Diskuze v psychologii 2021, 3(2):43-53 | DOI: 10.5507/dvp.2021.007

Necessary steps in developing a valid competency model for emergency medicine professionals

Zuzana Kaššaiová
Ústav experimentálnej psychológie, CSPV, Slovenská akadémia vied, Dúbravská cesta 9, 841 01 Bratislava, Slovensko

During the past few years, there has been a growing interest in competencies and competency models for healthcare professionals. However, relatively few studies have focused on the necessary competencies for emergency medical services (EMS) professionals. Moreover, there is a lack of clarity on core competencies for EMS professionals. Therefore, we provide some insight into competencies and existing competency models for EMS, inform about possible strategies for developing a competency model for EMS professionals, and consider the possible benefits and drawbacks of using particular methods. This article offers a detailed theoretical framework, sets out the benefits of the concept as well as a critique, and possible implications for EMS.

Keywords: competencies; competency model; paramedics; emergency medical service

Received: August 12, 2021; Revised: December 4, 2021; Accepted: December 31, 2021; Prepublished online: December 31, 2021; Published: March 22, 2023  Show citation

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Kaššaiová Z. Necessary steps in developing a valid competency model for emergency medicine professionals. Diskuze v psychologii. 2021;3(2):43-53. doi: 10.5507/dvp.2021.007.
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    References

