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Construction and validation of a competency model for hospital operation assistant of public hospitals in China: a cross‑sectional study

BACKGROUND: Hospital operation assistant (HOA) plays an important role in promoting the operation effectiveness and efficiency of hospital. China, as a resource-poor country, urgently needs to train HOA talent. The purpose of this study is to construct and validate a competency model for HOA, which...

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Autores principales: Gao, Jia, Tian, Meirong, Liu, Jun, Chen, Jingjing, Zhang, Lei, Wang, Xiaodong, Yan, Ling, Liu, Qiwang, Wen, Jin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10594754/
https://www.ncbi.nlm.nih.gov/pubmed/37872507
http://dx.doi.org/10.1186/s12913-023-10139-w
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author Gao, Jia
Tian, Meirong
Liu, Jun
Chen, Jingjing
Zhang, Lei
Wang, Xiaodong
Yan, Ling
Liu, Qiwang
Wen, Jin
author_facet Gao, Jia
Tian, Meirong
Liu, Jun
Chen, Jingjing
Zhang, Lei
Wang, Xiaodong
Yan, Ling
Liu, Qiwang
Wen, Jin
author_sort Gao, Jia
collection PubMed
description BACKGROUND: Hospital operation assistant (HOA) plays an important role in promoting the operation effectiveness and efficiency of hospital. China, as a resource-poor country, urgently needs to train HOA talent. The purpose of this study is to construct and validate a competency model for HOA, which can be used as a tool to select and train HOAs. METHODS: Basic competency items were first constructed through literature review combined with the job analysis of HOA. Then, a questionnaire survey conducted on more than 300 hospital operation management-related staff was used to assess the importance of competency items. Exploratory factor analysis, structural equation model and second-order confirmatory factor analysis were used to construct and validate the competency model of HOA. RESULTS: A total of 23 items were identified as critical to HOA capability, which were further divided into three factors: professional skills, professional knowledge and personality traits. The structural equation model showed that the standardized path coefficients of the three factors were 0.86, 0.82 and 0.98. The competency model passed strict fitting effect tests in several aspects, including root-mean-square error of approximation (RMSEA) = 0.077 (< 0.080), standardized root mean square residual (SRMR) = 0.062 (< 0.080), comparative fit index (CFI) = 0.927 (> 0.900) and Tucker-Lewis index (TLI) = 0.918 (> 0.900), which showed that the fitting validity of the model was ideal. The composite reliability (CR), average variance extracted (AVE) and correlation coefficients of all factors were within the standard range, which showed that the construction validity and discrimination validity of the model were ideal. CONCLUSION: Our study indicates that the competency model of HOA is an instrument with appropriate fit validity, construct validity and discriminant validity, which can provide criteria for selecting and training HOAs. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-10139-w.
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spelling pubmed-105947542023-10-25 Construction and validation of a competency model for hospital operation assistant of public hospitals in China: a cross‑sectional study Gao, Jia Tian, Meirong Liu, Jun Chen, Jingjing Zhang, Lei Wang, Xiaodong Yan, Ling Liu, Qiwang Wen, Jin BMC Health Serv Res Research BACKGROUND: Hospital operation assistant (HOA) plays an important role in promoting the operation effectiveness and efficiency of hospital. China, as a resource-poor country, urgently needs to train HOA talent. The purpose of this study is to construct and validate a competency model for HOA, which can be used as a tool to select and train HOAs. METHODS: Basic competency items were first constructed through literature review combined with the job analysis of HOA. Then, a questionnaire survey conducted on more than 300 hospital operation management-related staff was used to assess the importance of competency items. Exploratory factor analysis, structural equation model and second-order confirmatory factor analysis were used to construct and validate the competency model of HOA. RESULTS: A total of 23 items were identified as critical to HOA capability, which were further divided into three factors: professional skills, professional knowledge and personality traits. The structural equation model showed that the standardized path coefficients of the three factors were 0.86, 0.82 and 0.98. The competency model passed strict fitting effect tests in several aspects, including root-mean-square error of approximation (RMSEA) = 0.077 (< 0.080), standardized root mean square residual (SRMR) = 0.062 (< 0.080), comparative fit index (CFI) = 0.927 (> 0.900) and Tucker-Lewis index (TLI) = 0.918 (> 0.900), which showed that the fitting validity of the model was ideal. The composite reliability (CR), average variance extracted (AVE) and correlation coefficients of all factors were within the standard range, which showed that the construction validity and discrimination validity of the model were ideal. CONCLUSION: Our study indicates that the competency model of HOA is an instrument with appropriate fit validity, construct validity and discriminant validity, which can provide criteria for selecting and training HOAs. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-10139-w. BioMed Central 2023-10-23 /pmc/articles/PMC10594754/ /pubmed/37872507 http://dx.doi.org/10.1186/s12913-023-10139-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Gao, Jia
Tian, Meirong
Liu, Jun
Chen, Jingjing
Zhang, Lei
Wang, Xiaodong
Yan, Ling
Liu, Qiwang
Wen, Jin
Construction and validation of a competency model for hospital operation assistant of public hospitals in China: a cross‑sectional study
title Construction and validation of a competency model for hospital operation assistant of public hospitals in China: a cross‑sectional study
title_full Construction and validation of a competency model for hospital operation assistant of public hospitals in China: a cross‑sectional study
title_fullStr Construction and validation of a competency model for hospital operation assistant of public hospitals in China: a cross‑sectional study
title_full_unstemmed Construction and validation of a competency model for hospital operation assistant of public hospitals in China: a cross‑sectional study
title_short Construction and validation of a competency model for hospital operation assistant of public hospitals in China: a cross‑sectional study
title_sort construction and validation of a competency model for hospital operation assistant of public hospitals in china: a cross‑sectional study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10594754/
https://www.ncbi.nlm.nih.gov/pubmed/37872507
http://dx.doi.org/10.1186/s12913-023-10139-w
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