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Nontechnical Competency Framework for Health Professionals in All-Hazard Emergency Environment: A Systematic Review

Published online by Cambridge University Press:  07 February 2020

Xuejun Hu ,
Changnan He ,
Huoliang Chen ,
Shu Liu ,
Wenqiang Li ,
Zhou Lu ,
Jieqiong Zhang  and
Min Yu
Xuejun Hu
Affiliation:
Department of Health Services Administration, Air Force Medical University, Xi’an, China
Changnan He
Affiliation:
Fangshan Liangxiang Hospital, Beijing, China
Huoliang Chen
Affiliation:
Department of Health Services Administration, Air Force Medical University, Xi’an, China
Shu Liu
Affiliation:
Department of Health Services Administration, Academy of Military Medical Sciences, Beijing, China
Wenqiang Li
Affiliation:
Department of Health Services Administration, Academy of Military Medical Sciences, Beijing, China
Zhou Lu
Affiliation:
Department of Health Services Administration, Air Force Medical University, Xi’an, China
Jieqiong Zhang
Affiliation:
Department of Health Services Administration, Air Force Medical University, Xi’an, China
Min Yu*
Affiliation:
Department of Health Services Administration, Academy of Military Medical Sciences, Beijing, China
*
Correspondence and reprint requests to Min Yu, No. 27 Taiping Road, Beijing, China100850 (e-mail: yumin@bmi.ac.cn).
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Abstract

Objectives:

To summarize characteristics and commonalities of non-technical competency frameworks for health professionals in emergency and disaster.

Methods:

An electronic literature search was conducted in PubMed, MEDLINE, ERIC, Scopus, Cochrane database, and Google Scholar to identify original English-language articles related to development, evaluation or application of the nontechnical competency frameworks. Reviewers assessed identified articles for exclusion/inclusion criteria and abstracted data on study design, framework characteristics, and reliability/validity evidence.

Results:

Of the 9627 abstracts screened, 65 frameworks were identified from 94 studies that were eligible for result extraction. Sixty (63.8%) studies concentrated on clinical settings. Common scenarios of the studies were acute critical events in hospitals (44;46.8%) and nonspecified disasters (39;41.5%). Most of the participants (76; 80.9%) were clinical practitioners, and participants in 36 (38.3%) studies were multispecialty. Thirty-three (50.8%) and 42 (64.6%) frameworks had not reported evidence on reliability and validity, respectively. Fourteen of the most commonly involved domains were identified from the frameworks.

Conclusions:

Nontechnical competency frameworks applied to multidisciplinary emergency health professionals are heterogeneous in construct and application. A fundamental framework with standardized terminology for the articulation of competency should be developed and validated so as to be accepted and adapted universally by health professionals in all-hazard emergency environment.

Keywords

disaster medicinehealth emergencynontechnical competency
Type
Systematic Review
Information
Disaster Medicine and Public Health Preparedness , Volume 15 , Issue 2 , April 2021 , pp. 255 - 265
Copyright
Copyright © 2020 Society for Disaster Medicine and Public Health, Inc.

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