Contributions of the Simplified Competency Management Model to a Municipal Health Secretariat

Albini, Alessandro; Peres, Aida Maris; Almeida, Maria de Lourdes de

doi:10.1590/1518-8345.3385.3429

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Original Article • Rev. Latino-Am. Enfermagem 29 • 2021 • https://doi.org/10.1590/1518-8345.3385.3429 linkcopy

Contributions of the Simplified Competency Management Model to a Municipal Health Secretariat^*

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective: to present the contributions of the Simplified Competency Management Model in a municipal health secretariat.

Method: research of integrated mixed methods of exploratory-descriptive type. The model was applied in a southern Brazilian city, in the following stages: documentary, questionnaire, mapping of gaps and educational proposal.

Results: in the first stage, after documentary research, a total of 14 general core competences were described and a questionnaire with specific core competences was chosen, with confirmation of correlation among them; in the second stage, the importance and expression competence at work degrees were obtained, after the questionnaires were filled out by 74 municipal public health managers; in the third one, a formula was adopted for the training priority degree and its classification; the fourth stage presented an educational proposal for the development of one of the competences with the highest priority degree.

Conclusion: the model brings contributions by describing general core competences, after documentary research; carrying out the correlation between a questionnaire, containing specific core competences with the general ones; by mapping gaps; and by the proposal of learning trails for the development of competences.

Descriptors:
Health Management; Public Health; Public Health Nursing; Professional Competence; Employee Performance Appraisal; Continuing Education

