目的 依据世界卫生组织制定的“康复胜任力架构”(rehabilitation competency framework,RCF),构建本土化康复治疗师岗位胜任力模型并进行初步验证。方法 2021年12月,采用文献研究法构建初始模型。2022年3月,采用德尔菲法进行2轮专家咨询,使用层次分析法计算模型各维度指标权重。2022年6月,采用问卷调查法进行实证研究。应用克朗巴赫系数检验模型的内部一致性信度;应用因子分析检验模型的结构效度。结果 通过文献研究,构建了包含6个核心维度和51个子维度的初始康复治疗师岗位胜任力模型。2轮咨询专家权威系数分别为0.89和0.93,专家意见协调系数W分别为0.23和0.26(均P＜0.05),优化康复治疗师岗位胜任力模型为5个核心维度和40个子维度。实证研究回收有效问卷276份,检验结果显示模型总体指标克朗巴赫系数为0.98,使用探索性因子分析限定提取5个因子,累积方差贡献率为71.27%。结论 初步构建了基于“康复胜任力架构”的康复治疗师岗位胜任力模型,模型信度和效度较好,能够为康复治疗师规范化培训和岗位能力评价提供参考。

Objective To construct a localized job competency model for rehabilitation therapists based on the rehabilitation competency framework (RCF) developed by the World Health Organization and conduct preliminary validation. Methods In December 2021,the initial model was constructed by literature research method. In March 2022, the Delphi method was used to conduct two rounds of expert consultation, and the analytic hierarchy method was used to calculate the weight of indicators in each dimension of the model. In June 2022,we conducted an empirical study using the questionnaire survey method. Results Through literature research,a competency model of initial rehabilitation therapists with 6 core dimensions and 51 sub-dimensions was constructed. The authoritative coefficients of experts in the two rounds of consultation were 0.89 and 0.93, the coefficients of coordination of expert opinions were 0.23 and 0.26 (all P<0.05), respectively,and the job competency model of rehabilitation therapists was optimized into 5 core dimensions and 40 sub-dimensions, 276 valid questionnaires were collected in the empirical study, and 5 factors were extracted using exploratory factor analysis, and the cumulative variance contribution rate was 71.27%. Conclusions The competency model of rehabilitation therapists based on “rehabilitation competency architecture” was constructed.The reliability and validity of the model were good, which could provide reference for standardized training and assessment of rehabilitation therapists.