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. 2022 Aug 13;22(1):1033.
doi: 10.1186/s12913-022-08361-z.

Development and preliminary validation of a public health emergency competency model for medical staffs of national health emergency teams in China

Yuhan Zhao  1 , Yuanyuan Wang  1 , Ting Zhang  2 , Miaomiao Wang  1 , Xiaojun Ye  3 , Xintian Wang  3 , Hongwei Sun  4
Affiliations

Development and preliminary validation of a public health emergency competency model for medical staffs of national health emergency teams in China

Yuhan Zhao et al. BMC Health Serv Res. .

Abstract

Background: In the present study, we attempted to develop and validate a participatory competency model for medical workers and then evaluate the current status of competency characteristics of Chinese medical workers.

Methods: The competency model was constructed in a multistage process, including literature review, expert consultation, critical incident and focus group interview. A pilot study was conducted to refine the initial model among 90 participators and the viability and reliability were evaluated by a questionnaire survey among 121 medical workers. Then, the current status of competency characteristics was measured based on the final version of competency model.

Results: In the pilot study, ten questionnaires were dropped for the poor quality and thus the eligible rate was 92% (138/150). KMO value was 0.785 and Bartlett test showed that the χ2 = 6464.546 (df = 903) and p value < 0.001. Then, 10 items with double loading and factor loading < 0.4 were deleted. Finally, 33 items were retained with the lowest factor loading value of 0.465. The validity and reliability of competency model were determined with Cronbach's α coefficient of 0.975 and ICC value of 0.933. Finally, a revised competency model with 5 dimensions and 31 items was obtained. The overall competencies of current medical workers were in a high level, except for emergency knowledge related competencies. Age was an independent factor affecting the competencies.

Conclusions: Our competency model was a reliable and validated tool for assessing the competences of medical staffs against public health emergencies, and the overall competencies of current medical workers in China were in a high level, except for emergency knowledge related competencies.

Keywords: Competency model; Emergency medical team; Medical workers; Public health emergency.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Flow chart of competency model development
Fig. 2
Fig. 2
Factor analysis of the scree plot
Fig. 3
Fig. 3
The final version of competency model for medical workers
See this image and copyright information in PMC

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