Abstract Manager

Oral

OG3-3-4

Accept

I declare I have no actual or potential conflict of interest in relation to this program.

Background The context in which healthcare professionals (HCP) practice is believed to influence the enactment of competencies. Context is broadly defined as the range of affordances and constraints that collectively define situations that structure social practices. Despite existing literature on the impact of context on competency, the nature and role of contextual characteristics and how context is measured are poorly understood. Objectives To map the breadth and depth of the literature on 1) how context is conceptualized and defined; 2) the contextual factors that may influence professional competencies, and 3) how context is measured in the health professions literature. Methods We conducted a scoping review based on Arksey & O'Malley's framework. We comprehensively searched MEDLINE and CINAHL from 2000 to 2019. To be included in the review, studies had to report on: context; relationships between contextual factors and professional competencies; or measure the context of HCP. We extracted data on context definitions, contextual factors influencing competencies, context measures, and their psychometric properties. We performed numerical and thematic analyses. Results Of the 8530 articles, 283 were included for review. We identified 60 contextual factors organized into 5 themes: Leadership and Agency, Organizational and Peer Values, Policies, Supports, and Demands. We compiled a list of 71 context descriptions and 112 available measures, some with psychometric properties other without. Conclusion The findings highlight which contextual factors may influence the enactment of professional competencies and point to areas that may be targeted in HCP education and continuing professional development.

no

General Call (Workshop, Oral Presentation, Poster Presentation)

Oral

Education Research

Graduate Student

yes

Definitions and conceptualisations of context of healthcare professionals: A scoping review

The context in which healthcare professionals (HCP) practice is believed to influence enactment of competencies. Context is broadly defined as the range of affordances and constraints that collectively define situations that structure social practices. Despite existing literature on the impact of context on competency, the nature and role of contextual characteristics and how context is measured are poorly understood. The objectives are to map the breadth and depth of the literature on 1) how context is conceptualized and defined; 2) the contextual factors that may influence professional competencies, and 3) how context is measured in the health professions literature.

We conducted a scoping review based on Arksey & O'Malley's framework. We comprehensively searched MEDLINE and CINAHL with a date range from 2000 to 2019. To be included in the review, studies had to report on: context; relationships between contextual factors and professional competencies; or measure context of HCP. We extracted data on context definitions, contextual factors influencing competencies, context measures, and their psychometric properties. We performed numerical and thematic analyses.

Of the 8530 articles, 297 were included for review. We identified 25 contextual factors organized into 6 themes: organization, extra-organization, social environment, leadership, physical infrastructure and resources, and client features (e.g. client characteristics, client interactions). We compiled a list of 67 context definitions and 112 available measures, some with psychometric properties other without.

The findings highlight which contextual factors may influence the enactment of professional competencies and point to areas that may be targeted in HCP education and continuing professional development.

Context, contextual factors

Competencies, competency

scoping review

Post Graduate

Other

Professionalism

Yes

Yes

Yes

Yes

Yes