华东三省市儿童康复治疗师胜任力及专业活动研究

doi:10.3969/j.issn.1006-9771.2024.07.003

Abstract

Abstract:

Objective To investigate the current situation of competency and professional activities of pediatric rehabilitation therapists in Jiangsu, Shanghai and Zhejiang.
Methods A questionnaire survey was conducted on 168 pediatric rehabilitation therapists in Jiangsu, Shanghai and Zhejiang, from December, 2022 to February, 2023, and the general information and the competency were obtained. A total of 35 pediatric rehabilitation therapists were interviewed one-on-one, from October, 2022 to January, 2023, using thematic framework.
Results A total of 162 effective questionnaires were collected. The level of competency of pediatric rehabilitation therapists was (3.44±0.87); and it was higher in professional literacy (3.90±0.77) and practice (3.83±0.77), and lower in management and leadership (2.92±1.44), and research (2.14±1.64). Latent class analysis showed that the therapists could be divided into four categories, of which the "medium competency" accounted for the most proportion (34.57%), and "low learning and research" was the least (8.64%). The interviews identified problems of competency such as maintaining communication with children's families and managing self-professional development.
Conclusion Self-reported rehabilitation competency levels of pediatric rehabilitation therapists in three provinces and cities are above three points in all four dimensions, except for the management and leadership dimension, where the score is below three points.

Key words: pediatric rehabilitation therapist, rehabilitation competency framework, latent class analysis, competency, professional activities

CLC Number:

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.

