中国物理治疗师胜任特征模型的探索性研究

doi:10.3969/j.issn.1006-9771.2021.03.016

Abstract

Abstract: Objective

To construct the competency model of physical therapists in China.

Methods

A set of physical therapists' competency elements was established based on literature review and expert interviews. A questionnaire was designed based on the set, and 641 rehabilitation practitioners were investigated (521 valid questionnaires returned) with the questionnaire. Exploration factor analysis was used to construct the competency model of physical therapists, and confirmatory factor analysis was used to confirmed.

Results

The set of physical therapists' competency elements included 74 elements in four dimensions. There were 44 competency elements in the competency model of physical therapists, including five dimensions that were Professionalism and Moral Conduct, Knowledge and Skills of Evaluation and Intervention, Abilities of Educational-Research and Advocate, Abilities of Cooperation and Management, and Basic Knowledge of Discipline, covering 74.41% of the total variance. The Cronbach's α coefficient of the whole questionnaire and each dimension was more than 0.8. Model fitness indexes of confirmatory factor analysis were as follow: χ²/df = 2.340, Root Mean Square Error of Approximation = 0.060, Goodness of Fit Index = 0.746, Normed Fit Index = 0.811, Incremental Fit Index = 0.850, Comparative Fit Index = 0.850.

Conclusion

The competency model can provide a basis for physical therapists to become independent occupation, as well as for the education, selection, evaluation of physical therapists in China.

Key words: physical therapist, competency model, exploration factor analysis

CLC Number:

R192.9

Dun-wu XIAO,Nan CHEN,Yong WANG,Zhuo-ying QIU,Li-qi YI,Ping ZHU. Competency Model of Physical Therapists in China: An Exploratory Research[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(3): 341-348.

Figures/Tables 6

References 37

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变量名	分类	n	%
性别	男	310	59.5
	女	211	40.5
从事物理治疗工作的年限	≤ 5年	35	6.7
	6~10年	234	44.9
	11~20年	180	34.5
	≥ 21年	72	13.8
职称	治疗师	204	39.2
	主管治疗师	175	33.6
	副主任治疗师及以上	98	18.8
	其他	44	8.4
最高学历	大专	47	9.0
	本科	292	56.0
	硕士	126	24.2
	博士	34	6.5
	其他	22	4.3

访谈对象编号	N₁	N₂	M	CA
合计	248	244	168	0.75
1	42	41	30	0.72
2	58	47	39	0.74
3	50	49	35	0.71
4	68	76	55	0.76
5	30	31	26	0.85
6	试编码，不适用

领域	要素
知识	基础医学、临床医学、相关专业、康复医学、康复评定、物理治疗、临床康复、传统医学、伦理学、法律法规、服务规范与行为准则、岗位职责、制度与政策、社会科学
技能	搜集患者相关资料、制定功能评估计划、实施功能评估、调整评估内容、功能诊断、制定干预计划、知情同意、实施功能干预、核实潜在病情、评估干预效果、调整干预计划、终止治疗、病历书写与病案编码
能力	患者宣教、教学、授课技巧及准备、公众宣教、管理自己、平衡各项工作、组织管理、财务管理(含计费)、环境和设备管理、管理安全、质量控制与改进、评估自我、提高专业水平、推动专业发展、科研、创新、循证实践、信息技术应用、规划、文档书写、激励患者、信息搜集、外语、分析思考、交流沟通、合作意识、处理人际关系、咨询筛查
特质或动机	理解和尊重差异、追求卓越、社会责任感、慈悲(有同情心)、热爱本专业、爱岗敬业、利他精神、正直、诚实守信、奉献精神、正确的价值观、自信、灵活性、责任心、勤劳、好的性格、职业道德、虚心好学、及时改正身上的缺点

题号	因子1	题号	因子2	题号	因子3	题号	因子4	题号	因子5
I4.7	0.803	I2.4	0.818	I3.15	0.726	I3.21	0.700	I1.8	0.705
I4.6	0.786	I2.2	0.801	I3.28	0.709	I3.23	0.623	I1.2	0.681
I4.9	0.785	I2.3	0.799	I3.1	0.652	I3.8	0.529	I1.4	0.630
I4.10	0.733	I2.5	0.781	I3.18	0.611			I1.15	0.617
I4.4	0.730	I2.6	0.773	I3.3	0.596			I1.3	0.566
I4.19	0.725	I2.7	0.746	I3.4	0.585
I4.8	0.724	I2.9	0.746	I3.2	0.514
I4.5	0.699	I2.8	0.742
I4.12	0.698	I2.1	0.740
I4.3	0.691	I1.5	0.719
I4.16	0.689	I1.6	0.601
I4.20	0.654
I4.15	0.647
I4.17	0.626
I4.18	0.610
I4.1	0.599
I4.2	0.596
I3.13	0.517
特征值	26.045		2.720		1.833		1.102		1.039
方差贡献率(%)	25.074		21.974		11.308		8.099		7.951
累计方差贡献率(%)	25.074		47.048		58.355		66.454		74.410
Cronbachα系数	0.971		0.972		0.896		0.840		0.868

[1]	LIN Xingru,ZHAO Yingzhe,LIU Ya,SUN Shuyue,GUO Peiwu,WU Fang,OUYANG Xiaoyao,JING Qi,ZHANG Jianhua. Comparative study of physical therapist allocation, education and training, and professional accreditation system in East Asia [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(11): 1334-1341.
[2]	DENG Xue, DENG Huan, YU Le-hua, Ip Wing-Yuk. Certified Hand Therapist Exam and Credential System of the United States: Introduction and Implication [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(4): 488-493.
[3]	XIAO Dun-wu1,2,3,4,5, WANG Yong4,5, YI Li-qi4,5. Research Status of Competency for Physical Therapist (review) [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2016, 22(2): 168-171.
[4]	ZHANG Bao-feng;LUO Su-ying. Situation and Development of Technology Literacy of Physical Therapist in China [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2009, 15(02): 199-200.

Competency Model of Physical Therapists in China: An Exploratory Research

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拟合指标	数值
χ²	2089.42
df	893
χ²/df	2.34
GFI	0.746
NFI	0.811
IFI	0.85
CFI	0.85
RMSEA	0.06