Competency-based training for the non-clinical workforce – A feasibility study, using a unique competency framework and career pathway

Unlike clinicians, no established competency framework or career pathway exists for the non-clinical workforce from which to establish formal training. This study tests the feasibility of implementing what the authors believe is the first competency framework of its kind for the non-clinical workforce, at level two of a four-tiered career pathway. Level two includes care navigation and signposting roles, capable of reducing clinical workload and improving patient care. Five Community Education Provider Networks (CEPNs) in South London collaborated to deliver training using the competency framework developed by OHSEL. They recruited employees from community health and social care providers, with predominant interest from primary care. Training included Apprenticeships and CEPN-developed modular training. Results for this largely part-time workforce identified enthusiasm for learning; increased confidence and commitment; a desire for career progression and preference for flexible training with skills directly usable at work. Workplace findings included the need for manager training in coaching and mentoring to support employees implementing new skills, and willingness from clinicians and managers to embrace new roles. Feedback was overwhelmingly positive with outcomes used to develop on-line accredited training. Larger studies are needed to confirm the impact on clinical time and patient care.

与临床医护人员不同，非临床工作团队尚未拥有成熟的胜任力框架与职业发展路径，无法以此为基础开展正规培训。本研究旨在验证一款作者认为属于同类首创的非临床工作团队胜任力框架的落地可行性，该框架隶属于四级职业发展通道的第二层级。第二层级涵盖护理协调与转诊指引类岗位，此类岗位可有效减轻临床工作负担、提升患者照护质量。伦敦南部的五家社区教育提供商网络（Community Education Provider Networks, CEPNs）携手合作，采用OHSEL研发的胜任力框架开展培训。本次研究招募了来自社区卫生与社会护理机构的员工，其中基层医疗领域的报名意愿最为突出。培训内容包含职业学徒项目与CEPN自研的模块化培训课程。针对这支以兼职为主的工作团队的调研结果显示，成员们展现出极高的学习热情；培训后其自信心与岗位责任感均有所提升；同时他们渴望获得职业晋升机会，并更倾向于可直接应用于工作场景的灵活化培训模式。职场调研结果表明，需为管理者开展辅导（coaching）与指导（mentoring）相关培训，以协助员工落地新技能；此外临床医护人员与管理人员均愿意接纳新的岗位职能。调研反馈整体极为积极，研究成果已被用于开发线上认证培训项目。未来需开展更大规模的研究，以验证该培训方案对临床工作时长与患者照护质量的实际影响。