Dr.Juliana Thompson
Northumbria University, UK
Title: Development of a Workforce Competency Framework for Older People with Complex Needs (EnCOP)
Biography
Biography: Dr.Juliana Thompson
Abstract
Statement of the Problem: Health and social services are challenged to meet the care needs of increasing numbers of older people who are highly dependent, have complex conditions, have limited functional reserve, and require end-of-life care. Providing high quality care for older people requires a highly competent workforce. Researchers have reported that currently, the workforce is not adequately proficient. A multi-disciplinary, multi-sector ‘Pathways of Care’ team was set up to identify competencies required for a skilled workforce. The team commissioned this study to develop understanding of required competencies of the workforce caring for older people, develop a workforce competency framework for Enhanced Care for Older people with Complex Needs (EnCOP), develop understanding of priority areas for development by mapping staff against the EnCOP framework, and develop understanding of capacity, capability and agreement for cross-system workforce development. Methodology and Theoretical Orientation: A mixed methods study informed by collaborative action research was undertaken. Thematic analysis of focus groups with staff working in health, social and voluntary sector services informed understanding of the required competencies. This, together with analyses of existing workforce competency research literature and discussions with the ‘Pathways of Care’ team informed development of the EnCOP framework. SSPS statistical analysis of surveys and practice observations, and qualitative thematic analysis of stakeholder focus groups and workshops informed a competency gap analysis. Findings: A standardised, integrated competency framework working across sectors and professions is required that accounts for staff at essential care, specialist, and advanced levels. Four competency domains are required (see figure 1). Gap analyses found competency development is required in teaching, learning and support across organisational and sector boundaries, if competency in other domains is to be successfully developed. Conclusion and Significance: Agreement and support across all sectors, organisations and professions for adoption of an integrated competency framework is required.