Atreja Ashish, Mehta Neil B, Jain Anil K, Harris Cm, Ishwaran Hemant, Avital Michel, Fishleder Andrew J
Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
BMC Med Educ. 2008 Oct 15;8:48. doi: 10.1186/1472-6920-8-48.
Healthcare institutions spend enormous time and effort to train their workforce. Web-based training can potentially streamline this process. However the deployment of web-based training in a large-scale setting with a diverse healthcare workforce has not been evaluated. The aim of this study was to evaluate the satisfaction of healthcare professionals with web-based training and to determine the predictors of such satisfaction including age, education status and computer proficiency.
Observational, cross-sectional survey of healthcare professionals from six hospital systems in an integrated delivery network. We measured overall satisfaction to web-based training and response to survey items measuring Website Usability, Course Usefulness, Instructional Design Effectiveness, Computer Proficiency and Self-learning Attitude.
A total of 17,891 healthcare professionals completed the web-based training on HIPAA Privacy Rule; and of these, 13,537 completed the survey (response rate 75.6%). Overall course satisfaction was good (median, 4; scale, 1 to 5) with more than 75% of the respondents satisfied with the training (rating 4 or 5) and 65% preferring web-based training over traditional instructor-led training (rating 4 or 5). Multivariable ordinal regression revealed 3 key predictors of satisfaction with web-based training: Instructional Design Effectiveness, Website Usability and Course Usefulness. Demographic predictors such as gender, age and education did not have an effect on satisfaction.
The study shows that web-based training when tailored to learners' background, is perceived as a satisfactory mode of learning by an interdisciplinary group of healthcare professionals, irrespective of age, education level or prior computer experience. Future studies should aim to measure the long-term outcomes of web-based training.
医疗机构花费大量时间和精力来培训其员工。基于网络的培训有可能简化这一过程。然而，在拥有多样化医疗员工的大规模环境中部署基于网络的培训尚未得到评估。本研究的目的是评估医疗专业人员对基于网络培训的满意度，并确定这种满意度的预测因素，包括年龄、教育程度和计算机熟练程度。
对综合医疗网络中六个医院系统的医疗专业人员进行观察性横断面调查。我们测量了对基于网络培训的总体满意度以及对测量网站可用性、课程实用性、教学设计有效性、计算机熟练程度和自学态度的调查项目的反应。
共有17891名医疗专业人员完成了关于《健康保险流通与责任法案》隐私规则的网络培训；其中，13537人完成了调查（回复率75.6%）。总体课程满意度良好（中位数为4；评分范围为1至5），超过75%的受访者对培训满意（评分4或5），65%的人更喜欢基于网络的培训而不是传统的教师主导培训（评分4或5）。多变量有序回归显示了对基于网络培训满意度的3个关键预测因素：教学设计有效性、网站可用性和课程实用性。性别、年龄和教育程度等人口统计学预测因素对满意度没有影响。
该研究表明，当基于网络的培训根据学习者的背景进行定制时，无论年龄、教育水平或以前的计算机经验如何，它都被跨学科的医疗专业人员群体视为一种令人满意的学习方式。未来的研究应旨在测量基于网络培训的长期效果。
