Factors and Attributes Related to Training Transfer in Healthcare Professionals Participating in Quality Improvement Training



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Predictors of Quality Improvement (QI) training transfer are lacking. This study aimed to identify the factors and attributes related to QI training transfer in healthcare professionals who participated in the Clinical Safety and Effectiveness (CS&E) QI training program held at the University of Texas MD Anderson Cancer Center (MDACC) between 2005 and 2014; and to develop insight into how these factors and attributes facilitate or impede QI training transfer. The Success Case Method (SCM) was used to identify trainees with high and low levels of training transfer based on a screening survey. Semi-structured interviews were conducted with a sample of survey respondents to document how training transfer was achieved and how lack of that transfer could be explained. The survey’s response rate was 43%. Interview transcripts for 16 out of 17 physicians interviewed were analyzed using the thematic analysis method. The analysis confirmed the conceptual model used in this study which categorizes QI training transfer factors under three different domains: trainees’ characteristics, training course, and work environment. Under the trainees’ characteristics domain, attitude towards change; motivation; mental processing skills; interpersonal skills; and personality characteristics (curiosity, humility, conscientiousness, resilience, wisdom and positivity) were identified. The training project, team-based learning, and didactics were identified under the training course domain. Work culture, work relationships, and resources were identified under the work environment domain. Implications and future research ideas are discussed.



Attributes, Factors, Healthcare professionals, Quality improvement, Training transfer