduate curriculum courses of assistive technology using World Health Organization Rehabilitation Competency Framework [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(5): 591-597.
[13]	WEI Xiaowei. Research on international policies of digital empowerment of physical activity and health in children with disabilities: framework, core content, and strategic action [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(4): 381-388.
[14]	LENG Qing, ZHANG Ying, ZHANG Weifeng. Survey on competency status of hearing and speech rehabilitation professionals in Jiangsu, China [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(4): 389-396.
[15]	WANG Zhenzhou, ZHANG Yang. International researches on artificial intelligence enabled diagnosis and intervention for children with disabilities in the past two decades: a visualized analysis [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(4): 404-415.