Discussion
Data generated via various steps of the study positively answered the research questions outlined earlier which include management competency framework development (RQ1 and RQ2), the measures of reliability and validity (RQ3), and the ability of the framework to allow supervisors to distinguish between high-performing and average-performing managers who they supervise (RQ4). Guided by past experience, the study established and confirmed a valid process (see Figure 3) that can be adopted to identify and develop a management competency framework that not only demonstrates the core competency requirements of healthcare managers, but also sets the direction for training and development necessary for the effective skill formation of individual managers and management team.
The development of the competency framework and their associated behavioural items via a rigorous, multistage process was described in the first part of the methods section. Both qualitative and quantitative methods were employed, the latter used to confirm the former.
The development was also informed by published research from the USA (Garman and Scribner, 2011). We suggest that by using this process, the framework and associated behaviours have high levels of face validity. The final step of the process – the supervisors’ survey –provided statistical evidence of the framework’s reliability and validity, which addresses question 3.