Pharmacy, NHS Greater Glasgow and Clyde, Glasgow, UK.
Physiotherapy, Aneurin Bevan University Health Board, Newport, UK.
Open Heart. 2024 Jan 19;11(1):e002554. doi: 10.1136/openhrt-2023-002554.
Heart failure remains a key public health priority across the globe. The median age of people with heart failure admitted to hospital in the UK is 81 years old. Many such patients transcend the standard interventions that are well characterised and evidenced in guidelines, into holistic aspects surrounding frailty, rehabilitation and social care. Previous published competency frameworks in heart failure have focused on the value of doctors, nurses and pharmacists. We aimed to provide an expert consensus on the minimum heart failure-specific competencies necessary for multiple different healthcare professionals, including physiotherapists, occupational therapists, dietitians and cardiac physiologists.
The document has been developed focussing on four main parts, (1) establishing a project working group of expert professionals, (2) a literature review of previously existing published curricula and competency frameworks, (3) consensus building, which included developing a structure to the framework with ongoing review of the contents to adapt and be inclusive for each specialty and (4) write up and dissemination to widen the impact of the project.
The final competency framework displays competencies across seven sections; knowledge (including subheadings on heart failure syndrome, diagnosis and clinical management); general skills; heart failure-specific skills; clinical autonomy; multidisciplinary team working; teaching and education; and research and development.
People with heart failure can be complex and have needs that require input from a broad range of specialties. This publication focuses on the vital impact of wider multidisciplinary groups and should help define the generic core heart failure-specific competencies needed to support future pipelines of professionals, who regularly interact with and deliver care for patients with heart failure.
心力衰竭仍然是全球的一个主要公共卫生重点。在英国，因心力衰竭住院的患者的中位年龄为 81 岁。许多这样的患者超越了指南中明确描述和证实的标准干预措施，涉及到围绕虚弱、康复和社会护理的整体方面。之前发表的心力衰竭能力框架侧重于医生、护士和药剂师的价值。我们旨在为包括物理治疗师、职业治疗师、营养师和心脏生理学家在内的多名不同医疗保健专业人员提供心力衰竭特定能力的最低要求的专家共识。
该文件主要集中在四个部分进行开发，（1）建立一个由专业专家组成的项目工作组，（2）对以前已发表的课程和能力框架进行文献回顾，（3）达成共识，包括制定框架结构，同时不断审查内容，以适应和包容每个专业，（4）编写和传播，以扩大项目的影响。
最终的能力框架在七个部分展示了能力；知识（包括心力衰竭综合征、诊断和临床管理的副标题）；通用技能；心力衰竭特定技能；临床自主性；多学科团队合作；教学和教育；以及研究和发展。
心力衰竭患者可能很复杂，需要广泛的专业知识。本出版物重点关注更广泛的多学科群体的重要影响，应有助于定义支持未来专业人员人才库所需的通用核心心力衰竭特定能力，这些人员经常与心力衰竭患者互动并为其提供护理。
