华东三省市儿童康复治疗师胜任力及专业活动研究

doi:10.3969/j.issn.1006-9771.2024.07.003

Abstract

Abstract:

Objective To investigate the current situation of competency and professional activities of pediatric rehabilitation therapists in Jiangsu, Shanghai and Zhejiang.
Methods A questionnaire survey was conducted on 168 pediatric rehabilitation therapists in Jiangsu, Shanghai and Zhejiang, from December, 2022 to February, 2023, and the general information and the competency were obtained. A total of 35 pediatric rehabilitation therapists were interviewed one-on-one, from October, 2022 to January, 2023, using thematic framework.
Results A total of 162 effective questionnaires were collected. The level of competency of pediatric rehabilitation therapists was (3.44±0.87); and it was higher in professional literacy (3.90±0.77) and practice (3.83±0.77), and lower in management and leadership (2.92±1.44), and research (2.14±1.64). Latent class analysis showed that the therapists could be divided into four categories, of which the "medium competency" accounted for the most proportion (34.57%), and "low learning and research" was the least (8.64%). The interviews identified problems of competency such as maintaining communication with children's families and managing self-professional development.
Conclusion Self-reported rehabilitation competency levels of pediatric rehabilitation therapists in three provinces and cities are above three points in all four dimensions, except for the management and leadership dimension, where the score is below three points.

Key words: pediatric rehabilitation therapist, rehabilitation competency framework, latent class analysis, competency, professional activities

CLC Number:

CHEN Lanqing, LÜ Jun, WANG Xiaoqian, ZHENG Hongying, SHAO Ping, WANG Anni, SUN Mei, CHEN Gang. Competency and professional activities of pediatric rehabilitation therapists in three provinces/cities of East China[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(7): 760-767.

Figures/Tables 5

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Table 4

Figure 1

References 26

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项目		n	项目		n
性别	男	30	从业年限	< 3年	53
	女	132		3~9年	85
最高学历	专科	23		≥ 10年	24
	本科	120	年龄	21~30岁	114
	硕士及以上	19		31~40岁	44
职称	无职称	28		41~50岁	4
	初级	101	工作单位性质	公立机构	91
	中级及以上	33		民办机构	71

项目		n	项目		n
性别	男	8	治疗师类型	物理治疗师	8
	女	27		作业治疗师	7
最高学历	专科	8		言语语言治疗师	11
	本科	27		感觉统合治疗师	9
职称	初级士	9	从业年限	< 3年	14
	初级师	21		3~9年	19
	中级	5		≥ 10年	2

领域	专业活动	均值	标准差
实践		3.83	0.77
	A1儿童档案等的规范书写和保存	3.79	0.96
	A2进行康复评估	4.09	0.76
	A3制定和调整干预计划	4.16	0.78
	A4实施康复干预	3.54	1.07
	A5保持与儿童家庭的沟通	4.03	0.85
	A6转介、离训及随访	3.36	1.18
管理与领导力		2.92	1.44
	B1管理康复团队	2.66	1.69
	B2管理康复服务提供	3.11	1.50
	B3监测和评估康复服务提供情况	2.99	1.55
专业精神		3.90	0.77
	C1一般性职责	3.95	0.74
	C2获得知情同意	3.99	0.80
	C3采取质量改进措施	3.85	1.05
	C4参与团队讨论	3.80	1.16
学习与发展		3.40	1.22
	D1管理自我专业发展	3.49	1.29
	D2同伴教育和培训他人	3.31	1.32
研究		2.14	1.64
	E1设计和实施科学研究	2.41	1.76
	E2传播和分享研究证据	1.87	1.73

类数	Loglikelihood	AIC	BIC	aBIC	Entropy	LMR	BLRT
1	-4273.42	8614.84	8719.82	8612.18	-	-	-
2	-3705.94	7515.88	7676.43	7511.81	0.95	0.00	0.00
3	-3560.21	7260.41	7476.55	7254.94	0.95	0.18	0.00
4	-3348.14	6872.28	7143.99	6865.40	0.99	0.16	0.00
5	-3303.73	6819.45	7146.74	6811.16	0.97	0.56	0.00

Competency and professional activities of pediatric rehabilitation therapists in three provinces/cities of East China

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