A systematic review of healthcare professionals' core competency instruments

Nurs Health Sci. 2021 Mar;23(1):87-102. doi: 10.1111/nhs.12804. Epub 2021 Jan 26.

Abstract

While technical and profession-specific competencies are paramount in the delivery of healthcare services, the cross-cutting core competencies of healthcare professionals play an important role in healthcare transformation, innovation, and the integration of roles. This systematic review describes the characteristics and psychometric properties of existing instruments for assessing healthcare professionals' core competencies in clinical settings. It was guided by the JBI methodology and used the COSMIN checklist (Mokkink et al., User manual, 2018, 78, 1) to evaluate the methodological quality of the included studies. A database search (CINAHL, Scopus, and PubMed) and additional manual search were undertaken for peer-reviewed papers with abstracts, published in English between 2008 and 2019. The search identified nine studies that were included in the synthesis demonstrating core competencies in professionalism, ethical and legal issues, research and evidence-based practice, personal and professional development, teamwork and collaboration, leadership and management, and patient-centered care. Few instruments addressed competencies in quality improvement, safety, communication, or health information technology. The findings demonstrate the reviewed tools' validity and reliability and pave the way for a comprehensive evaluation and assessment of core competencies into clinical practice.

Keywords: competence assessment; core competency; healthcare professionals; nurses and physicians; psychometrics testing; systematic review; validity and reliability.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Clinical Competence / standards*
  • Delivery of Health Care / organization & administration*
  • Delivery of Health Care / standards
  • Health Personnel / education*
  • Humans
  • Psychometrics / instrumentation*
  • Reproducibility of Results