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Table 5 Proposed glossary of terms for health-related competency frameworks

From: Proposing a re-conceptualisation of competency framework terminology for health: a scoping review

Term

Definition

Conceptual characteristics

Activity

An area of work that encompasses groups of related tasks. Activities are time limited, trainable and, through the performance of tasks, measurable.

Time limited, i.e. begins and ends

Describe what is done

Attitude

A person’s feelings, values and beliefs, which influence their behaviour and performance of tasks.

An unobservable attribute inferred through performance

Behaviour

Observable conduct towards other people or activities that expresses a competency. Behaviours are durable, trainable and measurable.

Observable attribute, often applied in combination, i.e. several behaviours may contribute towards one competency

Competency

The observable ability of a person, integrating knowledge, skills, and attitudes in their performance of tasks. Competencies are durable, trainable and, through the expression of behaviours, measurable.

Not time limited, i.e. durable through multiple activities

Can develop/improve or erode over time

Competent

Performance of required competencies and activities to a defined standard for an occupational role (e.g. “she/he is competent”).

Dichotomous, i.e. one is or is not competent

Knowledge

The informational base of competencies and activities.

An unobservable attribute of competence inferred through performance or determined through specific testing

A competency and/or activity may draw on multiple areas of knowledge simultaneously

Proficiency

A person’s level of performance (e.g. novice or expert).

A degree of ability to perform (continuous)

Occupational role

A category that characterises certain groups of activities (e.g. student, practitioner, educator, manager, researcher).

An aggregate of linked activities that serve a common purpose

The macro level to activities (meso) and tasks (micro)

Determines scope of practice

Skill

A specific cognitive or motor ability that is typically developed through training and practice.

Observable (physical) and unobservable (cognitive) attribute, often applied in combination, i.e. several skills may contribute towards one competency and/or activity

Standard

The level of proficiency required to perform an occupational role, acquire a professional title, or be deemed safe to perform specific tasks.

A specific level of performance (discrete)

Task

Observable units of work as part of an activity, which draw on knowledge, skills, attitudes and behaviours. Tasks are time limited, trainable and measurable.

Observable attribute of activities, often applied in combination, i.e. several tasks may contribute towards one activity