From Online Learning to Clinical Practice: An Investigation on the Factors Influencing Training Transfer Among...

Introduction: Massive Open Online Courses (MOOCs) are an agile context for workplace training, which can provide physicians with needed knowledge and skills related to their clinical practice. From an organisational standpoint, their effectiveness can be assessed on physicians' intention to transfer what they learn through them in the workplace. Despite the Theory of Planned Behaviour (TPB) standing among the more solid models in explaining individuals' behavioural intention, its adoption in investigating the training transfer process among physicians is notably underdeveloped, limiting its contribution to enhancing the transfer rates of MOOCs content. Method: Based on such a consideration, the present study adopted an extended TPB model to investigate the potential psychosocial factors affecting the intention to transfer knowledge and skills learned through MOOCs in the workplace among 217 Italian physicians who completed an online self-report questionnaire. Results: Hierarchical regression analyses were performed, showing that among the TPB variables, perceived behavioural control and attitude significantly predicted transfer intention. The inclusion of training satisfaction and job autonomy in the model significantly increased the explained variance in intention. Conclusions: These findings have valuable implications for human resource development (HRD) in healthcare as they suggest the need to design MOOCs based on a flexible competency model in order to promote physicians' engagement and commitment to adopting new knowledge and skills. Finally, interventions aimed at recognising physicians' efforts in transferring learned content as well as empowering their ability to shape how they perform their professional duties could further enhance the impact of workplace training.