The effectiveness and impact on performance of pharmacy-related competency development frameworks: A systematic review and meta-analysis.

Competency frameworks Competency-based education Health professions education Pharmacy Professional development

Journal

Research in social & administrative pharmacy : RSAP
ISSN: 1934-8150
Titre abrégé: Res Social Adm Pharm
Pays: United States
ID NLM: 101231974

Informations de publication

Date de publication:
10 2021
Historique:
received: 28 10 2020
revised: 25 01 2021
accepted: 06 02 2021
pubmed: 21 2 2021
medline: 22 9 2021
entrez: 20 2 2021
Statut: ppublish

Résumé

Competency frameworks for education, training and development are widely used in the health professions, including pharmacy. Published studies suggest that competency frameworks have an impact on professional performance. Professional performance that is consistent with up-to-date knowledge and skills influences health care quality and patient safety. This review assessed the effectiveness of competency frameworks in facilitating improvement in pharmacists' performance. PubMed/Medline, CINAHL, Embase, ERIC, PsycINFO and Scopus electronic databases were searched to identify relevant literature. The findings of the included studies were synthesised qualitatively, and via a meta-analysis. The meta-analysis evaluated the odds of improved competency behaviour as a proxy measure of impact on pharmacists' performance. Study quality was assessed using 12 criteria adapted from the EPPI-Centre guidelines v0.9.7. The protocol for this review is registered on PROSPERO with reference number CRD42018096580. In total, nine interventional studies were identified for review. The review findings showed observable and significant improvement in pharmacists' performance when competency frameworks are used to appraise performance, identify knowledge gaps, and tailor learning activities. A meta-analysis that involved a total of 348 pharmacists undergoing repeat peer assessment showed pooled odds for improved competency behaviour of 4.41 (95% CI: 1.89-10.29, I These findings suggest competency frameworks facilitate improvement in pharmacists' performance; however, further evaluative studies are needed.

Sections du résumé

BACKGROUND
Competency frameworks for education, training and development are widely used in the health professions, including pharmacy. Published studies suggest that competency frameworks have an impact on professional performance. Professional performance that is consistent with up-to-date knowledge and skills influences health care quality and patient safety. This review assessed the effectiveness of competency frameworks in facilitating improvement in pharmacists' performance.
METHOD
PubMed/Medline, CINAHL, Embase, ERIC, PsycINFO and Scopus electronic databases were searched to identify relevant literature. The findings of the included studies were synthesised qualitatively, and via a meta-analysis. The meta-analysis evaluated the odds of improved competency behaviour as a proxy measure of impact on pharmacists' performance. Study quality was assessed using 12 criteria adapted from the EPPI-Centre guidelines v0.9.7. The protocol for this review is registered on PROSPERO with reference number CRD42018096580.
RESULTS
In total, nine interventional studies were identified for review. The review findings showed observable and significant improvement in pharmacists' performance when competency frameworks are used to appraise performance, identify knowledge gaps, and tailor learning activities. A meta-analysis that involved a total of 348 pharmacists undergoing repeat peer assessment showed pooled odds for improved competency behaviour of 4.41 (95% CI: 1.89-10.29, I
CONCLUSION
These findings suggest competency frameworks facilitate improvement in pharmacists' performance; however, further evaluative studies are needed.

Identifiants

pubmed: 33608245
pii: S1551-7411(21)00068-1
doi: 10.1016/j.sapharm.2021.02.008
pii:
doi:

Types de publication

Journal Article Meta-Analysis Review Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1685-1696

Informations de copyright

Copyright © 2021 Elsevier Inc. All rights reserved.

Auteurs

Arit Udoh (A)

College of Medical and Dental Sciences, University of Birmingham, Heritage Building ITM, B15 2TH, Birmingham, United Kingdom; Workforce Development Hub, International Pharmaceutical Federation, Andries Bickerweg 5, 2517, JP, The Hague, Netherlands. Electronic address: a.e.udoh@bham.ac.uk.

Andreia Bruno-Tomé (A)

Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Parkville Campus, Melbourne, Australia; Workforce Development Hub, International Pharmaceutical Federation, Andries Bickerweg 5, 2517, JP, The Hague, Netherlands. Electronic address: andreia.bruno@monash.edu.

Desak Ketut Ernawati (DK)

Department of Pharmacology and Therapy, Universitas Udayana, Denpasar, Bali, 80234, Indonesia; Workforce Development Hub, International Pharmaceutical Federation, Andries Bickerweg 5, 2517, JP, The Hague, Netherlands. Electronic address: dernawati@gmail.com.

Kirsten Galbraith (K)

Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Parkville Campus, Melbourne, Australia; Workforce Development Hub, International Pharmaceutical Federation, Andries Bickerweg 5, 2517, JP, The Hague, Netherlands. Electronic address: kirstie.galbraith@monash.edu.

Ian Bates (I)

University College London School of Pharmacy, UCL-FIP Collaborating Centre, WC1N 1AX, London, United Kingdom; Workforce Development Hub, International Pharmaceutical Federation, Andries Bickerweg 5, 2517, JP, The Hague, Netherlands. Electronic address: i.bates@ucl.ac.uk.

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Classifications MeSH