EFM KNOWLEDGE AND KNOWLEDGE-SHARING
like staffing, financial limitations, and environmental targets. To tackle these, EFM staff need expertise across various fields, and the success of sharing this knowledge across NHS Trusts depends on tailoring the approach to the specific type of knowledge being shared. We thus evaluated existing FM competencies in the literature,9-11
and aligned them with
the specialised needs of NHS EFM, as outlined by various professional bodies and the NHS.12-14
Our study investigated
the overarching knowledge areas and subordinate knowledge types crucial for various NHS EFM roles, aiming to underpin effective knowledge management and workforce development within NHS EFM. Through the review of the academic literature and FM guidelines, we identified 15 knowledge areas for NHS EFM, as shown in Figure 1.
Delphi study to engage EFM professionals from different organisational backgrounds To identify and rank the importance of the key knowledge areas for NHS EFM staff, we conducted a three-round Delphi study, since this data collection method is more suitable for the 24/7 operation of the hospital environment and geographically dispersed staff than traditional in-person methods. After securing ethical approvals from the NHS Health Research Authority
(REC: 22/HRA/1079), we distributed online questionnaires via Qualtrics. The process began with an open-ended round to gather insights, followed by two rounds where participants rated the importance of these suggested knowledge areas on a Likert scale from 1 (not important at all) to 5 (extremely important). Professionals across various EFM
roles were invited through NHS England, HefmA, and IHEEM, resulting in 152 participants. To simplify the complex array of job roles and titles in the NHS, while still capturing the diversity of EFM job levels, participants were categorised into five sub-panels based on their NHS Band Level (BL) according to the Career Route Map designed by IHEEM and HefmA.15
The final
consensus was formed through a grading system (median >3.5 and interquartile range ≤ 1 among at least one sub-panel), considering the varied perspectives across the different sub-panels. This method ensured that the findings would be
reflective of the diverse viewpoints across organisational levels, and applicable for effective knowledge sharing within the NHS EFM domain. The study procedure is illustrated in Figure 2. The study involved three Delphi rounds using Qualtrics surveys. Initially, 129 participants proposed 340 knowledge types, condensed into 70 statements. In the second round, 124 participants rated these statements on importance, using a custom consensus grading system to achieve consensus on 62 statements. The third round had 101 participants re-evaluate the remaining 15 statements, resulting in a final set of 69 knowledge types with consensus. We analysed these 69 statements that achieved at least partial consensus among participants in Rounds 2 and 3, grouping them into overarching knowledge areas, as shown in Figure 1. We analysed these knowledge areas for differences and similarities across the five sub-panels, using the percentage
‘‘
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HEJ.indd 1 24/01/2024 13:20 February 2024 Health Estate Journal 47
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