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Stakeholder Engagement in Competency Framework Development in Health Professions: A Systematic Review
Breanna Lepre1, Claire Palermo2, Kylie J Mansfield1
1School of Medicine, Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, NSW, Australia.
Developing health competency frameworks often excludes key stakeholders like patients and other health professionals. Future frameworks need broader engagement to better meet healthcare demands and patient needs.
Area of Science:
- Health Professions Education
- Healthcare Management
- Systematic Review Methodology
Background:
- Competency framework development is crucial for health professions, impacting professionals, organizations, and service users.
- Existing guidance on stakeholder involvement in competency framework development is limited.
- This review systematically examines stakeholder engagement in health competency framework development literature.
Approach:
- A systematic literature review was conducted using five electronic databases (MEDLINE, PubMed, CINAHL, EMBASE, ERIC) and organizational websites.
- Keywords related to competency frameworks were used to identify relevant studies.
- Seventy-three articles were included in the final review, with most originating from Australia and focusing on the nursing profession.
Key Points:
- Practitioners (86%) and academics (75%) were the most commonly involved stakeholders.
- Patient or service user involvement was low (19%), despite frameworks being described as patient-focused.
- Involvement of practitioners from other health professions was minimal (12%).
Conclusions:
- Current competency framework development may lack depth by limiting conceptualization to internal professional perspectives.
- Broader stakeholder engagement, including service users and external health professions, is recommended.
- Future methodologies should aim to align professional education with evolving health service demands through diverse stakeholder input.
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