VERB	ACTION OBJECT	CONDITION	CRITERIA OR RESTRICTION
- Have/has (SO*); - Create (M†).	- Citizens/Society (SO*).	- Healthy and Safe (SO*); - Opportunities (FV‡); - Quality of life (FV‡).	- Integral and sustainable development (M†); - Respect (VA§).
GENERAL CORE COMPETENCE I: Provide citizens with integral and sustainable development to improve the quality of life with health and safety, respecting local culture and values.
- Encourage (SO*).	- Healthy lifestyle habits (SO*).	- Sustainable (M†); - Quality of Life (FV‡).	- Commitment (VA§).
GENERAL CORE COMPETENCE II: Providing moments of health education with a commitment to promoting healthy habits, sustainability and quality of life to transform the social, environmental and economic conditions that impact health.
- Encourage (SO*).	- Development of regions (SO*).	- Quality of Life (FV‡).	- Prioritizing the most vulnerable (SO*); - Justice (VA§).
GENERAL CORE COMPETENCE III: Formulate regional strategies for the development and improvement of the quality of life, prioritizing the most vulnerable regions, according to the assessment of the health situation of the local population and its trends.
- Promote (SO*); - Maintain (M†).	-- Decentralization of public services (SO*).	- Integral (M†).	- Commitment (VA§); - Respect (VA§); - Justice (VA§).
GENERAL CORE COMPETENCE IV: Identify care gaps and promote the decentralization of public health services to guarantee the universality of access and comprehensive health care.
- Improve (SO*).	- Physical structures in the critical areas of the City Hall (SO*).	- Integral (M†); - Prompt service (S\|\|).	- Commitment (VA§); - Respect (VA§); - Justice (VA§).
GENERAL CORE COMPETENCE V: Coordinate the maintenance and/or expansion of the existing physical structures for the provision of health services to ensure universal access and comprehensive health care.
- Implant (SO*); - Create (M†).	- Shared management of municipal public services (SO*).	- Integral (M†); - Prompt service (S\|\|); - Improving their duties (S\|\|); - Update and expand their professional knowledge (S\|\|).	- Commitment (VA§); - Respect (VA§).
GENERAL CORE COMPETENCE VI: Implement the shared management of municipal public services and promote integration, commitment and respect between them and the improvement of their duties towards society.
- Become (SO*), - Compliance (L¶).	- Analysis processes (SO); - Inspections (SO); - Acts and regulations (L¶); - Laws, decrees and regulations (L¶).	- More agile and effective (SO*); - Modern City (FV‡); - Good execution (L¶); - Prompt service (S\|\|); - Improving their duties (S\|\|).	- Justice (VA§); - Transparency (VA§); - Respect (VA§); - Innovation (VA§).
GENERAL CORE COMPETENCE VII: To provide health surveillance in the fulfillment of analysis and inspection processes, with justice and transparency, offering more agile, modern, innovative and effective services to promote the respect and protection of society.
- Mejorar (OE*).	- Comunicación (OE); - Gestión de la Información (OE).	- Oportunidades (VF‡); - Efectividad en el atendimiento (E\|\|).	- Transparencia (VA§); - Innovación (VA§).
GENERAL CORE COMPETENCE VIII: Communicating with citizens, offering them relevant information in clear, objective, accessible and innovative language.
- Optimizar (OE*); - Cumplimiento (L¶).	gubernamental (OE*); - Actos y reglamentos (L¶); - Leyes, decretos y reglamentos (L¶).	- Calidad (VF‡); - Buena ejecución (L¶); - Cuidado y Dedicación (E\|\|); - Moralidad administrativa (E\|\|).	- Compromiso (VA§); - Ética (VA§); - Respeto (VA§); - Transparencia (VA§).
GENERAL CORE COMPETENCE IX: Manage the efficiency of government spending and the quality of municipal public services with zeal, legality, commitment, ethics, respect, transparency and administrative morality.
- Aumentar (OE*).	- Participación de recursos externos en las inversiones municipales (OE*).	- Oportunidades (VF‡).	- Compromiso (VA§).
GENERAL CORE COMPETENCE X: Formulate strategies for establishing partnerships, technical cooperation and attracting external resources for investments in municipal public services.
- Develop (SO*).	- Leadership (SO*).	- Opportunity (VF‡); - Update and expand their professional knowledge (S\|\|).	- Commitment (VA§).
GENERAL CORE COMPETENCE XI: Formulate strategies for the development and prominence of leaders among municipal employees, updating and expanding their professional knowledge.
- Encourage (SO*).	- Good organizational environment (SO*).	- Motivation (SO*); - Spirit of cooperation and solidarity (S\|\|).	- Ethic (VA§); - Respect (VA§); - Justice (VA§); - Transparency (VA§).
GENERAL CORE COMPETENCE XII: Develop motivational and conflict mediation processes to encourage cohesion, harmony and a good organizational environment at work, with ethics, respect, justice and transparency.
- Line (SO*), - Fulfillment (L¶).	- Competences (SO*); - Acts and regulations (L¶); - Laws, decrees and regulations (L¶).	- Needs pointed out by the administration (SO*); - Good execution (L¶); - Improving their duties (S\|\|).	- Commitment (VA§).
GENERAL CORE COMPETENCE XIII: Line the managerial competences of municipal managers to the commitment to the needs pointed out by the administration in compliance with laws, decrees and regulations.
- Establish (SO*).	- Policies (SO*).	- Valuing people (SO*); - Know the specific legislation related to their attributions and functional life (S\|\|).	- Meritocracy (SO*); - Opportunity (VA§); - Justice (VA§); - Transparency (VA§).
GENERAL CORE COMPETENCE XIV: Implement policies and processes of corporate education, performance evaluation and reward system supported by justice, transparency and meritocracy.

