Bradley Claire, Eftychiou Linda, Mylott Laura, Jerrard Kirsty, McKenzie Debbie, Morris Kelly, Pereira Charlotte, Purkiss Claire, Osman Leyla, Reilly Charles C
Department of Physiotherapy, Kings College Hospital NHS Foundation Trust, London, UK.
KHP Cardiovascular & Respiratory Partnership, Guys and St Thomas' NHS Foundation Trust, London, UK.
BMC Health Serv Res. 2025 Jul 18;25(1):959. doi: 10.1186/s12913-025-12912-5.
Competency frameworks are commonly used to define expectations, aid acquisition of appropriate skills and ensure safe delivery of care to patients. The Intensive Care Society's Allied Health Professionals Critical Care Professional Development Framework (CCPDF) provides broad descriptors of levels of practice ranging from novice to expert. Prior to May 2021, no standardised clinical competency frameworks governed physiotherapy practice or development in the critical care setting in the UK.
The aim was to develop and evaluate the value of a cross-organisational, physiotherapy-specific, critical care competency framework to enable collaborative working in a partnership comprising of three previously independent NHS foundation trusts across six sites within an academic health science centre. Between May and November 2021, a pragmatic approach following the first three stages of Whiddett and Hollyforde's process for developing a tailored competency framework was used: 1) preparation, 2) information collection and 3) compiling the framework and validation.
Following analysis of key documents and through comprehensive engagement, a proposed competency framework was agreed upon, reflecting levels from Foundation to Expert. Competencies were categorised into eight areas: Anatomy and Physiology, Assessment, Laboratory and Pharmacy, Respiratory Support, Airway Clearance Techniques, Tracheostomy, Rehabilitation, and Communication, Documentation, and Teamwork. A survey was sent to 112 staff with a 39% response rate. Most respondents said the framework would support improvement in patient care and staff development, with time and staffing being barriers to use. An online format was preferred.
The final document was called Kings Health Partners Physiotherapy Critical Care PROSPECTS (PROfession SPecific Excpectations, CompeTencies and Skills) Framework. It was valued by users as a self-assessment document and tool for career development and learning opportunities. Future work will focus on piloting the framework and developing associated learning resources.
能力框架通常用于明确期望、帮助获取适当技能并确保为患者提供安全的护理服务。重症监护协会的联合健康专业人员重症监护专业发展框架（CCPDF）提供了从新手到专家的广泛实践水平描述。在2021年5月之前，英国重症监护环境中没有标准化的临床能力框架来指导物理治疗实践或发展。
目的是开发并评估一个跨组织、针对物理治疗的重症监护能力框架的价值，以促进由一个学术健康科学中心内六个地点的三个先前独立的国民保健服务基金会信托组成的合作伙伴关系中的协作工作。在2021年5月至11月期间，采用了遵循Whiddett和Hollyforde制定定制能力框架过程的前三个阶段的务实方法：1）准备，2）信息收集，3）编制框架并进行验证。
在对关键文件进行分析并通过全面参与后，达成了一个提议的能力框架，反映了从基础到专家的水平。能力被分为八个领域：解剖学和生理学、评估、实验室和药学、呼吸支持、气道清理技术、气管切开术、康复以及沟通、记录和团队合作。向112名工作人员发送了一份调查问卷，回复率为39%。大多数受访者表示该框架将支持改善患者护理和员工发展，时间和人员配备是使用的障碍。在线格式更受青睐。
最终文件被称为国王健康伙伴物理治疗重症监护前景（PROfession SPecific Excpectations, CompeTencies and Skills）框架。它被用户视为自我评估文件以及职业发展和学习机会的工具。未来的工作将集中在对该框架进行试点并开发相关学习资源。
