Date of Award

8-2025

Document Type

Dissertation

Selected Creative Commons License

Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.

Degree Name

Doctor of Philosophy (Ph.D.) Nursing

Department

Nursing

School

School of Nursing and Health Sciences

Abstract

Background: During Spring 2020, the COVID-19 pandemic temporarily displaced healthcare workers from suspended clinical work areas to inpatient critical care areas. Nurses were rapidly uptrained for unfamiliar roles in critical care using a variety of instructional formats.

Purpose: The purpose of this survey study was to evaluate the effectiveness of eight training strategies on healthcare workers' perceived competence, confidence, and satisfaction during the first wave of the COVID-19 pandemic.

Methods: This cross-sectional, retrospective, investigator-developed survey study examined the effectiveness of eight training strategies used during the COVID-19 pandemic on three outcomes for professional registered nurses. The three outcomes were self-reports of competence, confidence, and satisfaction with training. The online survey was distributed for six months nationally through the American Association of Critical-Care Nurses. The final sample consisted of 290 respondents who worked during the COVID-19 pandemic's initial wave (February to June 2020). Descriptive statistics, ordinal logistic regression, one-way MANOVA, and exploratory factor analysis were used to answer the research questions.

Results: Zoom-based training was the only method significantly associated with all three outcomes—competence, confidence, and satisfaction. Return demonstration training significantly enhanced outcomes across all domains. Self-learning modules were negatively associated with training satisfaction. Instructor-led training showed a positive trend. No significant differences were found between experienced and inexperienced healthcare workers, suggesting training was equally effective regardless of prior experience. Ordinal regression revealed that healthcare workers who did not receive Zoom or classroom training were more likely to prefer these formats in the future. A positive Spearman's rho showed that respondents open to future training were also willing to repeat the same training method they had.

Conclusion: These findings highlight the value of structured, synchronous, virtual, and performance-based training formats during public health emergencies. The study reinforces the utility of just-in-time training principles. The results support the development of hybrid instructional models that balance virtual delivery with hands-on practice.

Related Pillar(s)

Study

Included in

Nursing Commons

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