Training need assessment of sri lankan nurses: New innovative method

Development of an effective method to assess the
In-Service Training Needs of the nurses working in
the RDHS division Jaffna
Dr.D.Venoden, International Medical Research Fellow, Sherwood Forest Hospitals, UK
Dr.Vindya Kumarapeli, Consultant Community Physician; Director, Policy Planning, Ministry
of Health, Sri Lanka
Dr.V.Nivethini, Registrar, Medicine, National Hospital of Sri Lanka

Contents
1. Introduction
 Background
 Research problem
 Objectives
2. Methodology
3. Results
4. Limitation
5. Recommendation
6. Reference
Innovative Research Project - Dr.D.Venoden,
Dr.K.Vindya and Dr.D.V.Nivethini

Introduction
Back ground
Training, which is a vital component of the
human resource management, is described as
the enhancement of capabilities of an
employee to perform his or her current job.

Introduction
Analysis, Design, Development,
Implementation and Evaluation (ADDIE)
model is a feasible method to identify, design,
develop, implement and evaluate a training
programme.
First step of the training cycle is
Training Need Assessment (TNA)

Introduction
In-service training of the health care staff are
essential not only to develop knowledge,
skills, and attitude but also it helps to refresh
the knowledge and skills they already had.
It was found that training of the healthcare
staff improved the patient and organizational
outcomes of the National Health Services
(NHS) of UK.

Introduction
Research problem
In-service training needs of most of the state
sector nurses in Sri Lanka are gathered
through performance appraisal process
These data weren’t used to
assess the training needs
due to its inadequacy,
incompleteness and non-
user friendliness

Introduction
This research project was designed to bridge this
gap by introducing a new method of TNA for the
nurses working in the Regional Directorate of
Health Services (RDHS) division Jaffna
It was conducted in all 8 hospitals in the RDHS
division, Jaffna, which had nurses, and data
collection was done in November 2016

Objective
To develop an effective method to assess the in-
service training needs of nurses working in the
RDHS division Jaffna

Methodology
This project had three components
1.Identification of the current method of TNA
and its strengths and weaknesses
2.Development of a tool by modifying
Hennessey and Hicks training need analysis
questionnaire, and application of this tool to
assess the training needs of the nurses

Methodology
3. Conduction of a training programme based on
the TNA by using the new method.
Training topics were selected
based on results of the new
method and the effectiveness of
the new method was assessed
during training

Hennessy –Hicks TNA Tool
Developed by
Professor Carolyn Hicks, BA, MA, PhD, PGCE, CP sychol.
School of Health and Population Sciences,
College of Medicine and Dentistry
University of Birmingham, UK
&
Dr Deborah Hennessy BA, PhD, RN, RM, Diploma Public Health
Nursing, HV, FRSM
Consultant to World Health Organisation
5 Westfield House,80 Westgate
Chichester United Kingdom, UK
Copyright of University of Birmingham Licensed to WHO
for On-line use
Innovative Research Project -

This Tool comprises of five superordinate
categories/Themes
Research/audit/Information management
Communication/Teamwork
Clinical tasks
Administration/supervisory tasks
Self and peer management
For each theme a range of items was developed into
questionnaire format

Tailor making the Tool

Shaping up the Tool

Results
Major strength of current method of TNA
 Availability of system to gather information
Major weakness of current method of TNA
 Difficulty in organizing and analyzing data on
training needs
 The number of trainings conducted were not
adequate

Results
Associations between the experience
category, grade, work unit of the nurses and
the mean of the overall performance gap were
statistically significant
Nurses who belonged to least experienced
category, Grade 111 and working in the ICU,
OT, BB and Oncology units had highest mean
performance gaps in all five superordinate
categories

Results
Effectiveness of the new method of TNA
The new method of TNA was found to be
significantly more satisfactory
The topics covered in the training programme
were relevant to their training needs

Effectiveness of the new method of TNA

Limitation
Since the Nursing population on which this
study has been done was predominantly
younger, these results mayn’t be generalized
However the new method of TNA can be
applied to any state sector nursing population
with minor modifications

Recommendations
It is recommended to
link this tool with annual appraisal process
Add sections to gather information on any
other training needs and other factors
affecting performances

