Implementing the Four Levels: A Practical Guide for Effective Evaluation of Training Programs


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Book Description Berrett-Koehler. New copy - Usually dispatched within 2 working days. Seller Inventory B Book Description Penguin Random House. Brand New. Seller Inventory M Publisher: Berrett-Koehler Publishers , This specific ISBN edition is currently not available. View all copies of this ISBN edition:. Review : "Don and Jim's insights on management buy-in tactics and many practical examples of how to execute comprehensive level three and four evaluations are truly invaluable.

Suggestions are provided as to how to do this. The Fifth Key - 'Evaluate Learning' offers advice on how to gauge and measure the level of learning and skill acquired. Sixth Key is 'Evaluate Behaviour' shows what to look for and how to measure the change in behavior resulting from the process. The seventh key - 'Evaluate Results' shows how to evaluate results on a before and after basis and how to account for and include additionalfactors such as control groups, time for results to occur and so on.

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Other Popular Editions of the Same Title. Search for all books with this author and title. You can change cookie settings in your browser at any time. Click here to learn more. An effective training program is built by following a systematic, step-by step process. Training initiatives that stand alone one-off events often fail to meet organizational objectives and participant expectations.

The first step in developing a training program is to identify and assess needs. The ultimate goal is to bridge the gap between current and desired performance through the development of a training program.

Implementing the Four Levels: A Practical Guide for Effective Evaluation of Training Programs

At the employee level, the training should match the areas of improvement discovered through degree evaluations. The next step is to create a comprehensive action plan that includes learning theories, instructional design, content, materials and any other training elements. Resources and training delivery methods should also be detailed. Many companies pilot their initiatives and gather feedback to make adjustments before launching the program company-wide.

The implementation phase is where the training program comes to life. Organizations need to decide whether training will be delivered in-house or externally coordinated. Program implementation includes the scheduling of training activities and organization of any related resources facilities, equipment, etc.

The training program is then officially launched, promoted and conducted. During training, participant progress should be monitored to ensure that the program is effective. As mentioned in the last segment, the training program should be continually monitored. At the end, the entire program should be evaluated to determine if it was successful and met training objectives. Feedback should be obtained from all stakeholders to determine program and instructor effectiveness and also knowledge or skill acquisition. Analyzing this feedback will allow the organization to identify any weaknesses in the program.

At this point, the training program or action plan can be revised if objectives or expectations are not being met. Get Blue demo now. Explorance is dedicated to protecting the data our customers entrust to us. This Privacy Policy outlines in clear and simple terms our approach to information security and data protection.

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What's the Difference Between Return on Expectations and Return on Investment?

What information do we collect? The evidence of changes that occurred in the central, provincial, and district hospitals Kirkpatrick level 4 after the training program was collected through six group interviews with a total of 30 health professionals in those hospitals. Some key indicators of health service delivery outcomes including number of patient visits and number of admissions were also collected and analyzed. The difference in the average score between the global ratings at the beginning of the training and those at the end was analyzed by t-test.

The difference in the average score between the medical records written before the training and those written after the training was also analyzed by t-test. The trainees were satisfied with the training program according to the results of the questionnaire, in which the average satisfaction score was 4. Most of the comments about the training program were positive.

However, some trainees suggested that there should be more practice in the training program, especially in the early period of the training. There was a significant increase in performance scores in every clinical section Table 2. Lecture, observation, and medical practice were evenly used for the training according to the content of the log forms Table 3. The average score for the medical records written before the training was 2. According to the degree evaluation of the trainees, most of them were applying new knowledge and skills to their practice and adopting guidelines, and some of them were also teaching their colleagues and improving the hospital system.

Results of the review of the medical records that trainees wrote before and after the training program according to five point Likert scale a. The medical practice in the district hospitals, specifically, history taking, physical exam and procedural skills, and diagnostic skills, was improved. Trainees were able to apply guidelines to their medical practice. The training system and capacity were also strengthened. Competent trainers were trained in central and provincial hospitals, and now they were improving the education and training in their hospitals.

Trainees taught new knowledge and skills to their colleagues in the district hospitals and new training programs were started for the medical professionals working at health centers. The facilities of the district hospitals were renovated to catch up with the improved medical practice and the relationship among the central, provincial, and district hospitals also improved. While the number of patients served by the provincial hospitals was stable throughout the period, the number of outpatient visits and inpatient admissions in the district hospitals increased after the training program started in Figs.