Figures/Tables 5

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Table 4

Figure 1

References 26

[1]	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.
[2]	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.
[3]	卢同波, 何俊, 许锐, 等. 江苏省康复治疗师组织认同在职业韧性与工作场所隐性缺勤行为间的中介效应[J]. 医学与社会, 2021, 34(11): 93-96.
	LU T B, HE J, XU R, et al. Mediating effect of organizational identification on career resilience and implicit absenteeism in the workplace of rehabilitation therapists in Jiangsu province[J]. Med Soc, 2021, 34(11): 93-96.
[4]	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.
[5]	HOU F I, WU Y L, LI M H, et al. Physiotherapist' job performance, impression management and organizational citizenship behaviors: an analysis of hierarchical linear modeling[J]. PLoS One, 2021, 16(5): e0251843.
[6]	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 Pract, 2023, 29(11): 1241-1248.
[7]	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.
[8]	肖晓飞, 邱卓英, 孙宏伟, 等. 基于ICF和康复胜任力架构建设物理治疗本科教育[J]. 中国康复理论与实践, 2022, 28(3): 295-305. doi: 10.3969/j.issn.1006-9771.2022.03.005
	XIAO X F, QIU Z Y, SUN H W, et al. Development of programmes and curriculum of physical therapy at undergraduate level using ICF and rehabilita-tion competency framework[J]. Chin J Rehabil Theory Pract, 2022, 28(3): 295-305.
[9]	郝传萍, 邱卓英, 李安巧, 等. 基于康复胜任力架构的本科层次特殊教育专业设置研究[J]. 中国康复理论与实践, 2022, 28(3): 306-317. doi: 10.3969/j.issn.1006-9771.2022.03.006
	HAO C P, QIU Z Y, LI A Q, et al. Specialty setting of undergraduate special education using World Health Organization rehabilitation competency framework[J]. Chin J Rehabil Theory Pract, 2022, 28(3): 306-317.
[10]	黄恺, 卢雁, 邱卓英, 等. 基于世界卫生组织康复胜任力架构构建硕士研究生层次特殊体育教育专业研究[J]. 中国康复理论与实践, 2022, 28(3): 318-326. doi: 10.3969/j.issn.1006-9771.2022.00.001
	HUANG K, LU Y, QIU Z Y, et al. Specialty system of special physical education at master's level based on World Health Organization rehabilitation competency framework[J]. Chin J Rehabil Theory Pract, 2022, 28(3): 318-326.
[11]	唐乐天, 刘妤姝, 杨亚茹, 等. 基于世界卫生组织康复胜任力架构构建辅助技术专业本科课程体系[J]. 中国康复理论与实践, 2024, 30(5): 591-597. doi: 10.3969/j.issn.1006-9771.2024.05.014
	TANG L T, LIU Y S, YANG Y R, et al. Construction of undergraduate curriculum courses of assistive technology using World Health Organization rehabilitation competency framework[J]. Chin J Rehabil Theory Pract, 2024, 30(5): 591-597.
[12]	井淇, 邱卓英, 嵇丽红, 等. 残联系统康复机构专业人员配置总量与结构分析[J]. 中国康复理论与实践, 2018, 24(8): 975-979. doi: 10.3969/j.issn.1006-9771.2018.08.019
	JING Q, QIU Z Y, JI L H, et al. Quantitative and structural analysis of professionals in the institutions affillated to system of China Disabled Persons' Federation[J]. Chin J Rehabil Theory Pract, 2018, 24(8): 975-979.
[13]	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.
[14]	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.
[15]	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.
[16]	李博杨, 吴惠群, 卢守四, 等. 我国康复机构人才培养现状调查与分析[J]. 中国医院, 2021, 25(8): 12-13.
	LI B Y, WU H Q, LU S S, et al. Investigation and analysis on the current situation of talents education and cultivation of rehabilitation institutions in China[J]. Chin Hosp, 2021, 25(8): 12-13.
[17]	魏全, 杨永红, 高强, 等. 中国康复医学学科发展现状与展望[J]. 中国科学, 2022, 52(11): 1692-1703.
	WEI Q, YANG Y H, GAO Q, et al. Development status and prospects of rehabilitation sciences in China[J]. Sci Sin Vitae, 2022, 52(11): 1692-1703.
[18]	霍家康, 郭欣, 戴婉薇, 等. 我国康复需求与科研供给关系的回顾性研究[J]. 中国科学, 2023, 53(9): 1287-1297.
	HUO J K, GUO X, DAI W W, et al. A retrospective study on the relationship between rehabilitation needs and scientific research efforts in China[J]. Sci Sin Vitae, 2023, 53(9): 1287-1297.
[19]	程丽, 苏雪, 蒲晓芳, 等. 公立医院药师药学服务胜任力潜在剖面分析[J]. 中国医院管理, 2024, 44(5): 70-75.
	CHENG L, SU X, PU X F, et al. Latent profile analysis of pharmaceutical care competency of pharmacists in public hospitals[J]. Chin Hosp Manag, 2024, 44(5): 70-75.
[20]	蒙景雯, 孙琳, 李珂, 等. 三级甲等医院护士护理信息胜任力水平的潜在剖面分析[J]. 护理研究, 2023, 37(24): 4508-4512.
	MENG J W, SUN L, LI K, et al. Latent profile analysis of nursing information competence level of nurses in tertiary grade A hospital[J]. Chin Nurs Res, 2023, 37(24): 4508-4512.
[21]	曹珊, 和青森, 王云璐, 等. 中西医结合医师胜任力与工作投入的关系:基于潜在剖面分析[J]. 心理月刊, 2023, 18(16): 48-50. doi: 10.19738/j.cnki.psy.2023.16.014
	CAO S, HE Q S, WANG Y L, et al. Competence and work engagement among physicians of integrated traditional Chinese and Western medicine: a latent profile analysis[J]. Psychol Magaz, 2023, 18(16): 48-50.
[22]	GOTO R, HARUTA J. The process of transprofessional collaboration: how caregivers integrated the perspectives of rehabilitation through working with a physical therapist[J]. Fam Med Community Health, 2020, 8(4): e000378.
[23]	JUNG J H, KANG J Y, KO C H, et al. Effect of communication and education within the rehabilitation team: therapists' and nurses' views[J]. Ann Geriatr Med Res, 2021, 25(4): 301-308.
[24]	冷晴, 张颖, 张伟锋. 江苏省听力语言康复从业人员胜任力状况调查研究[J]. 中国康复理论与实践, 2024, 30(4): 389-396. doi: 10.3969/j.issn.1006-9771.2024.04.003
	LENG Q, ZHANG Y, ZHANG W F. Survey on competency status of hearing and speech rehabilitation professionals in Jiangsu, China[J]. Chin J Rehabil Theory Pract, 2024, 30(4): 389-396.
[25]	胡伟斌, 刘巧云, 赵航, 等. 基于世界卫生组织康复胜任力架构的教育康复学专业课程开发初探[J]. 中国康复理论与实践, 2023, 29(11): 1268-1275. doi: 10.3969/j.issn.1006-9771.2023.11.004
	HU W B, LIU Q Y, ZHAO H, et al. Developing curriculum of speciality of education and rehabilitation using WHO rehabilitation competency framework[J]. Chin J Rehabil Theory Pract, 2023, 29(11): 1268-1275.
[26]	郑洁皎, 沈利岩, 段林茹, 等. 上海市康复人力资源发展现状[J]. 中国康复理论与实践, 2020, 26(12): 1471-1476. doi: 10.3969/j.issn.1006-9771.2020.12.017
	ZHENG J J, SHEN L Y, DUAN L R, et al. Investigatation of rehabilitation human resources in Shanghai, China[J]. Chin J Rehabil Theory Pract, 2020, 26(12): 1471-1476.

