Transfer human factor skills from simulation-based training to competency in clinical practice: - a demonstration of a hybrid method for assessing transfer of learning.

Introduction Increasingly more resources are being used internationally in training and educating qualified healthcare personnel due to high personnel flow and rapid development within technology, care and treatment. Consequently, transferring learning from simulation-based training to competency in clinical practice is an essential question for healthcare faculty and management. Nevertheless, there is no established method for assessing if transfer occurs. This article aims to demonstrate how a hybrid method can explore transfer of learning from a simulation-based course to competency in clinical practice. Methods The hybrid method consists of a phenomenological–hermeneutic Ricœur-inspired analytical approach and a Cognitive Event Analysis of ethnographic data from a healthcare setting. Discussion It is argued that this hybrid method can gain awareness of behavioural changes following a simulation-based training course and how transfer happens. It is concluded that the hybrid method can provide insights into complex actions and constitutes a systematic and detailed approach to capturing transfer of human factor skills from simulation-based training to competency in critical practice. This research is the first step in developing a tool of transfer.