The intensive care unit is one of the most complex units in the healthcare system, not only because of the high clinical, organisational and ethical requirements, but also because of the need for a highly qualified multidisciplinary team whose specialists must have the appropriate competencies. The physiotherapist in intensive care units works as part of a multidisciplinary team, providing specialised rehabilitation for critical ill patients after severe trauma and/or surgery, and their work may focus on respiratory support, early mobilisation and delirium management. Despite numerous proofs of the effectiveness of physiotherapy in intensive care units, this practice is still not widespread in Ukraine due to the lack of appropriate regulatory and legal support and a properly organized educational process for training qualified personnel. The development of a general list of competencies for physiotherapists in intensive care units could serve as a basis for the systematic development and implementation of modern evidence-based practices. The absence of a unified competency framework for physiotherapists in intensive care units in Ukraine enhances the scientific novelty and relevance of the study, making it an important contribution to the Ukrainian and international context. The aim of the study is to develop and validate a general list of competencies for physiotherapists working in intensive care units in Ukraine. The methodological basis was chosen as the modified e-Delphi method. Before conducting the study using the Delphi method, a preliminary list of competencies for physiotherapists in intensive care units was developed. This was done in three stages: analysis and summarization of publications; work of an expert group to discuss and form a list of competencies; review and finalization of the preliminary list of competencies for physiotherapists in intensive care units. As a result of two rounds of expert evaluation using the Delphi method, a general list of 26 competencies for physioherapists specializing in intensive care units was formed, corresponding to five main domains: practice, professionalism, training and development, management and leadership and research. The list of competencies for physiotherapists in intensive care units , validated using a modified Delphi method, is a context-sensitive adaptation of international approaches to the conditions of rehabilitation practice in Ukraine. The list reflects the key components of professional activity in intensive care units, including clinical practice, professionalism, safety, training, management, and research, and is consistent with national education standards for the first and second levels of higher education in the specialty “Therapy and Rehabilitation.” The list of competencies provides a conceptual framework for standardizing training, developing syllabi, clinical specialization programs, and continuing professional development. It can be used by educational institutions, clinical institutions, professional organizations, and employers to develop learning outcomes and assessment indicators; internal clinical standards, protocols, and policies; programs for supervision, internships, and competency development for young professionals and structured career paths.
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