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Changes in number of outpatient visits in district and provincial hospitals in Laos after training of physicians and physician assistants in district hospitals in Changes in the number of inpatient visits in the district and provincial hospitals in Laos after training of physicians and physician assistants in district hospitals in The plan for the program evaluation was designed from the beginning of the project, and was shared with the all the participants.

The whole evaluation process was conducted by the Lao faculty from UHS and the provincial hospitals under the guidance and support of faculty members from Korea.

1. Top-Level Management Support

The evaluation responses, including the comments from the trainees, were shared with the trainers at the end of each batch of training to continuously improve the training program. Global rating, which was used for the evaluation of learning of the trainees, is widely used in medical education and clinical training because it is easy for the raters to understand and apply it [ 7 ]. In this study, instruction was provided to the trainers to improve the reproducibility of the rating. Trainers also received a half-day workshop before assessing the medical records, and they practiced with some pilot medical records and received feedback during the workshop to improve the reproducibility of the rating and reliability among the raters.

The results of the degree evaluation revealed that there was little difference between the self-assessment of the trainees and the assessment from their colleagues. Both qualitative and quantitative data was collected for the evaluation of the outcomes of the training program. Even though some of the statistical data from the district level was not reliable enough to analyze, it was certain that the number of outpatient visits and inpatient admissions in the district hospitals greatly increased after the training program started in , while the number of patients served by the provincial hospitals was stable throughout the period.

This may reflect the increase in patient satisfaction due to the higher quality of health care services provided by the district hospitals. According to the program evaluation results, the satisfaction and achievement of the trainees were high, the trainees were transferring what they had learned, and there was a significant change in the central, provincial, and district hospitals after the training program. There may be several key factors that contributed to this successful outcome: first, the full engagement and responsibility of the Laos medical professionals; second, a focus on the sustainability of the project; third, a community-based approach to meeting the needs of the Laos health system; and fourth, system strengthening for the cooperation among central, provincial, and district hospitals.

Recently, the World Health Organization emphasized a new goal for global health: universal health coverage and competent health care human resources to deliver qualified health care services [ 8 ]. The developing countries are striving to strengthen the capacity of their health professionals with the support of many development partners. However, concerns always remain about the sustainability of the education and training of health professionals in developing countries [ 9 ]. The full engagement and responsibility of the Laos government and health professionals in this project also contributed to the effort to achieve sustainability of the CPD training.

The CPD training program was planned and implemented with the full engagement and responsibility of Laos health professionals to achieve the sustainability of the program.

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According to the program evaluation results, the satisfaction and achievement of the trainees were high, the trainees were transferring what they had learned, and there was a significant increase in the number of outpatient visits and inpatient admissions in the district hospitals after the training program. As the program proved to be effective, we can expect that it would be possible to expand this training program to other rural areas in Laos. Conflict of interest. No potential conflict of interest relevant to this article was reported.

National Center for Biotechnology Information , U. J Educ Eval Health Prof. Published online May

Implementing the Four Levels: A Practical Guide for Effective Evaluation of Training Programs Implementing the Four Levels: A Practical Guide for Effective Evaluation of Training Programs
Implementing the Four Levels: A Practical Guide for Effective Evaluation of Training Programs Implementing the Four Levels: A Practical Guide for Effective Evaluation of Training Programs
Implementing the Four Levels: A Practical Guide for Effective Evaluation of Training Programs Implementing the Four Levels: A Practical Guide for Effective Evaluation of Training Programs
Implementing the Four Levels: A Practical Guide for Effective Evaluation of Training Programs Implementing the Four Levels: A Practical Guide for Effective Evaluation of Training Programs
Implementing the Four Levels: A Practical Guide for Effective Evaluation of Training Programs Implementing the Four Levels: A Practical Guide for Effective Evaluation of Training Programs
Implementing the Four Levels: A Practical Guide for Effective Evaluation of Training Programs Implementing the Four Levels: A Practical Guide for Effective Evaluation of Training Programs
Implementing the Four Levels: A Practical Guide for Effective Evaluation of Training Programs Implementing the Four Levels: A Practical Guide for Effective Evaluation of Training Programs
Implementing the Four Levels: A Practical Guide for Effective Evaluation of Training Programs Implementing the Four Levels: A Practical Guide for Effective Evaluation of Training Programs
Implementing the Four Levels: A Practical Guide for Effective Evaluation of Training Programs

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