    1. AlShammari, T., Jennings, P. A., & Williams, B. (2018). Emergency medical services core competencies: A scoping review. Health Professions Education, 4(4), 245-258. https://doi.org/10.1016/j.hpe.2018.03.009 Go to original source...
    2. Andersson, H., Lindholm, M., Pettersson, M., & Jonasson, L. L. (2017). Nurses' competencies in home healthcare: An interview study. BMC Nursing, 16(1), 2-8. https://doi.org/10.1186/s12912-017-0264-9 Go to original source...
    3. Ashworth, P. D., & Saxton, J. (2006). On 'competence'. Journal of Further and Higher Education, 14(2), 3-25. https://doi.org/10.1080/0309877900140201 Go to original source...
    4. Bernard, T., & Flitman, A. (2002). Using Repertory Grid Analysis to Gather Qualitative Data for Information Systems Research. Proceedings of the 15th Australasian Conference on Information Systems (ACIS), Melbourne, Australia. https://aisel.aisnet.org/acis2002/98
    5. Bolden, R., & Gosling, J. (2014). Leadership competencies: Time to change the tune? Leadership, 2(2), 146-163. https://doi.org/10.1177/1742715006062932 Go to original source...
    6. Bott, G., & Tourish, D. (2016). The critical incident technique reappraised. Using critical incidents to illuminate organizational practices and build theory. Qualitative Research in Organizations and Management: An International Journal, 11(4), 276- 300. http://dx.doi.org/10.1108/QROM-01-2016-1351 Go to original source...
    7. Bound, H. I., & Lin, M. (2013). Developing competence at work. Vocations and Learning, 6(3), 403-420. https://doi.org/10.1007/s12186-013-9102-8 Go to original source...
    8. Brunton, M., & Jeffrey, L. (2010). Using the critical incident technique for triangulation and elaboration of communication management competencies communication management competencies. Journal of Vocational Education and Training, 62(3), 239-255. https://doi.org/10.1080/13636820.2010.499475 Go to original source...
    9. Butterfield, L. D., Borgen, W. A., Amundson, N. E., & Maglio, A. S. T. (2005). Fifty years of the critical incident technique: 1954-2004 and beyond. Qualitative Research, 5(4), 475-497. https://doi.org/10.1177/1468794105056924 Go to original source...
    10. Byrne, M. (2001). Critical incident technique as a qualitative research method. AORN Journal, 74(4), 536-539. https://doi.org/10.1016/s0001-2092(06)61688-8 Go to original source...
    11. Calhoun, J. G., Dollett, L., Sinioris, M. E., Wainio, J. A., Butler, P. W., Griffith, J. R., & Rice, T. (2008). Development of an interprofessional competency model for healthcare leadership. Journal of Healthcare Management, 53(6), 375. https://doi.org/10.1097/00115514-200811000-00006 Go to original source...
    12. Campion, M. A., & Odman, R. B. (2011). Doing competencies well: Best practices in competency modeling. Personnel Psychology, 64, 225-262. https://doi.org/10.1111/ j.1744-6570.2010.01207.x Go to original source...
    13. Chang, S., Waid, E., Martinec, D. V, Zheng, B., & Swanstrom, L. L. (2008). Verbal communication improves laparoscopic team performance. Surgical Innovation, 15(2), 143-147. https://doi.org/10.1177/1553350608318452 Go to original source...
    14. Chen, H., & Naquin, S. S. (2006). An integrative model of competency development, training design, assessment. Advances in Developing Human Resources, 8(2), 265-282. https://doi.org/10.1177/1523422305286156 Go to original source...
    15. Chitsabesan, P., Corbett, S., Walker, L., Spencer, J., & Barton, J. R. (2006). Describing clinical teachers' characteristics and behaviours using critical incidents and repertory grids. Medical Education, 40(7), 645-653. https://doi.org/10.1111/j.1365-2929.2006.02510.x Go to original source...
    16. Chouhan, V. S., & Sristava, S. (2014). Understanding competencies and competency modeling - A literature survey. Journal of Business and Managment, 16(1), 14-22. https://doi.org/ 10.9790/487X-16111422 Go to original source...
    17. Cooper, S., Cant, R., Porter, J., Sellick, K., Somers, G., Kinsman, L., & Nestel, D. (2010). Rating medical emergency teamwork performance: Development of the team emergency assessment measure (TEAM). Resuscitation, 81(4), 446-452. https://doi.org/ 0.1016/j.resuscitation.2009.11.027. Go to original source...
    18. Crowe, R. P., Wagoner, R. L., Rodriguez, S. A., Bentley, M. A., & Page, D. (2017). Defining Components of Team Leadership and Membership in Prehospital Emergency Medical Services. Prehospital Emergency Care, 21(5), 645-651. https://doi.org/ 10.1080/10903127.2017.1315200 Go to original source...
    19. Daouk-Öyry, L., Mufarrij, A., Khalil, M., Sahakian, T., Saliba, M., Jabbour, R., & Hitti, E. (2017). Nurse-led competency model for emergency physicians: A qualitative study. Annals of Emergency Medicine, 70(3), 357-362. https://doi.org/10.1016/j.annemergmed.2016.11.023 Go to original source...
    20. Englander, R., Cameron, T., Ballard, A. J., Dodge, J., Bull, J., & Aschenbrener, C. A. (2013). Toward a common taxonomy of competency domains for the health professions and competencies for physicians. Academic Medicine, 88(8), 1088-1094. https://doi.org/10.1097/acm.0b013e31829a3b2b. Go to original source...
    21. Flanagan, J. C. (1954). The critical incident technique. Psychological Bulletin, 51(4), 327-358. https://doi.org/10.1037/h0061470 Go to original source...