Reference
• Al Ahmadi, H. (2009). Factors affecting performance of hospital nurses in Riyadh Region, Saudi Arabia, International Journal
of Health Care Quality Assurance, Vol. 22 Issue: 1, pp.40-54, [Online] Available from:<
http://www.emeraldinsight.com/doi/abs/10.1108/09526860910927943> [Accessed on 23rd April 2017]
• Bowman, J. and Wilson, J. P. (2008), “Different roles, different perspectives: perceptions about the purpose of training needs
analysis”, Industrial and Commercial Training, Vol. 40, No.1. [Online] Available from:<
http://www.emeraldinsight.com/doi/full/10.1108/00197850810841639> [Accessed on 27th December 2017]
• Business Coach, Inc. (2017). Understanding The Importance Of Training Needs Analysis. [Online] Available from:<
http://www.businesscoachphil.com/understanding-the-importance-of-training-needs-analysis> [Accessed on 25th February
2017]
• Carlisle, J., Bhanugopan, R. and Fish,A. (2011) Training needs of nurses in public hospitals in Australia: Review of current
practices and future research agenda. Journal of European Industrial Training, Vol. 35 Issue: 7, pp.687-701,[Online] Available
from:< http://www.emeraldinsight.com/doi/abs/10.1108/03090591111160797> [Accessed on 16th March 2017]
• Clarke. (2003). The Politics of Training Need Analysis. Journal of Work Place Learning. Vol. 15 Issue: 4, pp.141-153. [Online]
Available from:< http://www.emeraldinsight.com/doi/abs/10.1108/13665620310474598> [Accessed on 2nd February 2017]
• Clay,J.(2016) The ADDIE Model; Using the ADDIE model as a Project Management Tool. [Online] Available from:<
https://www.webanywhere.co.uk/sites/webanywhere.co.uk/files/resources/webinar_addie_jeffc_final.pdf> [Accessed on
26th December 2016]
• CommLab India.(2013). Importance of Training needs analysis. [Online] Available from:<
https://www.slideshare.net/CommLab/importance-of-training-needs-analysis-ppt> [Accessed on 3rd March 2017]

Reference
• Decanzo,D.A. and Robbins, S.P. (2010). Fundamentals of Human Resource Management. 10th Ed. United States of
America. John Wiley & Sons, Inc.
• Desssler,G. (2014). Fundamentals of Human Resource Management. 3rd Ed. Edinburgh. Pearson New International
Edition.
• Directorate of Healthcare Quality and Safety. (2015). Manual for Master Trainers Healthcare Quality and Safety. 1st
Ed. Colombo: Ministry of Health.
• Explorable. 2017. Operationalization. [Online] Available from:< https://explorable.com/operationalization:>
[Accessed on 12th March 2017]
• Ferreira, R.R. and Abbad, G. (2013). Training needs assessment: where we are and where we should go. Brazilian
Administration Review. On-line version ISSN 1807-7692. [Online] Available from:<
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-76922013000100006> [Accessed on 4th March
2017]
• Fried, J.B., Fottler,M.D. and Johnson,J.A.(2005). Human Resources in Healthcare: Managing for Success. Chicago.
Foundation of the American College of Healthcare Executives.
• Gaspard, J., and Yang,C. Training needs assessment of health care professionals in a developing country: the
example of Saint Lucia. BMC.Med.Edu. 2016; 16: 112.[Online] Available from:<
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4847227/> [Accessed on 14th March 2017]
• Gluyas,H. (2015). Effective communication and Team work promotes Patient Safety. Nursing Standard. 29, 49, 50-
57. [Online] Available from:< http://journals.rcni.com/doi/pdfplus/10.7748/ns.29.49.50.e10042> [Accessed on 2nd
May 2017]
• Health Information Unit. (2015). Human Resource Profile. Colombo.Ministry of Health
• Hennessy, D.A. and Hicks, C.M. (2011). Hennessy-Hicks Training Needs Analysis Questionnaire and Manual. [Online]
Available from:< http://www.who.int/workforcealliance/knowledge/toolkit/19.pdf?ua=1> [Accessed on 2nd
October 2015]

Reference
• Kullkarni,P.P.(2013). A Literature Review on Training & Development and Quality of work life. International
Refereed Research Journal. [Online] ResearchersWorld. Vol.–IV, Issue–2, April 2013[137]. Available from :<
http://www.researchersworld.com/vol4/issue2/Paper_20.pdf> [Accessed on 23rd May 2017]
• Landau, P. (2016). What Is Risk Management on Projects?. [Online] Available from:<
https://www.projectmanager.com/blog/what-is-risk-management-on-projects> [Accessed on 23rd March 2017]
• Linnman, D. (2010). Value Management in Projects – Definition And Goals. [Online] Available from:<
http://www.mymanagementguide.com/value-management-in-projects-definition-and-goals/> [Accessed on 23rd
March 2017]
• Mahfod, J. Libyan Nurses and Their Training Needs: An Overview and Analysis of TNA as a Tool to Enhance Nurse
Learning and Effectiveness. GSTF Journal on Business Review (GBR) Vol.3 No.2, [Online] Available from:<
• http://dl6.globalstf.org/index.php/gbr/article/viewFile/244/255> [Accessed on 26th February]
• Markakir,A.,Antonakis,N., Hicks, C.M. and Lionis, C. (2007). Translating and validating a Training Needs Assessment
tool into Greek. BMC Health Services Research 2007 7:65.[Online] Available from:<
https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-7-65> [Accessed on 26th February].
• Mayer,B. (2010).Tips for Improving Nurse Performance. [Online] Available from:<
http://www.healthleadersmedia.com/nurse-leaders/tips-improving-nurse-performance> [Accessed on 23rd March
2017]
• Martilla,J.A. and James,C.J. (1977). Importance – Performance Analysis. Journal of Marketting. [Online] Available
from:< https://archive.ama.org/archive/ResourceLibrary/JournalofMarketing/Pages/1977/41/1/4997426.aspx>
[Accessed on 17th February 2017]

