Lalloo Drushca, Demou Evangelia, Stevenson Marisa, Gaffney Mairi, Macdonald Ewan Beaton
Healthy Working Lives Group, Institute of Health and Wellbeing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK
MRC/CSO Social and Public Health Sciences Unit, Institute of Health and Wellbeing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
Occup Environ Med. 2017 May;74(5):384-386. doi: 10.1136/oemed-2016-104049. Epub 2017 Feb 23.
The competencies required of occupational physicians (OPs) and occupational health nurses (OHNs) separately have been studied in various countries but little research has made direct comparisons between these two key occupational health (OH) professional groups. The aim of this study was to compare current competency priorities between UK OPs and OHNs.
A modified Delphi study conducted among professional organisations and networks of UK OPs and OHNs. This formed part of a larger Delphi, including international OPs. It was undertaken in two rounds (round 1-'rating', round 2-'ranking'), using a questionnaire based on available OH competency guidance, the literature, expert panel reviews and conference discussions.
In each round (rating/ranking), 57/49 and 48/54 responses were received for OPs and OHNs respectively. The principle domain (PD) competency ranks were very highly correlated (Spearman's r=0.972) with the same PDs featuring in the top four and bottom three positions. OPs and OHNs ranked identically for the top two PDs (good clinical care and general principles of assessment and management of occupational hazards to health). Research methods was ranked lowest by both groups.
This study has observed a high level of agreement among UK OPs and OHNs on current competency priorities. The 'clinically focused' competency priorities likely reflect that although OH practice will broaden in response to various factors, traditional 'core' OH activities will still be required. These mutually identified priorities can serve to strengthen collaboration between these groups, develop joint education/training programmes and identify common professional development opportunities.
不同国家已分别对职业医师(OPs)和职业健康护士(OHNs)所需的能力进行了研究,但很少有研究对这两个关键职业健康(OH)专业群体进行直接比较。本研究的目的是比较英国职业医师和职业健康护士当前的能力优先级。
在英国职业医师和职业健康护士的专业组织和网络中开展了一项改良德尔菲研究。这是一个更大的德尔菲研究的一部分,其中包括国际职业医师。该研究分两轮进行(第一轮——“评分”,第二轮——“排序”),使用了一份基于现有职业健康能力指南、文献、专家小组评审和会议讨论的问卷。
在每一轮(评分/排序)中,职业医师和职业健康护士分别收到了57/49份和48/54份回复。主要领域(PD)能力排名高度相关(斯皮尔曼相关系数r = 0.972),相同的主要领域在前四名和后三名中都有出现。职业医师和职业健康护士对前两个主要领域(良好的临床护理以及职业健康危害评估与管理的一般原则)的排名相同。两组都将研究方法排在最低位。
本研究发现英国职业医师和职业健康护士在当前能力优先级上高度一致。“以临床为重点”的能力优先级可能反映出,尽管职业健康实践会因各种因素而拓宽,但传统的“核心”职业健康活动仍将是必需的。这些共同确定的优先级有助于加强这些群体之间的合作,制定联合教育/培训计划,并确定共同的职业发展机会。