Browsing by Autor "Natalia Giraldo-Noack"

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Research methodologies for creating competency frameworks for the public health workforce: a scoping review
(Oxford University Press, 2025) Mohammed A. Kilani; Pablo Rodríguez‐Feria; Milena Pavlova; Heather Krasna; Bashaier A. Aljohar; Emilia Aragón de León; Natalia Giraldo-Noack; Katarzyna Czabanowska
Competency frameworks are vital for the Public Health Workforce (PHW) capabilities, education, and standards. In the past years, several competency frameworks have been published for the PHW. However, methodologies to define the competencies and domains vary significantly. This scoping review maps methodologies for multi-professional PHW frameworks (2018-24), identifying practices, patterns, and reporting gaps. Following the Joanna Briggs Institute guidance and PRISMA-ScR checklist, Medline, Embase, Global Health, and WorldCat were searched (2018-24) for multi-professional PHW frameworks. Dual screening and extraction captured characteristics and sequential methods. Methods were categorized and analyzed descriptively for frequency, sequence, and reporting completeness. Fifty-eight frameworks met inclusion (from 813 records), mostly North America/Europe. Methods reported for 44 (75.9%) frameworks. Most frequent: literature/document reviews (45.4%), survey/questionnaire (29.5%), expert consultation/panels (22.7%), interviews (22.7%), Delphi (20.4%). Literature/document reviews was the most common first step (34.1%). Frameworks used 1-9 steps (avg 2.96); 82.6% multi-step (evidence synthesis + stakeholder engagement ± validation). Significant reporting gaps: 14 (24.1%) lacked details; quality varied. PHW framework development shows diversity and multi-step processes but suffers from reporting gaps and inconsistencies. Standardization and transparency (e.g. following the CONFERD-HP) are crucial. Multi-method approaches integrating evidence synthesis, stakeholder engagement, and validation are recommended to enhance rigor, comparability, and utility for strengthening the global PHW.
The Meaning of Leadership in Medical Education and Others in the Pan America Health Organization Member States: A Stakeholder Analysis and Interviews
(2024) Pablo Rodríguez‐Feria; Natalia Giraldo-Noack; Susana Garcia-Arango; Martina Parić; Suzanne Babish; Laura Magaña-Valladares; Luis Jorge Hernandez Flores; Katarzyna Czabanowska
<title>Abstract</title> Background The well-being and health of people are the primary goals of health systems and services (HSS). Education and training (E&T) in leadership within undergraduate medical education (UME), the health workforce (HWF), and other professions are important for having resilient HSS that promote societal changes and transformations. The member states of the Pan American Health Organization (PAHO/MS) have not explored the conceptualization of leadership based on a robust methodology that provides guidelines for evidence-based leadership development in the Americas. Methods The aim was to conceptualize leadership in UME in PAHO/MS. Stakeholders who worked in a PAHO/MS were interviewed, and three steps were followed to identify them: Kammi Schmeer’s guide for stakeholder analysis, networking by the authors, and snowballing by the stakeholders. Semi-structured interviews were done in Spanish or English and each one was transcribed into English. Authors used inductive content analysis and a member checking process to achieve agreement on the themes and codes. Results Thirty-four stakeholders were interviewed. Health-promoting leadership and expanding the borders of medicine are the central concepts for E&T in leadership as they focus on achieving people’s well-being and health. Leading and leadership antonyms, models of our own: Leadership signature in the Americas, and challenges: health, public health, and HSS are the peripheral domains that aim to differentiate leadership from other concepts and the target audience, which includes UME, other professions, and individuals without a profession. Furthermore, the distinctive mark of leadership in the Americas and the challenges that will be faced through leadership were highlighted. Conclusions We encourage PAHO/MS to consider this research as foundation for leadership E&T to strengthen capacities in UME and related fields. E&T should begin with a conceptualizing leadership exercise that focuses on developing leadership competencies aimed at enhancing the well-being and health of both humans and our ecosystem.
The Meaning of Leadership in Medical Education in the Pan American Health Organization Member States: A Stakeholder Analysis and Interviews
(Springer Science+Business Media, 2026) Pablo Rodríguez-Feria; Natalia Giraldo-Noack; Susana Garcia-Arango; Martina Parić; Suzanne Babich; Laura Magaña; Luis Jorge Hernández-Flórez; Katarzyna Czabanowska
We encourage the member states of the Pan American Health Organization to consider this research as foundation for leadership education and training which can contribute to strengthening capacities in undergraduate medical education and other audiences to enhance population wellbeing and health across the Americas.