WHAT IS AN EXCELLENT
ALLIED HEALTH CARE
PROFESSIONAL?
Inge Wijkamp & Wolter Paans,
Research Center for Talent Development in
Higher Education and Society
WHAT IS AN EXCELLENT ALLIED HEALTH
CARE PROFESSIONAL?
Inge Wijkamp & Wolter Paans,
Research Center for Talent Development in Higher Education and Society
Content of this presentation
• Introduction and background
• Methods and design
• Results
• Conclusion
• Discussion
September 2011: Start of the project ‘Hanze Talents Leading the
Change’ with four schools with honours programmes: SICT,
SISP, HIT, SIBS and SAGZ
Aim:
The development of the ‘ontwikkelmonitor’: a digital educational instrument which enables honours students to follow and shape their development, on their road to professional excellence
The input for this monitor consists of Evidence Based
descriptions for the excellent professional for each particular professional field, which explains the involvement of the
Research Center for Talent Development
Developments in the professional field of Allied Health Care
professionals, consisting of dietitians, physiotherapists and
exercise therapists, speech and language therapists,
radiographers, and oral hygienists (NPi, 2012).
Due to demographic developments, like ageing of the population, life style and social changes, and an increase in diagnostic-,
intervention- and care opportunities, the AHCP has to change his perspective on care deliverance for instance by conveying high care quality in complex health care situations, and providing care more efficiently and effectively (RvZ, 2010; RvZ, 2011).
Research question:
What are the characteristics of an excellent Allied Health Care professional?
perception of the professionals Essential:
typical, distinctive characteristics; perceptible behaviour;
transcending the disciplines (AHCP); general as well as specific aspects
Research plan:
- Literature search, resulting in a topic list
- Three consecutive focus group sessions among professionals resulting in a concept description
- Delphi method in which the proposed description will be
validated by a panel of experts
Three focus group discussions were organized between October 2011 and Januari 2012:
Group I: 9 participants Group II: 5 participants Group III: 7 participants
21 participants in total, including
6 physical therapists 2 oral hygientists 7 speech therapists
4 diagnostic radiographers 2 dieticians
FG 1: ‘... I find myself quite immediately thinking of someone who is open to
feedback and who can translate that feedback into actions immediately‘
FG1: ‘… probably he is more of an initiator, someone who can help people
get started… who takes the initiative’
FG 3: ‘because within our profession, you must ensure that the patient is
prepared for all those things in short time frame, so you must be excellent in your communication. You have to help patients who are sometimes afraid to undergo things, so you have to be empathetic ... I think that if you talk about excellence, that you have to excell in all these areas’
FG2: ‘you need to follow your appointments, you must be attentive, alert, no
9 to 5 mentality ... So it is a lot more about attitude and basic human posture
Focus groups Consensus
Concept profile of the Excellent Allied Health Care professional
The Delphi panel consisted of - 29 respondents for survey 1
- 27 respondents for survey 2 (out of 35 contacted experts) (response of resp. 83% and 77%),
Inclusion criteria: he or she can be seen as an expert in the field of allied health care based on the following inclusion criteria: being an author of publications in the field of policy or research in allied health care, and/or considerable leadership qualities in their
specialty.
