Construction and validation of a competency model for hospital operation assistant of public hospitals in China: a cross‑sectional study
Abstract 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...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-10-01
|
| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-023-10139-w |
| _version_ | 1797453404724789248 |
|---|---|
| author | Jia Gao Meirong Tian Jun Liu Jingjing Chen Lei Zhang Xiaodong Wang Ling Yan Qiwang Liu Jin Wen |
| author_facet | Jia Gao Meirong Tian Jun Liu Jingjing Chen Lei Zhang Xiaodong Wang Ling Yan Qiwang Liu Jin Wen |
| author_sort | Jia Gao |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-03-09T15:22:19Z |
| format | Article |
| id | doaj.art-51e35c1aa9e54051918fe59372908a5d |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-03-09T15:22:19Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-51e35c1aa9e54051918fe59372908a5d2023-11-26T12:43:03ZengBMCBMC Health Services Research1472-69632023-10-012311910.1186/s12913-023-10139-wConstruction and validation of a competency model for hospital operation assistant of public hospitals in China: a cross‑sectional studyJia Gao0Meirong Tian1Jun Liu2Jingjing Chen3Lei Zhang4Xiaodong Wang5Ling Yan6Qiwang Liu7Jin Wen8Institute of Hospital Management, West China Hospital, Sichuan UniversityInstitute of Hospital Management, West China Hospital, Sichuan UniversityOperation Management Department, West China Hospital, Sichuan UniversityInstitute of Hospital Management, West China Hospital, Sichuan UniversityInstitute of Hospital Management, West China Hospital, Sichuan UniversityInstitute of Hospital Management, West China Hospital, Sichuan UniversityInstitute of Hospital Management, West China Hospital, Sichuan UniversityInstitute of Hospital Management, West China Hospital, Sichuan UniversityInstitute of Hospital Management, West China Hospital, Sichuan UniversityAbstract 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.https://doi.org/10.1186/s12913-023-10139-wPublic hospitalHospital operation assistantCompetency model |
| spellingShingle | Jia Gao Meirong Tian Jun Liu Jingjing Chen Lei Zhang Xiaodong Wang Ling Yan Qiwang Liu Jin Wen Construction and validation of a competency model for hospital operation assistant of public hospitals in China: a cross‑sectional study BMC Health Services Research Public hospital Hospital operation assistant Competency model |
| 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 | Public hospital Hospital operation assistant Competency model |
| url | https://doi.org/10.1186/s12913-023-10139-w |
| work_keys_str_mv | AT jiagao constructionandvalidationofacompetencymodelforhospitaloperationassistantofpublichospitalsinchinaacrosssectionalstudy AT meirongtian constructionandvalidationofacompetencymodelforhospitaloperationassistantofpublichospitalsinchinaacrosssectionalstudy AT junliu constructionandvalidationofacompetencymodelforhospitaloperationassistantofpublichospitalsinchinaacrosssectionalstudy AT jingjingchen constructionandvalidationofacompetencymodelforhospitaloperationassistantofpublichospitalsinchinaacrosssectionalstudy AT leizhang constructionandvalidationofacompetencymodelforhospitaloperationassistantofpublichospitalsinchinaacrosssectionalstudy AT xiaodongwang constructionandvalidationofacompetencymodelforhospitaloperationassistantofpublichospitalsinchinaacrosssectionalstudy AT lingyan constructionandvalidationofacompetencymodelforhospitaloperationassistantofpublichospitalsinchinaacrosssectionalstudy AT qiwangliu constructionandvalidationofacompetencymodelforhospitaloperationassistantofpublichospitalsinchinaacrosssectionalstudy AT jinwen constructionandvalidationofacompetencymodelforhospitaloperationassistantofpublichospitalsinchinaacrosssectionalstudy |