--- title: "The business case for practice, and how to evaluate it" description: "How to evaluate a training program, what the Google, Mater and Mayo results measured, Australian and US violence and turnover data, and a business-case outline." canonical: https://peopletechrevolution.com/training/business-case-and-evaluation --- [Training programs](https://peopletechrevolution.com/training) / Business case and evaluation # For the person writing the paper: the business case, and how to evaluate the result What you can show, what the published results measured, and what violence and turnover cost. Your first question ## What will we be able to show at the end? Choose the measures and take a baseline before the first session. The [Kirkpatrick model](https://www.kirkpatrickpartners.com/the-kirkpatrick-model/) names the levels; [a pilot](https://peopletechrevolution.com/training/how-a-pilot-runs) fixes them up front. A participant talks it through with a facilitator. ### Confidence before and after Each participant rates confidence before the first session and after the debrief, on the same scale. Observers watch a participant rehearse in the headset. ### Behaviour observed at work The [behaviour level](https://www.kirkpatrickpartners.com/the-kirkpatrick-model/) asks whether people use the practised behaviour at work and are supported in it, recorded by an observer’s checklist or a manager’s note. A presenter reviews options on a floating panel. ### Incident and claims data Compare incidents, complaints and workers’ compensation claims over like periods. Sorting tokens beside an analytics display. ### Survey and retention A short survey after each session covers reaction; turnover comes from your own HR records. The [NSI 2026 report](https://www.nsinursingsolutions.com/Documents/Library/NSI_National_Health_Care_Retention_Report.pdf): “The cost of turnover can have a profound impact on hospital margin. Although retention is viewed as a key strategic imperative, less than half (46.1%) of the respondents track this metric.” What regulators expect ## Is a list of completions enough? Completions show participation; evaluation shows whether the training works. A case manager listens to an older man. ### Australia and the United States [Aged care’s Quality Standards](https://www.agedcarequality.gov.au/strengthened-quality-standards/organisation/human-resource-management) Action 2.9.5: “The provider regularly reviews and improves the effectiveness of the training system.” [NSQHS Action 1.20](https://www.safetyandquality.gov.au/standards/nsqhs-standards/clinical-governance-standard) asks a hospital to monitor participation, which a completion list supports; [what assessors look for](https://peopletechrevolution.com/learn/standards/nsqhs-action-1-20). In the United States, the [EEOC](https://www.eeoc.gov/laws/guidance/promising-practices-preventing-harassment) recommends, though not as a legal requirement, training “Routinely evaluated by participants and revised as necessary”. The published results ## What do the published results say, and who measured them? Reaction and learning measures, plus a controlled trial. A home-office call, a Google scenario. ### Peer reviewed: Google, ACM CHI 2024 Led by PTR co-founder Leonie Sanderson and built with Equal Reality, a subsidiary of People Tech Revolution. In the [paper](https://peopletechrevolution.com/uploads/docs/people-tech-revolution-google-vr-inclusion-training-chi-2024.pdf), the 7 trainees who returned the optional survey gave 82% average agreement that it beat Google’s standard DEI training and 94% average satisfaction. Inside the Mater build, at a bedside. ### Client evaluation: Mater Education Mater Education evaluated its own pilot. In its [closure report](https://peopletechrevolution.com/uploads/docs/people-tech-revolution-mater-immersive-learning-pilot-case-study.pdf), 90% reported better concentration and over 96% wanted more training in VR. [The case study](https://peopletechrevolution.com/work/case-studies/mater-speaking-with-good-judgement). A nurse leader faces colleagues in a corridor. ### Published research: Mayo Clinic People Tech Revolution built a DEI module for Mayo Clinic nurse leaders. In Mayo’s [education evaluation](https://doi.org/10.1097/NNA.0000000000001503), 91.9% of respondents agreed they achieved the objectives (593 of 1,131 responded). In a [controlled trial](https://doi.org/10.1016/j.socscimed.2024.117648), measured in the week after the class, self-reported empathic feeling rose an average 0.11 points in the intervention group while a control group not yet trained fell 0.02 (p = .002). At the follow-up 6 to 8 months later, with everyone trained and no control group, the sample’s average was still significantly above baseline. Each is a self-reported DEI measure; our published work includes no incident, retention or de-escalation result. [Download the Google research paper PDF](https://peopletechrevolution.com/uploads/docs/people-tech-revolution-google-vr-inclusion-training-chi-2024.pdf) [Download the Mater case study PDF](https://peopletechrevolution.com/uploads/docs/people-tech-revolution-mater-immersive-learning-pilot-case-study.pdf) The cost side ## What does violence or turnover cost us? Public data, labelled by the agency that collected it. A consultant updates a family in the corridor. ### Australia: claims, by Safe