Delphi: the results – ronde 1 CVR( E ) Domein Ratio CVR - Past in Domein 3.13 [01] Communiceren 0,71 1,36
3.01 [1] Empathie tonen, in complexe situaties -0,07 1,39 0,86
3.01 [2] Nieuwe ideeën uitdragen 0,14 1,14 0,79 3.01 [3] Taalgebruik aanpassen aan de context 0,36 1,68 1,00 3.01 [4] Transparant zijn over het resultaat van het eigen professioneel handelen 0,71 1,21 0,64 3.13 [02] Doorzetten -0,29 0,87 3.02 [1] Enthousiasme en bevlogenheid voor de eigen professie tonen 0,07 0,64 0,36 3.02 [2] Nieuwsgierig zijn / leergierigheid tonen 0,57 0,75 0,43 3.02 [3] Volhardendheid /doorzettingsvermogen tonen 0,00 1,21 0,93 3.13 [05] Kennis nemen en delen 0,93 1,54 3.03 [1] Kennis delen binnen en buiten de eigen discipline 0,71 1,75 0,93 3.03 [2] Kennis hebben over een breed terrein (mono- en multidisciplinair) 0,43 1,68 0,93 3.03 [3] Netwerken, binnen en buiten de eigen discipline 0,00 1,18 0,57 3.13 [10] Zelfreflectie tonen 0,79 1,60 3.04 [1] Eigen grenzen kennen en bewaken 0,21 1,61 1,00 3.04 [2] Feedback omzetten in handelen 0,79 1,75 1,00 3.04 [3] Inzage in eigen handelen geven 0,57 1,43 0,79 3.13 [04] Innoveren 0,86 1,68 3.05 [1] Buiten kaders denken 0,57 1,79 0,93 3.05 [2] Creatieve alternatieven ontwikkelen (incl. protocol kunnen loslaten) 0,64 1,86 1,00 3.05 [3] Kansen benutten 0,36 1,39 0,86 3.13 [03] Initiëren 0,29 1,23 3.06 [1] Ideeën genereren 0,00 1,50 0,93
3.06 [2] Kansen creëren -0,07 1,46 0,93 3.06 [3] Leiderschap tonen door anderen gericht te stimuleren -0,21 0,61 0,36
3.06 [4] Proactief handelen 0,71 1,68 0,93 3.06 [5] Profileren van het beroep binnen en buiten de eigen organisatie 0,07 0,89 0,57 3.13 [07] Overzicht hebben in complexe situaties 0,71 1,69 3.07 [1] Effectief handelen door relevante informatie te integreren 0,71 1,71 1,00 3.07 [2] Efficiënt handelen in complexe situaties 0,57 1,54 1,00 3.07 [3] Hoofd- en bijzaken kunnen onderscheiden in complexe situaties 0,86 1,82 1,00 3.13 [08] Redeneren 0,57 1,70 3.08 [1] Complexe, nieuwe casuïstiek kunnen beredeneren 0,71 1,75 1,00 3.08 [2] Klinisch analyseren van complexe, nieuwe situaties 0,93 1,64 0,93 3.13 [06] Moed tonen -0,36 1,27 3.09 [1] Kritisch durven zijn (naar jezelf en naar anderen) 0,86 1,54 0,79
3.09 [2] Opkomen voor belangen van anderen -0,43 0,93 0,50 3.09 [3] Risico’s durven nemen -0,14 1,36 0,71
3.13 [09] Wetenschappelijk onderbouwen van de eigen praktijkvoering 0,79 1,77 3.10 [1] Eigen professioneel handelen kunnen verantwoorden 0,86 1,64 0,93 3.10 [2] Toepassen van de principes van 'Evidence based' handelen 0,79 1,79 0,93 3.10 [3] Zoeken en vinden van wetenschappelijke kennis 0,64 1,89 1,00
For an excellent AHCP, the following domains are an addition to the basic profile, and are essential to obtain the label 'excellent‘
Excellent AHCP Cognizing Cooperating Communica-ting Overlooking Underpinning Conclusion
An AHCP is a person who can act accurately in different, complex and new situations by using a set of particular competencies brought together.
Underpinning: Evidence based Practise is already a competency in
the curricula of the programmes of AGZ;
Result- and goal oriented are missing: why?
Master oriented: The difference between experts and excellent
professionals?
References:
Npi, Dutch Institute of Allied Health Care (2012). www.paramedisch.org
Council of Public Health and Health Care (2011). Competent = qualified: Innovative
education and training and new health care professions. The Hague: Raad voor
de Volksgezondheid en Zorg, www.rvz.net
Council of Public Health and Health Care (2010). Perspective on Health 20/20. The Hague: Raad voor de Volksgezondheid en Zorg, www.rvz.net
Courtney, M. (2005). The meaning of professional excellence for private practitioners in occupational therapy. Australian Occupational Therapy Journal, 52, 211-217 Mieg, H.A. (2009). Two factors of expertise? Excellence and professionalism of
environmental experts. High Ability Studies, 20, 91-115
Sonnentag, S. (2000). Excellent Performance: The Role of Communication and Cooperation Processes. Applied Psychology: An international review, 49, 483-497.
