世界卫生组织康复胜任力架构及其在康复领域的系统应用：理论架构、方法和应用领域

doi:10.3969/j.issn.1006-9771.2022.03.002

《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2022, Vol. 28 ›› Issue (3): 265-274.doi: 10.3969/j.issn.1006-9771.2022.03.002

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Systematic implementation of World Health Organization rehabilitation competency framework in rehabilitation: conceptual framework, approaches and application

QIU Zhuoying^1,^2,^3,⁴(),KWOK Joseph Kin Fun⁵,SUN Hongwei^1,²,WU Shicai⁴,LÜ Jun⁶,YAO Meilin⁷,WANG Guoxiang^1,⁸,QIU Fubing^1,⁹,LU Yan¹⁰,XU Guangxu¹¹,JI Linhong¹²,JING Qi^13,^14,¹⁵,CHEN Di⁴,HAO Chuanping¹⁶,LI Anqiao²,WANG Shaopu²,XIAO Xiaofei¹⁷()

1. WHO-FIC Collaborating Center in China, Beijing 100068, China
2. China Academy of ICF, Weifang, Shandong 261053, China
3. University of Health and Rehabilitation Science, Qingdao, Shandong 266071, China
4. China Rehabilitation Research Center, Beijing 100068, China
5. Hong Kong Fu Hong Society, Hong Kong 999077, China
6. School of Public Health, Fudan University, Shanghai 200433, China
7. Faculty of Psychology, Beijing Normal University, Beijing 100875, China
8. Physical Education and Sport School, Soochow University, Suzhou, Jiangsu 215031, China
9. College of Physical Education, Shenzhen University, Shenzhen, Guangdong 518060, China
10. China Research Center on the Sports of Persons with Disabilities, Beijing Sport University, Beijing 100085, China
11. School of Rehabilitation Medicine, Nanjing Medical University, Nanjing, Jiangsu 211166, China
12. Intelligent & Biomimetic Machinery, Department of Mechanical Engineering, Tsinghua University, Beijing 100084, China
13. The Innovation Center for Social Risk Prediction and Government in Health Sector of Shandong/Weifang Medical University, Weifang, Shandong 261053, China
14. China Academy of Rehabilitation and Health/Weifang Medical University, Weifang, Shandong 261053, China
15. School of Management, Weifang Medical University, Weifang, Shandong 261053, China
16. Special Education College, Beijing Union University, Beijing 100075, China
17. School of Rehabilitation Medicine, Binzhou Medical University, Yantai, Shandong 264003, China

Received:2022-03-11 Published:2022-03-25 Online:2022-03-31
Contact: QIU Zhuoying,XIAO Xiaofei E-mail:qiutiger@hotmail.com;xxf1013@126.com
Supported by:
Supported by World Health Organization Rehabilitation Competency Framework Translation Project

Abstract

Abstract: Objective To systematically analyze the World Health Organization Rehabilitation Competency Framework (RCF) theoretical framework, methodology and its application in the field of rehabilitation.Methods We systematically analyzed RCF conceptual framework and key characteristics, and discussed how to apply the RCF in the fields of human resource planning, education program and curriculum system, and vocational competency standards and certification criteria for rehabilitation human resources.Results The RCF encompasses five domains, naming practice, professionalism, learning and development, management and leadership, and research. Rehabilitation professionals' performance is the result of the interaction of their core values and beliefs, competencies, activities, knowledge, and skills. The RCF can be used to plan rehabilitation human resources, establish competency-based rehabilitation education programs and curriculum systems, and develop competency certification standards and licensure accreditation standards.Conclusion This study analyzed background, content and implementation framework of RCF, and systematically discussed the theories and methods related to how to use the RCF to construct national rehabilitation human resources development plans, develop rehabilitation education programs and curriculum systems based on the RCF, and establish certification and assessment standards for rehabilitation human resources.

Key words: rehabilitation competency, rehabilitation workforce, education programme and curriculum in rehabilitation accreditation, vocational competency accreditation and evaluation in rehabilitation

QIU Zhuoying, KWOK Joseph Kin Fun, SUN Hongwei, WU Shicai, LÜ Jun, YAO Meilin, WANG Guoxiang, QIU Fubing, LU Yan, XU Guangxu, JI Linhong, JING Qi, CHEN Di, HAO Chuanping, LI Anqiao, WANG Shaopu, XIAO Xiaofei. Systematic implementation of World Health Organization rehabilitation competency framework in rehabilitation: conceptual framework, approaches and application[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(3): 265-274.

Figures/Tables 9

References 25

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康复服务提供人员									类别	所在地区属性
康复相关机构二级医院、三级医院、社区医院、其他									类别	所在地区属性
总数	每万人康复人员数量	上岗率	人员数量	职业能力等级	康复设施	入职教育层次	教育培训后的层次	康复人员流动率	物理治疗师作业治疗师言语和语言治疗师听力学家假肢矫形师康复医师心理学家其他人员	教育机构数量	年均毕业生人数	是否有执业资格证书	毕业生能力等级	是否有教育专业认证	是否开展康复相关的教育和培训

课程设计	内容
临床问题	仰胸凸肚行走
康复胜任力领域	实践
康复胜任力内容	康复评定与干预
知识模块	外周损伤与步态分析
教学内容	臀大肌步态
教学目标与要求	评定与干预
学时	2
教学方法	参与式教学
学生任务	体验、评定、训练
评价反馈	实操评分

项目	目标
胜任力	分析问题,做出决策; 运动干预
行为	分析问题考虑个人、环境和健康因素; 整合多个信息源,通过沟通做出决策; 确定适合用户的干预方法
课程学习	知识：臀大肌无力评定、干预方案能力：沟通、识别不同的信息源,决策信仰和价值观：尊重、关爱、运动健康

项目	目标
活动	康复评定和运动干预
任务	评定患者步态状态;分析患者现有状态的渊源;研究确定适合患者的干预方法
课程学习	进行步态生物力学评定并制定干预方案;通过沟通和信息筛选,分析原因;尊重关爱患者,帮其理解和建立运动健康理念

项目		内容
基本信息		前言、致谢、词汇、摘要
背景		工作计划、关键问题
核心价值观与信念		康复8条
领域	胜任力-行为	5个领域。如有效沟通能力、康复评定能力
领域	活动-任务	5个领域。如有效沟通能力、康复评定能力
知识	核心知识	具体康复情景需求。如评定方法、评定操作
知识	专门活动的知识
技能	核心技能
技能	专门活动的技能

Systematic implementation of World Health Organization rehabilitation competency framework in rehabilitation: conceptual framework, approaches and application

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