Hussein Sara, Ishaky Liam, Nowrouzi-Kia Behdin, Laughton Sarah, Gohar Basem
Department of Biomedical Sciences, University of Guelph, Guelph, ON, Canada.
Department of Population Medicine, University of Guelph, Guelph, ON, Canada.
SAGE Open Med. 2025 Jan 9;13:20503121241312532. doi: 10.1177/20503121241312532. eCollection 2025.
Studies across the extant literature suggest that less-experienced healthcare workers are more likely to experience adverse outcomes such as burnout, sick leaves, or intend to leave the profession. Thus, one's readiness to practice is an important element that requires more attention. While extensive research exists on the readiness of certain professions like nurses, a notable gap remains concerning other healthcare workers.
This study sought to explore studies examining readiness to practice among various underrepresented healthcare workers.
We conducted a scoping review to determine the available research related to clinical and nonclinical areas related to the readiness to practice of healthcare workers, excluding physicians and nurses. We examined three databases, MEDLINE, CINAHL, and PsycINFO, from 1 January 2000 to 31 December 2023. Our search focused on readiness to practice among various healthcare professions, whether clinically focused or broadly related to professionalism.
Our search identified 41 articles meeting the inclusion criteria from several professions, including but not limited to physiotherapists and occupational therapists, pharmacists, osteopaths/chiropractors, and social workers. Overall, studies differed in assessing readiness to practice with a broad range of identified clinical competencies that varied between professions and regions. Nonclinical skills, such as communication, conflict management, and cultural competence, were common barriers across professions.
Despite the heterogeneity in job roles, work settings, and geographical reasons, there is evidence to suggest that new healthcare professionals may be clinically adept but may be lacking in other nonclinical skills that could affect their work and well-being. With early-career healthcare workers particularly vulnerable to adverse outcomes in the workplace, future research should standardize core competencies, including nonclinical skills and well-being-related activities, as a prevention method across various health groups.
现有文献中的研究表明，经验不足的医护人员更有可能经历倦怠、病假等不良后果，或打算离开该行业。因此，一个人的执业准备情况是一个需要更多关注的重要因素。虽然对护士等某些职业的执业准备情况已有广泛研究，但其他医护人员方面仍存在显著差距。
本研究旨在探索有关各类代表性不足的医护人员执业准备情况的研究。
我们进行了一项范围综述，以确定与医护人员执业准备情况相关的临床和非临床领域的现有研究，不包括医生和护士。我们检索了三个数据库，即MEDLINE、CINAHL和PsycINFO，检索时间为2000年1月1日至2023年12月31日。我们的检索重点是各类医护职业的执业准备情况，无论是以临床为重点还是与专业素养广泛相关。
我们的检索确定了41篇符合纳入标准的文章，涉及多个职业，包括但不限于物理治疗师、职业治疗师、药剂师、整骨疗法师/脊椎按摩师和社会工作者。总体而言，不同研究在评估执业准备情况时所采用的一系列已确定的临床能力各不相同，这些能力因职业和地区而异。沟通、冲突管理和文化能力等非临床技能是各职业普遍存在的障碍。
尽管在工作角色、工作环境和地域原因方面存在异质性，但有证据表明，新的医护专业人员可能在临床方面很熟练，但可能缺乏其他可能影响其工作和幸福感的非临床技能。由于职业生涯早期的医护人员在工作场所特别容易出现不良后果，未来的研究应将核心能力标准化，包括非临床技能和与幸福感相关的活动，作为针对各类健康群体的预防方法。