Work Australia [Safe Work Australia](https://data.safeworkaustralia.gov.au/insights/hazards-and-injuries/work-related-violence-aggression-australia): “From 2017-18 to 2021-22p, there was a distinct 56% increase in the number of serious workers’ compensation claims (involving at least one week away from work) for workplace violence and assault”, and, in the 10 years its August 2024 report covers, “53,139 accepted workers’ compensation claims for being assaulted by a person or persons”. Nurses discuss a handover at the station. ### United States: injuries and turnover The [Bureau of Labor Statistics](https://www.bls.gov/iif/factsheets/workplace-violence-2021-2022.htm) counts nonfatal workplace violence cases requiring days away from work, job restriction or transfer; in private-industry health care and social assistance, 2021 to 2022, they occurred at “an annualized incidence rate of 14.2 cases per 10,000 full-time workers”. The [NSI 2026 report](https://www.nsinursingsolutions.com/Documents/Library/NSI_National_Health_Care_Retention_Report.pdf): “The cost of turnover for a staff RN is $60,090”, against a staff RN turnover national average of 17.6%. The paper ## A business-case outline you can copy Headings to fill from your own records. A planner and supervisor review plans together. ### Headings, in order - The problem , in our own numbers: incidents, claims, complaints, turnover - The duty : the standard, code or policy the program answers - Who will practise , and which conversations - How it will run : format, who facilitates, time off the floor - What we will measure , at which level, and the baseline taken first - What the published work shows , and who measured it - Options considered , including doing nothing - Risks : data, equipment, scheduling - Cost , and the decision requested Where practice fits ## Which programs could the paper cover? [De-escalation: the seconds before it turns](https://peopletechrevolution.com/training/de-escalation) [Speaking up for safety, in the moment](https://peopletechrevolution.com/training/speaking-up-for-safety) [Difficult conversations, rehearsed before they happen](https://peopletechrevolution.com/training/difficult-conversations) [Procurement and tenders: what to ask for](https://peopletechrevolution.com/training/procurement-and-tenders) How it runs ## Run it the way your team already learns. [Run it yourself Your facilitator runs PTR VR Library titles on standalone headsets.](https://peopletechrevolution.com/xr/ptr-vr-library) [In a browser Staff rehearse with an AI partner on a laptop, no headset.](https://peopletechrevolution.com/ai/ai-roleplay-practice) [Facilitated over video A PTR facilitator runs the debrief by video, wherever teams sit.](https://peopletechrevolution.com/training/how-we-deliver) [With your trainer A trainer you already know runs it, licensed and prepared by PTR.](https://peopletechrevolution.com/training/for-trainers) A consultation across a table, tablet between. ### Start with the question your executive will ask Tell us which measure your executive will ask about. [Talk to us](https://peopletechrevolution.com/talk-to-us) or [book a time with our team](https://calendly.com/simon-ptrvr/30min?utm_content=trnbusinesscase). - [How to evaluate a pilot](https://peopletechrevolution.com/insights/evaluate-de-escalation-training-pilot) - [Research on VR de-escalation training](https://peopletechrevolution.com/insights/vr-de-escalation-training-evidence) - [All training programs](https://peopletechrevolution.com/training) Writing the business case for your executive? [Open the contact form](https://peopletechrevolution.com/training/business-case-and-evaluation#contact) Ask our CEO Simon Lowe’s Digital Twin a question ## Sources Each result and rule at its source. ### [Strengthened Quality Standards: human resource management](https://www.agedcarequality.gov.au/strengthened-quality-standards/organisation/human-resource-management) Aged Care Quality and Safety Commission Action 2.9.5. ### [The Kirkpatrick Model](https://www.kirkpatrickpartners.com/the-kirkpatrick-model/) Kirkpatrick Partners The levels used to choose measures. ### [NSQHS Clinical Governance Standard](https://www.safetyandquality.gov.au/standards/nsqhs-standards/clinical-governance-standard) Australian Commission on Safety and Quality in Health Care Action 1.20. ### [Promising practices for preventing harassment](https://www.eeoc.gov/laws/guidance/promising-practices-preventing-harassment) US EEOC, 2017 Training evaluated by participants. ### [Work-related violence and aggression in Australia](https://data.safeworkaustralia.gov.au/insights/hazards-and-injuries/work-related-violence-aggression-australia) Safe Work Australia, August 2024 Claims growth and claim counts. ### [Workplace violence 2021-2022](https://www.bls.gov/iif/factsheets/workplace-violence-2021-2022.htm) US Bureau of Labor Statistics, 2024 Days-away, restriction or transfer cases, private health care. ### [National Health Care Retention and RN Staffing Report](https://www.nsinursingsolutions.com/Documents/Library/NSI_National_Health_Care_Retention_Report.pdf) NSI Nursing Solutions, 2026 RN turnover cost and rate. ### [Virtual reality to build empathy in nurse leaders](https://doi.org/10.1016/j.socscimed.2024.117648) Social Science and Medicine, 2024 Controlled trial, then a follow-up at 6 to 8 months.