Reference
• Nikpeyma,1.N., Saeedi,1.Z.A., Azargashb,E., Majd,H.A. (2014). Problems of Clinical Nurse Performance
Appraisal System: A Qualitative Study. Asian Nursing Research. 8 (2014) 15-22. [Online] Available from:<
http://www.sciencedirect.com/science/article/pii/S1976131713000650> [Accessed on 14th March 2017]
• OnCoRe Blue Print. Define Project Values. [Online] Available from:<
http://www.oncoreblueprint.org/blueprint/phase_I_planning/strategic_planning/conduct_planning_sessi
on/define_project_values.html> [Accessed on 23rd March 2017]
• Penny,T. (2016). ADDIE Model in Safety Training, how does yours measure up. [Online] Available from:<
https://www.linkedin.com/pulse/addie-model-safety-training-how-does-yours-measure-up-terry-penney>
[Accessed on 3rd March 2017]
• Polit, D.F., and Cheryl Tatano Beck, C.2006. The Content Validity Index:Are You Sure You Know What’s
Being Reported? Critique and Recommendations. Research in Nursing & Health. Vol. 29, 489-497
• Project Manager.com.(2017). Risk Tracking Template. [Online] Available from:<
https://www.projectmanager.com/blog/what-is-risk-management-on-projects> [Accessed on 23rd March
2017]
• Royal College of Nursing. (2014).Continuing Professional Development (CPD) fornurses working in the
United Kingdom (UK).[Online] Availabel from:<
https://my.rcn.org.uk/__data/assets/pdf_file/0006/583260/16.14_RCN_Factsheet_Continuing_Profession
al_Development_for_nurses_working_in_the_UK.pdf> [Accessed on 3rd November 2016]
• Shumann,P.L. (2008). Training & Development [online]Available
from:<http://www.slideshare.net/dennimardomingo/training-cycle-38419535/>[Accessed on 17th January
2017].

Reference
• Tesfaye,T.,Abera,A.,Balcha,F.,Nemera,G., and Belina,S. (2015). Assessment of Factors Affecting Performance of
Nurses Working at Jimma University Specialized Hospital in Jimma Town, Oromia Region, South-West Ethiopia.
Journal of Nursing and Care 4:312. [Online] Available from:< https://www.omicsgroup.org/journals/assessment-of-
factors-affecting-performance-of-nurses-working-atjimma-university-specialized-hospital-in-jimma-town-oromia-
regions-2167-1168-1000312.php?aid=65245> [Accessed on 26th January 2017]
• Tobacco Control Evaluation Center. Content Analysis; A method for analyzing Qualitative data. [Online] Available
from:< http://www.bwgriffin.com/gsu/courses/edur9131/readings/content_analysis_tobacco.pdf> [Accessed on
23rd April 2017]
• Training Industry. (2016) ADDIE Model. [Online] Availablefrom:<
https://www.trainingindustry.com/wiki/entries/addie-model.aspx> [Accessed on 24th December 2016]
• Treasury.(2017). Budget Estimates 2017. Colombo. Ministry of Finance.
• United Nations Economic Commission for Europe. (2013). Human Resources Management and Training. [Online]
Available from:< file:///F:/Research%20project/Project%201/Literature%202/4-%20HRM%20-UN.pdf>
https://rvcreativeeducation.files.wordpress.com/2016/11/addie-model.jpg [Accessed on 28th April 2017]
• University of Massachusetts Amherst. (2001). Program-Based Review and Assessment. [Online] Available from:<
http://www.umass.edu/oapa/oapa/publications/online_handbooks/program_based.pdf> [Accessed on 28th April
2017]
• West,M.,Dawson,J.,Admasachew,L.and Topakas,A.2015. NHS Staff Management and Health Service Quality.
[online] Available from:https://www.gov.uk/government/uploads/system/uploads/attachment/ [Accessed on
27/12/2016]

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