    22. Flin, R., O'Connor, P., & Crichton, M. (2008). Safety at the sharp end a guide to non-technical skills. England, Aberdeen: Ashgate Publishing.
    23. Fridlund, B., Henricson, M., & Mårtensson, J. (2017). Critical incident technique applied in nursing and healthcare sciences. Nursing Health Care, 3(1), 1-5. https://doi.org/10.15226/ 2471-6529/3/1/00125 Go to original source...
    24. Glavin, R. J., & Maran, N. J. (2003). Integrating human factors into the medical curriculum. Medical Education. Medical Education, 37(1), 59-64. https://doi.org/10.1046/j.1365-2923.37.s1.5.x Go to original source...
    25. Graber, J. M., & Rothwell, W. J. (2010). Competency modeling: The basics of identifying competencies. In W. J. Rothwell & J. M. Graber (Eds.), Competency-Based Training Basics (ASTD Training Basics Series) (pp. 107-134). ASTD Press.
    26. Hair, N., Rose, S., & Clark, M. (2009). Using qualitative repertory grid techniques to explore perceptions of business-to-business online customer experience. Journal of Customer Behavior, 8(1), 51-65. https://doi.org/10.1362/147539209X414380. Go to original source...
    27. Holden, R. J., & Karsh, B.-T. (2007). A Review of Medical Error Reporting System Design Considerations and a Proposed Cross-Level Systems Research Framework. Human Factors: The Journal of the Human Factors and Ergonomics Society, 49(2), 257-276. https://doi.org/10.1518/001872007X312487. Go to original source...
    28. Hughes, H. (2007). Critical incident technique. In S. Lipu, K. Williamson, & A. Lloyd (Eds.), Exploring methods in information literacy research (pp. 49-66). Centre for Information Studies, Charles Sturt University. Go to original source...
    29. Isik, O., Bayin, G., & Ugurluoglu, O. (2016). Reflection of medical error highlighted on media in Turkey: A retrospective study. Pakistan Journal of Medical Science, 32(5), 1224-1228. https://doi.org/10.12669/pjms.325.10042 Go to original source...
    30. Jankowicz. (2005). The easy guide to repertory grids. Willey.
    31. Kvas, A., Seljak, J., & Stare, J. (2013). The use of competency models to assess leadership in nursing. Iranian Journal of Public Health, 42(9), 988-995.
    32. Lederman, R., Dreyfus, S., Matchan, J., Knott, J. C., & Milton, S. K. (2013). Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors. Nursing Outlook, 61(6), 417-26. https://doi.org/10.1016/ j.outlook.2013.04.008 Go to original source...
    33. Lim, C., Han, H., Hong, J., & Kang, Y. (2016). Competency modeling for doctor of Korean medicine and application plans. Journal of Korean Medicine, 37(1), 101-113. https://doi.org/10.13048/jkm.16010 Go to original source...
    34. Mansouri, S. F., Mohammadi, T. K., Adib, M., Lili, E. K., & Soodmand, M. (2019). Barriers to nurses reporting errors and adverse events. British Journal of Nursing, 28(11), 690-695. https://doi.org/ 10.12968/bjon.2019.28.11.690 Go to original source...
    35. Marrelli, A. F., Tondora, J., & Hoge, M. A. (2005). Strategies for developing competency models. Administration and Policy in Mental Health, 32(5-6), 533-561. https://doi.org/10.1007/s10488-005-3264-0. Go to original source...
    36. McClelland, D. C. (1973). Testing for competence rather than for "intelligence". The American Psychologist, 28(1), 1-14. https://doi.org/10.1037/h0034092 Go to original source...
    37. McClelland, D. C. (1998). Identifying Behavioral-Event Interviews. Psychological Science, 9(5), 331-339. https://doi.org/10.1111/1467-9280.00065 Go to original source...
    38. Megahed, N. (2018). A critical review of the literature and practice of competency modelling. Human Resource Development Review, 12(1), 104-126. https://doi.org/10.18502/kss.v3i10.3106 Go to original source...
    39. Mulder, M. (2011). The concept of competence: blessing or curse? In Torniainen, S.,Mahlamäku-Kultanen, P. Nokelainen & P. Ilsley (Eds). (2011). Innovations for Competence Management (pp. 11-24). Lahti: Lahti University of Applied Sciences.
    40. Napier, N. P., Keil, M., & Tan, F. B. (2009). IT project managers' construction of successful project management practice: A repertory grid investigation. Information Systems Journal, 19(3), 255-282. https://doi.org/10.1111/ j.1365-2575.2007.00264.x Go to original source...
    41. Nariadenie vlády Slovenskej republiky o odbornej spôsobilosti na výkon zdravotníckeho povolania, spôsobe ďalšieho vzdelávania zdravotníckych pracovníkov, sústave špecializačných odborov a sústave certifikovaných pracovných činností. Ministerstvo zdravotníctva Slovenskej Republiky. Retrieved from http://www.zakonypreludi.sk/zz/2010-296.
    42. Reed, J. (1994). Phenomenology without phenomena: a discussion of the use of phenomenology to examine expertise in long-term care of elderly patients. Journal of Advanced Nursing, 19(9), 336-341. https://doi.org/10.1111/j.1365-2648.1994.tb01089.x Go to original source...
    43. Sandberg, J. (2000). Understanding human competence at work: An interpretative approach. Academy of Management Journal, 43(1), 9-25. https://doi.org/10.2307/1556383. Go to original source...
    44. Sarvadikar, A., Prescott, G., & Williams, D. (2010). Attitudes to reporting medication error among differing healthcare professionals. European Journal of Clinical Pharmacolpgy, 66, 843-853. https://doi.org/10.1007/s00228-010-0838-x Go to original source...
