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A Qualitative Content Analysis Exploring Systems-Based Practice Across Health Professional Competency Standards.

Claire Palermo1, Daniel Vince1, Verity Mak2

  • 1Monash University, Faculty of Medicine, Nursing and Health Sciences, Clayton, Victoria, Australia.

Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association
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PubMed
Summary
This summary is machine-generated.

Systems-based practice is a key competency for health professionals, but competency standards in Australia, Canada, and the UK primarily focus on healthcare systems, not broader determinants of health.

Keywords:
conceptual content analysishealth professionsprofessional standardssystems sciencesystems thinking

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Area of Science:

  • Health Professions Education
  • Healthcare Systems Analysis
  • Competency Frameworks

Background:

  • Systems-based practice (SBP) is essential for contemporary health professionals.
  • This study investigates the integration of SBP within health profession competency standards across Australia, Canada, and the United Kingdom.

Purpose of the Study:

  • To analyze the extent and nature of systems-based practice articulated in competency standards for various health professions.
  • To compare the representation of SBP across different professions and countries.

Main Methods:

  • Conceptual content analysis of 38 competency documents from 14 health professions.
  • Keyword searches for 'systems-based practice' and related terms.
  • Categorization of findings into knowledge, skills, and attitudes based on an SBP framework.

Main Results:

  • 'Quality' and 'system' were the most frequent terms, often linked to patient care and navigating healthcare environments.
  • Competency statements predominantly emphasized knowledge and skills over attitudes.
  • While all professions included SBP, some focused on health systems, others on broader social determinants.

Conclusions:

  • Systems-based practice is recognized as a core competency in the analyzed countries.
  • Current competency standards emphasize healthcare system navigation but offer limited scope for addressing broader determinants of health.
  • There is a need to enhance competencies that prepare graduates to challenge and improve wider social systems impacting health.