Supervisors | Trainers
| Learners | Co-workers
and Others
This article is excerpted from a recently released publication called Transfer
of Learning: A Guide for Strengthening the Performance of Health Care
Workers. This guide is a result of collaboration between Intrah/PRIME II and the JHPIEGO
Corporation.
Last month, we reviewed the responsibilities of all
participants BEFORE learning: supervisors, trainers, learners, co-workers
and others. This month, we'll focus on their responsibilities DURING
learning.
Supervisors
Discuss with trainers what sessions would be most
helpful or appropriate for you to attend (e.g., sessions that include
problem-solving discussions concerning implementation of new knowledge and
skills at the work site). When practical, attending the training
demonstrates your support of the trainers as well as the learners.
Training interventions that use on-the-job and self-directed learning
components include activities that occur at the job site and therefore
provide excellent opportunities for you to be involved in the learning and
transfer of skills.
Supervisors have an important role in guarding the
learners' time by not allowing others to interrupt or take learners away
from training activities. Be prepared to limit your demands on learners
during the training period. Missed sessions create learning gaps that
decrease the training's positive impact and affect performance. By your
actions, you can communicate that training is a priority and that
mastering the new knowledge and skills is essential.
Set aside some of your time to meet with learners
soon after the training to discuss the implications of what they have
learned. Allow a few days for the learners to prepare their notes and
organize their thoughts prior to this meeting. Also schedule some time for
the learners' co-workers to meet with the learners to share ideas and
discuss implementation.
If learners will be introducing a new procedure or
service at the work site, you may need to procure additional supplies and
possibly some new instruments or equipment. Some procedures and services
may require a dedicated space and equipment within the facility. You
should arrange for supplies and regular maintenance of equipment, schedule
time for learners to practice with the instruments and equipment, and help
ensure that learners have opportunities to master the new procedures.
Trainers
Throughout your course, you should make every effort
to help learners draw upon what they already know and connect what they
are learning to what they need to do on the job. The design of your course
should include activities and exercises to promote the transfer of
learning. Here are some ways to facilitate this process during your
course:
- Design activities that engage learners as
participants and tap their existing knowledge and skills.
- Include realistic exercises that address the
challenges being faced by the learners at their work sites. Consider
brainstorming with the participants early in the course to focus on
problems at their facilities and then use those problems as the basis for
activities throughout the course.
- Schedule learning topics in short segments
integrated with practice exercises and activities.
- Provide frequent opportunities for learners to
reflect on what they are learning and plan how they will use their new
knowledge and skills on the job. Give them a notebook to use as a learning
journal. Periodically ask the learners specific questions to answer in
their journals about how they will apply their new knowledge and skills,
what challenges they may face and how they will overcome those challenges.
Suggest that learners keep track of problems and questions they need to
resolve and resources they will need to put new skills into practice.
Remind learners to refer to their written reflections as they refine their
action plans.
- Provide opportunities for learners to support each
other by giving each other feedback and discussing how they will use their
new knowledge and skills.
- Help learners identify or develop job aids they can
use to promote the transfer of learning (e.g., a poster describing correct
hand washing technique to hang on the wall near the sink). Have learners
practice using job aids in situations similar to those on the job.
- Give immediate and clear feedback
Most workers have a strong need and desire to know
how they are doing on the job. Supervisors and trainers are encouraged to
provide immediate, individualized, and clear feedback in order to
reinforce learners' desired behaviors.
There are numerous opportunities during a course for
you to provide feedback to learners:
- during presentations and small-group activities
when all learners can benefit from the shared feedback
- individually during skill practice sessions or
while marking knowledge tests
- during breaks when you can approach learners or
encourage them to approach you
- during clinical training when learners are working
with clients (though this may be a more challenging opportunity).
Use a variety of techniques to help ensure that
feedback is timely and meaningful, including:
- verbal feedback, such as positive behavior
reinforcement or constructive correction
- nonverbal feedback, such as smiling and nodding
during presentations.
- Help learners develop realistic action plans
Supervisors and learners are encouraged to capture
training expectations by developing preliminary action plans prior to
beginning a course. With guidance from trainers, learners develop a more
complete action plan during the course. As a trainer, you are in a unique
position to help learners decide which skills they need more practice with
and how best to structure their practice after the course. If a learner's
preliminary plan was not a formal written plan, you can provide an action
plan format that will help the learner formalize a plan.
- Conduct training evaluations
Each training course should have an evaluation
component. During a course you may administer several types of evaluations
including:
- pre-course knowledge and skills assessments to
determine whether learners have the prerequisite knowledge and skills
- interim knowledge and skills assessments to measure
learners' progress
- post-course knowledge and skills assessments to
determine whether learners have achieved the course objectives and are
performing to course standards
- course evaluations to give learners an opportunity
to provide feedback on how well the course was conducted, whether the
course materials were appropriate, and how well the course content met
their performance needs.
