title: Factors predicting training transfer in health professionals participating in quality improvement educational interventions.
abstract: BACKGROUND
  Predictors of quality improvement (QI) training transfer are needed. This study aimed to identify these predictors among health professionals who participated in a QI training program held at a large hospital in the United States between 2005 and 2014. It also aimed to determine how these predictive factors facilitated or impeded QI training transfer.
  
  
  METHODS
  Following the Success Case Method, we used a screening survey to identify trainees with high and low levels of training transfer. We then conducted semistructured interviews with a sample of the survey respondents to document how training transfer was achieved and how lack of training transfer could be explained. The survey's response rate was 43%, with a Cronbach alpha of 0.89. We then conducted a thematic analysis of the interview transcripts of 16 physicians.
  
  
  RESULTS
  The analysis revealed 3 categories of factors influencing the transfer of QI training: trainee characteristics, training course, and work environment. Relevant trainee characteristics included attitude toward change, motivation, mental processing skills, interpersonal skills, and the personality characteristics curiosity, humility, conscientiousness, resilience, wisdom, and positivity. The training project, team-based learning, and lectures were identified as relevant aspects of the training course. Work culture, work relationships, and resources were subthemes of the work environment category.
  
  
  CONCLUSIONS
  We identified several QI training transfer predictors in our cohort of physicians. We hypothesize that some of these predictors may be more relevant to QI training transfer. Our results will help organizational leaders select trainees who are most likely to transfer QI training and to ensure that their work environments are conducive to QI training transfer.
authors.affiliation: Department of General Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Unit 0462, Houston, TX, 77030, USA. aeid@mdanderson.org.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Eid
authors.affiliation: Consultant in Process Improvement, 7820 Friends Creek Rd, Emmitsburg, MD, 21727, USA.
authors.forename: Doris
authors.initials: D
authors.lastname: Quinn
mesh_terms: D000328:Adult; D005260:Female; D005544:Forecasting / Q000379:methods; D006282:Health Personnel / Q000193:education*; D006785:Hospitals, University; D006801:Humans; D007318:Inservice Training / Q000379:methods / Q000458:organization & administration / Q000592:standards*; D007400:Interprofessional Relations; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D015279:Organizational Culture; D010348:Patient Care Team / Q000458:organization & administration / Q000592:standards*; D010552:Personality Assessment; D015397:Program Evaluation / Q000379:methods; D058996:Quality Improvement / Q000458:organization & administration / Q000592:standards*; D014163:Transfer, Psychology; D014481:United States
keywords: Change-driven culture; Health professionals; Quality improvement; Success case method; Training; Training transfer; Work environment