Specific Core Competence	Competence Importance Degree (CID)	Competence Expression Degree at Work (CED‡)	Training Priority Degree (PD) PD = CID† (5 - CED‡)
Domain 1	4.56	3.62	6.3
DO§1CO\|\|1	4.62	3.57	7
DO§1CO\|\|2	4.51	3.36	7
DO§1CO\|\|3	4.52	3.72	6
DO§1CO\|\|4	4.55	3.62	6
DO§1CO\|\|5	4.74	3.59	7
DO§1CO\|\|6	4.52	3.58	6
DO§1CO\|\|7	4.39	3.93	5
DO§1CO\|\|8	4.67	3.49	7
DO§1CO\|\|9	4.54	3.73	6
Domain 2	4.56	3.11	8.6
DO§2CO\|\|1	4.66	3.22	8
DO§2CO\|\|2	4.59	2.97	9
DO§2CO\|\|3	4.46	3.11	8
DO§2CO\|\|4	4.53	3.41	7
DO§2CO\|\|5	4.51	3.23	8
DO§2CO\|\|6	4.53	3.32	8
DO§2CO\|\|7	4.51	3.50	7
DO§2CO\|\|8	4.55	3.20	8
DO§2CO\|\|9	4.64	3.27	8
DO§2CO\|\|10	4.39	2.93	9
DO§2CO\|\|11	4.56	2.82	10
DO§2CO\|\|12	4.66	2.80	10
DO§2CO\|\|13	4.64	2.89	10
DO§2CO\|\|14	4.66	2.81	10
Domain 3	4.52	3.47	6.9
DO§3CO\|\|1	4.47	3.73	6
DO§3CO\|\|2	4.52	3.61	6
DO§3CO\|\|3	4.51	3.14	8
DO§3CO\|\|4	4.47	3.77	5
DO§3CO\|\|5	4.66	3.30	8
DO§3CO\|\|6	4.46	3.46	7
DO§3CO\|\|7	4.44	3.53	7
DO§3CO\|\|8	4.42	3.41	7
DO§3CO\|\|9	4.45	3.39	7
DO§3CO\|\|10	4.76	3.34	8
Domain 4	4.7	3.61	6.5
DO§4CO\|\|1	4.78	3.54	7
DO§4CO\|\|2	4.66	3.81	6
DO§4CO\|\|3	4.74	3.57	7
DO§4CO\|\|4	4.78	3.76	6
DO§4CO\|\|5	4.58	3.59	6
DO§4CO\|\|6	4.60	3.69	6
DO§4CO\|\|7	4.80	3.32	8
Domain 5	4.65	3.67	6.2
DO§5CO\|\|1	4.41	3.81	5
DO§5CO\|\|2	4.73	3.66	6
DO§5CO\|\|3	4.74	3.72	6
DO§5CO\|\|4	4.56	3.46	7
DO§5CO\|\|5	4.78	3.55	7
DO§5CO\|\|6	4.74	3.43	7
DO§5CO\|\|7	4.49	3.91	5
DO§5CO\|\|8	4.73	3.78	6
Domain 6	4.65	2.97	9.4
DO§6CO\|\|1	4.62	3.05	9
DO§6CO\|\|2	4.67	3.12	9
DO§6CO\|\|3	4.68	2.77	10
DO§6CO\|\|4	4.66	2.84	10
DO§6CO\|\|5	4.73	2.91	10
DO§6CO\|\|6	4.69	3.03	9
DO§6CO\|\|7	4.69	3.35	8
DO§6CO\|\|8	4.49	2.72	10

SCORE	Training Priority Degree (PD*)
0 - 5	Null or Very Low Priority
6 - 9	Low Priority
10 - 11	Moderate Priority
12 - 20	High Priority

Selected Core Competency	KNOWLEDGES (Strategic thought) KNOW WHAT / KNOW WHY	SKILLS (Process Management) KNOW HOW	ATTITUDES (Motivation) DETERMINATION
DO*2CO†11 Participate in disaster risk management plans in the face of natural, technological and biological threats to mitigate their health effects.	- Know the National Civil Defense and Protection Policy; - Know the classification of disasters; - Know the means of disaster prevention - Know the main disasters that affect the city; - Know the effects of disasters on municipal health services; - Make contact and approach Civil Defense; - Know the risk areas in the city; - Know about disaster risk planning and management.	- Technique: Planning; - Interpersonal: Communication with the Municipal and State Civil Defense; - Conceptual: Intersectoral work; - Decision-making: recognize problems and opportunities; - Management: Set priorities.	Initiative; Will; Team work; Disposition; Courage; Altruism; Empathy

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Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3387 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[TFN6] ^*
SO = Strategic objectives;

[TFN7] ^†
M = Mission;

[TFN8] ^‡
FV = Future vision;

[TFN9] ^§
VA = Values;

[TFN10] ^||
S = Statute of Municipal Servants;

[TFN11] ^¶
L = Municipal Organic Law

Contributions of the Simplified Competency Management Model to a Municipal Health Secretariat*

Abstract

Contributions of the Simplified Competency Management Model to a Municipal Health Secretariat^*