Implementation of a competency framework in an infection prevention and control program: An evaluation using the RE-AIM framework

Background: The role of infection control professionals has evolved with the increasing complexity of healthcare and the diversity of professional backgrounds, including nursing, epidemiology, and public health. This diversity presents challenges for orientation and professional development. Recognizing the importance of competency-based frameworks, the Alberta Health Services Provincial Infection Prevention and Control (IPAC) program implemented a strategic initiative to define and operationalize competencies across IPAC roles. This study evaluated the initiative using the RE-AIM framework. Methods: The IPAC competency framework was launched in March 2022. A multi-method evaluation was conducted between January and March 2024, consisting of an anonymous survey distributed to 217 IPAC staff and follow-up interviews with senior leadership. The RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance) guided the evaluation. Results: Sixty percent of staff (130/217) completed the survey. Under the Reach domain, most staff reported using and understanding the competencies, though some found prioritization challenging. Effectiveness was reflected in 79% of staff setting learning goals and 88% developing actionable plans. Adoption showed high satisfaction, with 88% of respondents using competency tools, though some reported perceived redundancy. Conclusions: Factors influencing the use of the IPAC competency tools included alignment with program goals, leadership engagement, delegation of champions, and barriers to staff engagement. Ongoing evaluation was recommended to monitor progress and enhance sustainability. The RE-AIM framework proved useful in identifying both successes and potential risks to the long-term success of the competency framework. Key barriers included limited team size and competing priorities; however, continued training and perceived value were identified as critical to sustained engagement.