Unit for Nutrition Research, Faculty of Food Science and Nutrition, School of Health Sciences, University of Iceland and Landspitali-University Hospital, Reykjavik, Iceland.
Public Health Nutr. 2011 Aug;14(8):1439-49. doi: 10.1017/S1368980010000625. Epub 2010 Mar 31.
To assess and develop consensus among a European panel of public health nutrition stakeholders regarding the competencies required for effective public health nutrition practice and the level of proficiency required in different practice contexts.
A modified Delphi study involving three rounds of questionnaires.
European Union.
Public health nutrition workforce development stakeholders, including academics, practitioners and employers, from twenty European countries.
A total of fifty-two expert panellists (84 % of an initial panel of sixty-two Delphi participants) completed all three rounds of the Delphi study. The panellists rated the importance of fifty-seven competency units possibly required of a public health nutritionist to effectively practice (Essential competencies). Twenty-nine of the fifty-seven competency units (51 %) met the consensus criteria (≥66·7 % agreement) at the second round of the Delphi survey, with the highest agreement for competencies clustered within the Nutrition science, Professional, Analytical and Public health services competency domains. Ratings of the level of competencies required for different levels in the workforce indicated that for a public health nutrition specialist, advanced-level competency was required across almost all the twenty-nine competencies rated as essential. There were limited differences in rating responses between academics and employer panellists throughout the Delphi study.
Competencies identified as essential can be used to review current public health nutrition practices and provide the basis for curriculum design and re-development, continuing education and workforce quality assurance systems in Europe. These are all important tools for systematic and strategic workforce development.
评估和制定欧洲公共卫生营养利益相关者小组对有效公共卫生营养实践所需的能力以及不同实践环境所需的熟练程度的共识。
涉及三轮问卷的改良德尔菲研究。
欧盟。
来自二十个欧洲国家的公共卫生营养工作者发展利益相关者,包括学者、从业者和雇主。
共有 52 名专家小组成员(德尔菲参与者最初 62 名小组成员中的 84%)完成了德尔菲研究的所有三轮。小组成员对一名公共卫生营养师可能需要有效实践的 57 项能力单元进行了重要性评估(基本能力)。在德尔菲调查的第二轮中,57 项能力单元中有 29 项(51%)符合共识标准(≥66.7%的一致性),其中营养科学、专业、分析和公共卫生服务能力领域的能力单元一致性最高。对不同劳动力层次所需能力水平的评估表明,对于公共卫生营养专家,在被评为基本的 29 项能力中,几乎所有能力都需要高级水平的能力。在整个德尔菲研究中,学者和雇主小组成员的评分反应差异有限。
被确定为基本的能力可以用于审查当前的公共卫生营养实践,并为欧洲的课程设计和重新开发、继续教育以及劳动力质量保证系统提供基础。这些都是系统和战略性劳动力发展的重要工具。