Table 1

Levels of evaluation4

LevelMeasurement focus
0InputMeasures input into the programme including the no of participants, costs and time involvement
1Reaction, satisfaction and planned actionMeasures participant’s reaction to and satisfaction with a training programme and participant’s plans for action
2LearningMeasures increase in knowledge and/or skills, and changes in attitudes
3Application and implementationMeasures transfer of knowledge, skills and/or attitudes from classroom to the job (change in job behaviour due to a training programme)
4ImpactMeasures business and/or healthcare (eg, patient safety, quality of patient care) impact
5Return on investment (ROI)Compares the monetary value of the business and/or healthcare outcomes with the cost of the training programme
  • ROI methodology levels of evaluation.