Evaluation demonstrates the degree to which learning is achieved. Evidence of learning can be demonstrated in a patient’s ability to apply information and problem solve a hypothetical or real world situation for practice.

It is important to evaluate the degree of learning, not the tool used to achieve learning. Evaluate after each concept is taught (chunk and check) and at the end of the teaching session. It may be necessary to re-teach using different methods and/or resources. Refer to Planning and Implementation to modify the teaching plan until learning is achieved. 

Evaluation Steps

  1. Evaluate learning using teach back strategy.
  2. Evaluate learning of skill/behavior through return demonstration.
  3. Evaluate learning by measuring a change in patient outcomes.

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Evaluation Steps Explanations/Examples/Scripts Ref List
1. Direct patient input    
Teach Back strategy
  • Use in direct conversations or part of a classroom setting.
  • Phrase teach back questions so patient does not feel as if being tested.
    • “I want to make certain I’ve told you everything you need to know. Tell me in your own words:
      - how you will….”
      - what are you going to do if…."
      - how would you explain….”
List 49
2. Return demonstration    
Perform skill/behavior
  • Evaluate skill performance, including purpose and steps in the process.
    • Patient shows ability to troubleshoot a problem  
  • Provide feedback to support teaching during the demonstration.
    • Gently correct any misconceptions.
    • “How confident are you that you can do this?”
List 50
3. Patient outcomes    
Measurable change in patient outcomes.
  • Measure adherence to self-management plan.
    • questionnaires, symptom logs, quality of life measures, validated tools
  • Assess change in readmission rate
  • Verify adherence to medications or treatment plan with lab results or other biometrics
List 51


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