项目		n	项目		n
性别	男	30	从业年限	< 3年	53
	女	132		3~9年	85
最高学历	专科	23		≥ 10年	24
	本科	120	年龄	21~30岁	114
	硕士及以上	19		31~40岁	44
职称	无职称	28		41~50岁	4
	初级	101	工作单位性质	公立机构	91
	中级及以上	33		民办机构	71

项目		n	项目		n
性别	男	8	治疗师类型	物理治疗师	8
	女	27		作业治疗师	7
最高学历	专科	8		言语语言治疗师	11
	本科	27		感觉统合治疗师	9
职称	初级士	9	从业年限	< 3年	14
	初级师	21		3~9年	19
	中级	5		≥ 10年	2

领域	专业活动	均值	标准差
实践		3.83	0.77
	A1儿童档案等的规范书写和保存	3.79	0.96
	A2进行康复评估	4.09	0.76
	A3制定和调整干预计划	4.16	0.78
	A4实施康复干预	3.54	1.07
	A5保持与儿童家庭的沟通	4.03	0.85
	A6转介、离训及随访	3.36	1.18
管理与领导力		2.92	1.44
	B1管理康复团队	2.66	1.69
	B2管理康复服务提供	3.11	1.50
	B3监测和评估康复服务提供情况	2.99	1.55
专业精神		3.90	0.77
	C1一般性职责	3.95	0.74
	C2获得知情同意	3.99	0.80
	C3采取质量改进措施	3.85	1.05
	C4参与团队讨论	3.80	1.16
学习与发展		3.40	1.22
	D1管理自我专业发展	3.49	1.29
	D2同伴教育和培训他人	3.31	1.32
研究		2.14	1.64
	E1设计和实施科学研究	2.41	1.76
	E2传播和分享研究证据	1.87	1.73

类数	Loglikelihood	AIC	BIC	aBIC	Entropy	LMR	BLRT
1	-4273.42	8614.84	8719.82	8612.18	-	-	-
2	-3705.94	7515.88	7676.43	7511.81	0.95	0.00	0.00
3	-3560.21	7260.41	7476.55	7254.94	0.95	0.18	0.00
4	-3348.14	6872.28	7143.99	6865.40	0.99	0.16	0.00
5	-3303.73	6819.45	7146.74	6811.16	0.97	0.56	0.00

Competency and professional activities of pediatric rehabilitation therapists in three provinces/cities of East China

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