    45. Sedlár, M. (2018). Situation assessment and decision making strategies of emergency medical services physicians in routine and non-routine situations. Studia Psychologica, 59(2), 127-138. https://doi.org/10.21909/sp.2017.02.735 Go to original source...
    46. Sedlár, M. (2020).Cogntiive skills of emergency medical services crew members: a literature review. BMC Emergency Medicine, 20(1), 20-44. https://doi.org/10.1186/ s12873-020-00330-1 Go to original source...
    47. Sekerka, L. E., & Chao, J. (2003). Peer coaching as a technique to foster professional development in clinical ambulatory settings. Journal of Continuing Education in Health Profession, 23(1), 30-37. https://doi.org/10.1002/chp.1340230106. Go to original source...
    48. Senior, B. (1997). Team performance: Using repertory grid technique to gain a view from the inside. Team Performance Management: An International Journal, 3(1), 33-39. https://doi.org/10.1108/13527599710171264 Go to original source...
    49. Sharoff, L. (2008). Critique of the critical incident technique. Journal of Research in Nursing, 13(4), 301-309. https://doi.org/10.1177/1744987107081248 Go to original source...
    50. Shields, A., & Flin, R. (2013). Paramedics' non-technical skills: A literature review. Emergency Medicine Journal, 30(5), 350-354. https://doi.org/10.1136/emermed-2012-201422 Go to original source...
    51. Schultz, C. H., Koenig, K. L., Whiteside, M., & Murray, R. (2012). Development of national standardized all-hazard disaster core competencies for acute care physicians, nurses, and EMS professionals. Annals of Emergency Medicine, 59(3), 196-208. https://doi.org/10.1016/j.annemergmed.2011.09.003 Go to original source...
    52. Simmons, D.R., & Martin, J. P. (2010). Use of the critical incident technique for qualitative research in engineering education: An example from a grounded theory study [Paper presentation]. Conference: the 2010 American Society for Engineering Education Annual Conference and Exhibition, Louisville, Kentucky.
    53. Spencer, L. M. & Spencer, S. M. (1993). Competence at work: Models for superior performance. John Wiley & Sons, Inc.
    54. Stefl, M. E. (2008). Common competencies for all healthcare managers: The healthcare leadership alliance model. Journal of Healthcare Management, 53(6), 360-373. https://doi.org/10.1097/00115514-200811000-00004. Go to original source...
    55. Stevens, G. W. (2013). A critical review of the science and practice of competency modeling. Human Resource Development Review, 12(1), 86-107. https://doi.org/10.1177/1534484312456690 Go to original source...
    56. Sunshine, J. E., Meo, N., Kassebaum, N. J., Collison, M. L., Mokdad, A. H., & Naghavi, M. (2019). Association of Adverse Effects of Medical Treatment With Mortality in the United States: A Secondary Analysis of the Global Burden of Diseases, Injuries, and Risk Factors Study. JAMA network open, 2(1), e187041. https://doi.org/10.1001/jamanetworkopen.2018.7041 Go to original source...
    57. Talbot, M. (2004). Monkey see, monkey do: A critique of the competency model in graduate medical education. Medical Education, 38(6), 587-592. https://doi.org/10.1046/ j.1365-2923.2004.01794.x Go to original source...
    58. Tian, J.-Q., Miao, D., Xu, Y., & Yang, Y. (2009). The leadership competency modeling of military academy cadets. Social Behavior and Personality: An International Journal, 37(4), 525-538. https://doi.org/10.2224/sbp.2009.37.4.525 Go to original source...
    59. Uhrecký, B., Gurňáková, J., & Marcinechová, D. (2021). 'We ought to be professionals': Strategies of intrapersonal and interpersonal emotion regulation of emergency medical services professionals in confrontation with the death of a newborn in simulated task. Qualitative Health Research, 31(13), 2364-2377. https://doi.org/10.1177/10497323211037644 Go to original source...
    60. Ulrich, D., Brockbank, W., Yeung, A. K., & Lake, D. G. (1995). Human resource competencies: An empirical assessment. Human Resource Managment, 34(4), 473- 495. https://doi.org/10.1002/hrm.3930340402 Go to original source...
    61. von Vopelius-Feldt, J., & Benger, J. (2014). Who does what in prehospital critical care? An analysis of competencies of paramedics, critical care paramedics and prehospital physicians. Emergency Medicine Journal, 31(12), 1009-1013. http://dx.doi.org/10.1136/emermed-2013-202895 Go to original source...
    62. Walter, D. (2000). Competency-based on-the-job training for aviation maintenance and inspection a human factors approach. International Journal of Industrial Ergonomics, 26(2), 249-259. https://doi.org/10.1016/s0169-8141(99)00069-4 Go to original source...
    63. Yu-Ren, Tzu-Ting, Cheng-Yu. (2017). A review of applications of the repertory grid technology in research on education and educational psychology. Academia Journal of Educational Research, 5(8), 110-115. https://doi.org/10.15413/ajer.2017.0316. Go to original source...
    64. Zákon o poskytovateľoch zdravotnej starostlivosti, zdravotníckych pracovníkoch, stavovských organizáciách v zdravotníctve a o zmene a doplnení niektorých zákonov. Ministerstvo zdravotníctva Slovenskej Republiky. Retrieved from http://www.zakonypreludi.sk/zz/2004-578.

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