Supportive supervision and continuing professional education (still in its infancy in Afghanistan) could address these performance gaps, increase competence in weak skills, and foster providers' confidence.
To improve patient experience at the interface with services, and to ensure that the processes of categorisation, adjudication and offer are managed appropriately, health care teams need to increase competence in responding to appearances, taking account of local context [ 19].
The result, he says, is "increased competence in that area".
For example, early personal contact, often from foraging in forests for plants and wild animals, leads to increased competence in identification of biota (Rydberg and Falck 2000).
► The European Commission has gained increased competence in the internal market.
Some literature has found that adolescent mothers' knowledge and breastfeeding skills are associated with the confidence to breastfeed which increases competence in breastfeeding [ 14, 25, 26].
However, other studies did not find increased levels of psychological symptoms in these adolescents (5, 6), which could signal their increased competence in managing their illness and coping with age-specific developmental tasks.
Regarding voice recognition, 7-month-olds detected changes in voice only when the language was in their native tongue (Johnson, Westrek, Nazzi, & Cutler, 2011), suggesting that voice recognition develops in pace with increasing competence in language processing.
What language literacy and scientific literacy have in common then is the sense that increased competence in either advances one's intellectual development and ability to carry out systematic thinking that involves abstraction.
Patients request more information and participation in decisions concerning their health [ 4], and the move from the medical model to patient-centered care [ 5] requires increased competence in communication skills.
Use of the e-assessments and e-training program employed in the present study could be one way to support elderly care staff who lack formal education by increasing their competence; increased competence, in turn, could improve their self-confidence, working life, and well-being.