Skills assessments or evaluations are typically based
on performing a skill to a standard as detailed in a performance
checklist. After training, these checklists can be used on the job in a
number of different ways. For example:
- learners can use them as a job aid when applying
the skill
- supervisors can use them to coach learners as they
practice a new skill
- trainers can use them during follow-up visits to
observe and provide feedback to learners.
When used over time, checklists can be helpful in
tracking changes in performance from one observation point to the next.
Learners
- Participate actively in the course
The more actively you participate in course sessions,
exercises and other interactions with trainers and fellow learners, the
more knowledge you will acquire. Active participation allows you to draw
from the experiences of others, clarify content, practice skills, and
explore how you will apply the new skills in your job. Active
participation includes:
- being on time for and actively engaged in all
learning sessions including discussions, problem-solving exercises, team
projects, and skill practice sessions
- asking questions about the course content as it
relates to your specific job
- trying out new behaviors where appropriate during
the course, and requesting feedback to improve your skills
- sharing your ideas and requesting feedback from
trainers and other learners
- discussing challenges and questions individually
with trainers when possible (e.g., after class, during breaks, in between
sessions, during site visits).
Additional mechanisms that can promote your active
involvement in the course include:
- Identifying one or more learners (buddies) with
whom you can complete assignments, share ideas, and discuss what you are
learning. It's helpful to exchange ideas about how new skills can best be
used in your job and to practice the skills that are applicable. A
"buddy" relationship is most effective between co-workers or
others with whom you can make a commitment to have an ongoing connection
that will permit you to support each other after the training event.
Linking with a learning buddy who is your co-worker allows you to identify
important performance goals as a team and create a joint action plan for
application at your work site, including details on how your plan will be
shared with your supervisor and other co-workers. Other post-training
support may come from professional associations and formal peer
associations.
- Writing reflections about what you are learning.
Making notes in a learning journal can help you retain knowledge and
skills, share the most relevant information from training with your
supervisor, and focus on the best ways to implement new practices at work.
Your trainer may give you opportunities to write in your learning journal
during the training sessions. In your journal, you can also keep track of
problems and questions that you want to pursue with the trainer or other
learners and make notes about the support and resources you think you will
need to put new skills into practice. If you add to your journal
throughout the training program, you can use it as a reference when you
complete and implement your action plan.
- Develop realistic action plans for transferring
learning
The preliminary action plan developed with your
supervisor--or the discussions that you and your supervisor had regarding
expectations for the training--provide the foundation for your action
plan. If your preliminary action plan was not a formal document, ask your
trainer to provide you with guidelines and a format for developing a
written action plan. Refer to your learning journal and use what you have
learned from your participation in the course as a basis for refining your
action plan. Most action plans incorporate areas for improvement
(describing measurable and achievable goals and objectives), anticipated
problems or barriers you will overcome, and specific actions to be taken.
For each action, identify the person responsible, any resources needed, a
target date for completion, and changes you expect to occur as a result of
the action. Some of the actions may highlight additional skills practice
or self-development activities to help you reach your goal.
As you prepare to implement your action plan,
consider using the following techniques:
- If feasible, make plans to have a trainer visit
your work site or be available to consult with you and your supervisor
after training to help facilitate implementation of your action plan.
- Try to anticipate potential areas of resistance
(e.g., from supervisors, co-workers or administrative staff) or barriers
at your work site (e.g., logistical or supply and equipment problems).
- With your trainer or a learning buddy, brainstorm
about how these barriers can be overcome and determine what resources and
types of support are needed to surmount the obstacles.
- Include the steps identified for overcoming
barriers in your action plan.
Co-Workers and Others
When co-workers leave for training it is often hard
to continue to provide good services. You can help by taking on some extra
duties while they are in training. This may mean working harder for a week
or so. Your supervisor may assign extra duties for you. One way to be
supportive is to ask your supervisor if there is anything you can do to
help while your co-worker is in training.
Some training designs and approaches require learners
to practice new knowledge and skills on the job during the course of the
learning event. Group-based training that takes place over several
different sessions often includes assignments that learners must complete
between the sessions. On-the-job and self-directed learning approaches
generally incorporate opportunities for learners to practice new skills
while they are still learning. At the request of learners or your
supervisor, you may be able to assist with the learning exercises by
observing learners or helping them practice skills by participating in
role-plays.
Next month, we will review in detail the roles and responsibilities of all the stakeholders
AFTER learning.
For more information about Transfer of Learning, contact Rick Sullivan at rsullivan@jhpiego.net.
Read the full Transfer of Learning
Guide