Adaptation of the CUGH global health competency framework in the Chinese context:a mixed-methods study

Background In 2014,the Consortium of Universities for Global Health(CUGH)developed a global health competency framework and called for its validation.Given China’s increasing engagement in global health over the past decade,there is a need for a tailored competency framework to enhance the capacity of its workforce.This study aimed to localize the CUGH global health framework within the Chinese context,offering guidance to public health professionals in China to bolster their capabilities for international endeavors.Methods Employing a modified Delphi consultation approach,this study adapted the CUGH global health competency framework through three consultation rounds and a panel discussion.A questionnaire employing a five-point Likert scale was developed to gather opinions from 37 experts on the significance and feasibility of each competency within the Chinese setting.Profiling information,judgment criteria,and familiarity with each competency were collected to assess experts’authority levels.Furthermore,a priority survey was administered to 51 experts to identify key competencies and provide recommendations for bolstering the capabilities of China’s public health professionals.Data analysis was performed using Microsoft Excel.Results The adapted framework comprises 10 domains and 37 competencies including:1.Global Burden of Disease;2.Social-economic,Environmental and Behavioral Determinants of Health;3.The Impact of Globalization on Population Health,Health Systems,and Healthcare;4.Major Global health initiatives and efforts;5.Ethics,Health Equity and Social Justice;6.Sociocultural,Political Awareness and Policy Promotion;7.Personal Competencies and Professional Practice;8.Capacity strengthening;9.Collaboration,Partnering and Communication;10.Programme Management.The priority survey underscored Domain 9,10,and 4 as the foremost concern for Chinese public health professionals,urging active learning,critical thinking,open communication,experiential learning,and case-based studies.Institutions were advised to enhance their capacity,foster partnerships,and discern China’s distinct role in the global health arena.Conclusions This study adapted the CUGH framework within the Chinese context,evaluating the significance and feasibility of each competency.The adapted framework can serve as a tool for developing global health curricula and delineating roles for Chinese public health professionals.To ensure contextual compatibility,testing of the framework with diverse public health professionals is recommended,enabling precise refinement of competencies based on empirical results.

Education of Hospitalized Diabetic Patients: Analysis of Training Needs among Nurses in a Lebanese Hospital - A Secondary Publication

The design of diabetes inpatient educational preparation should be based on the needs of the nurses involved in terms of skills in this area. The objective of this qualitative study is to identify the preparatory needs of nurses working in the medical and surgical units of a Lebanese hospital in terms of Survival Skills Education for Hospitalized Diabetic Patients (SSEHDP). Method: The focus group method is used for data collection using a semi-structured interview guide. The needs expressed by the thirty-two participating nurses were classified into categories of the competency framework for providing self-management education to diabetic patients proposed by the American Diabetes Association. Results: By focusing on the themes of an SSEHDP, a list of preparatory needs was drawn up. The needs identified and analyzed are then translated into general and specific learning objectives for educational preparation. Conclusion: The needs analysis is only the first step in a work that will ideally continue into the implementation and eventual evaluation of an educational program developed to help nurses acquire skills in the education of diabetic patients.