ABSTRACT Introduction: Hospital infection prevention and control (IPC) is an important part of medical quality management, and the appropriate training of staff is therefore essential. Although many hospitals adopt training methods such as scenario simulation, this type of training has challenges, including unscientific evaluation of effects, unreasonable link setting, and failure to adapt to the characteristics of new employees. Objective: This project aimed to establish an evidence-based evaluation framework for assessing hospital IPC training outcomes for newly recruited health care personnel, serving as a decision support tool to improve the quality of training programs. Methods: This methodological study integrated the Kirkpatrick and Context-Input-Process-Product (CIPP) models to develop a multidimensional evaluation structure. An initial indicator pool was generated through a systematic literature review and thematic analysis of semi-structured interviews with the clarity and specificity of training clinical educators. A three-phase structured expert consensus-building method (Delphi technique) involving 20 infection control experts was employed to refine and validate evaluation metrics. Results: The Delphi process demonstrated high engagement, with survey response rates of 90% (18/20) and 100% (18/18) across the two rounds. Strong expert consensus was achieved, as evidenced by the authority coefficients of 0.87 and 0.89. The finalized framework comprises 7 domains, 22 secondary indicators, and 70 measurable indicators. These span training context assessment, implementation processes, competency development, and organizational impact. Conclusion: This evaluation framework demonstrates strong validity and reliability for holistic assessment of IPC training programs. Its multidimensional structure enables the systematic monitoring of both immediate learning outcomes and long-term behavioral/organizational impacts, providing actionable insights for continuous quality improvement in health care workforce development. Spanish abstract: http://links.lww.com/IJEBH/A479
Feng et al. (Mon,) studied this question.