Murray Nicole, Palermo Claire, Batt Alan, Bell Kristie
Monash Centre for Scholarship in Health Education, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, Australia.
Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, Australia.
Front Med (Lausanne). 2022 Jul 26;9:918915. doi: 10.3389/fmed.2022.918915. eCollection 2022.
UNLABELLED: Competency frameworks typically describe the perceived knowledge, skills, attitudes and other characteristics required for a health professional to practice safely and effectively. Patient and public involvement in the development of competency frameworks is uncommon despite delivery of person-centered care being a defining feature of a competent health professional. This systematic review aimed to determine how patients and the public are involved in the development of competency frameworks for health professions, and whether their involvement influenced the outcome of the competency frameworks. Studies were identified from six electronic databases (MEDLINE, CINAHL, PsycINFO, EMBASE, Web of Science and ERIC). The database search yielded a total of 8,222 citations, and 43 articles were included for data extraction. Most studies were from the United Kingdom (27%) and developed through multidisciplinary collaborations involving two or more professions (40%). There was a large variation in the number of patients and members of the public recruited (range 1-1,398); recruitment sources included patients and carers with the clinical condition of interest (30%) or established consumer representative groups (22%). Common stages for involving patients and the public were in generation of competency statements (57%) or reviewing the draft competency framework (57%). Only ten studies (27%) took a collaborative approach to the engagement of patients and public in competency framework development. The main ways in which involvement influenced the competency framework were validation of health professional-derived competency statements, provision of desirable behaviors and attitudes and generation of additional competency statements. Overall, there was a lack of reporting regarding the details and outcome of patient and public involvement. Further research is required to optimize approaches to patient and public involvement in competency framework development including guidance regarding who, how, when and for what purposes they should be engaged and the requirements for reporting. SYSTEMATIC REVIEW REGISTRATION: https://www.crd.york.ac.uk/prospero/, identifier: CRD42020203117.
未标注：能力框架通常描述了健康专业人员安全有效地开展实践所需的知识、技能、态度及其他特征。尽管以患者为中心的护理是称职的健康专业人员的一个决定性特征，但患者和公众参与能力框架的制定并不常见。本系统评价旨在确定患者和公众如何参与健康专业的能力框架制定，以及他们的参与是否影响了能力框架的结果。从六个电子数据库（MEDLINE、CINAHL、PsycINFO、EMBASE、科学引文索引和教育资源信息中心）中识别研究。数据库检索共获得8222条引文，43篇文章被纳入数据提取。大多数研究来自英国（27%），并通过涉及两个或更多专业的多学科合作开展（40%）。招募的患者和公众数量差异很大（范围为1至1398）；招募来源包括患有相关临床疾病的患者和护理人员（30%）或既定的消费者代表团体（22%）。让患者和公众参与的常见阶段是生成能力声明（57%）或审查能力框架草案（57%）。只有十项研究（27%）在能力框架制定中采用了患者和公众参与的协作方法。参与影响能力框架的主要方式是对健康专业人员得出的能力声明进行验证、提供理想的行为和态度以及生成额外的能力声明。总体而言，关于患者和公众参与的细节和结果缺乏报告。需要进一步研究以优化患者和公众参与能力框架制定的方法，包括关于应让谁参与、如何参与、何时参与以及为何目的参与的指导，以及报告要求。 系统评价注册：https://www.crd.york.ac.uk/prospero/，标识符：CRD42020203117。
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