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Improving Training Motivation and Transfer in Hospitals: Extension of a Conceptual Model

The Contributions of Health Care Management to Grand Health Care Challenges

ISBN: 978-1-80117-801-3, eISBN: 978-1-80117-800-6

Publication date: 6 December 2021

Abstract

Health-care professionals undergo numerous training programs each year in order to fulfill licensure requirements and organizational obligations. However, evidence suggests that a substantial amount of what is taught during training is never learned or transferred back to routine work. A major contributor to this issue is low training motivation. Prior conceptual models on training transfer in the organizational sciences literature consider this deficit, yet do not account for the unique conditions of the hospital setting. This chapter seeks to close this gap by adapting conceptual models of training transfer to this setting that are grounded in organizational science. Based on theory and supplemented by semistructured key informant interviews (i.e., organizational leaders and program directors), we introduce an applied model of training motivation to facilitate training transfer in the hospital setting. In this model, training needs analysis is positioned as a key antecedent to ensure support for training, relevant content, and perceived utility of training. We posit that these factors, along with training design and logistics, enhance training motivation in hospital environments. Further, we suggest that training motivation subsequently impacts learning and transfer, with elements of the work environment also serving as moderators of the learning-transfer relationship. Factors such as external support for training content (e.g., from accrediting bodies) and allocation of time for training are emphasized as facilitators. The proposed model suggests there are factors unique to the hospital work setting that impact training motivation and transfer that should be considered when developing and implementing training initiatives in this setting.

Keywords

Acknowledgements

Acknowledgments

The Medicaid Equity Simulation Project is funded by the Ohio Department of Medicaid and administered by the Ohio Colleges of Medicine Government Resource Center. Views expressed in this publication are solely those of the authors and do not represent those of the state of Ohio or federal Medicaid programs.

Citation

Gregory, M.E., Walker, D.M., Sova, L.N., Pfeil, S.A., Rothwell, C.D., Volney, J.J., Gaughan, A.A. and McAlearney, A.S. (2021), "Improving Training Motivation and Transfer in Hospitals: Extension of a Conceptual Model", Hefner, J.L. and Nembhard, I.M. (Ed.) The Contributions of Health Care Management to Grand Health Care Challenges (Advances in Health Care Management, Vol. 20), Emerald Publishing Limited, Leeds, pp. 143-169. https://doi.org/10.1108/S1474-823120210000020006

Publisher

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Emerald Publishing Limited

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