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A useful model for program evaluation.

We have taught the Renzulli Key Features Model of evaluation to about 40 teams of nurses involved in a collaborative regional project and have found it to be a most effective tool. It is relatively simple to learn and execute, yet comprehensive. It encourages the evaluator to gather a broad range of data from a variety of groups, thus providing meaningful data for decision making. Within our project it has been used to assess the need for new programs, to determine whether programs should be continued, to plan revisions in existing programs, and to evaluate both the process and the outcomes of planned change. We have found it useful in all these areas and recommend it to other nurses who wish to conduct program evaluation.

Data Collection↗

Developing a drug usage evaluation program.

One of the goals of the University of Illinois Hospital and Clinic's Pharmacy and Therapeutic Agent Review Program is to monitor and evaluate prescribing practices for drugs used in their facilities and to comply with Joint Commission standards with regard to conducting drug usage evaluations (DUE). Presented below is an overview of each step taken in the DUE process at the University of Illinois. The process described here can be adopted by other institutions that wish to improve their own DUE program.

Chicago↗

How do internal medicine residency programs evaluate their resident float experiences?

OBJECTIVES: We surveyed the nation's internal medicine residency training program directors to determine the range and frequency of existing methods by which float experiences are evaluated. METHODS: We sent questionnaires to the program directors of all 396 internal medicine residency training program sites in the country. Information requested included program characteristics, months devoted to float experiences in each year of training, and the location and purpose of the rotation. Program directors were also asked to choose among descriptors characterizing the evaluative process. RESULTS: There were 139 responding programs (39%), 134 with data that could be aggregated. Responding programs were similar to all programs nationally in the distributions of size and university sponsorship. Overall, 76% of programs employed a night float for any period of time, and 71% currently had one, on average for 6.7 years. Mean months of float experience during residency was 2.4 months, significantly longer in programs that were not university based. Float experiences were evaluated in 89% of those programs who employed them, with ten different methods reported. University-based programs were significantly less likely to use chart review as a method of evaluation, but no other differences in methodology were significant. CONCLUSIONS: Float rotations are common among internal medicine residency training programs. Evaluative methods vary, but one or more are applied in the vast majority of programs.

Hospital Administration↗

Using macro variables in program evaluation.

This paper discusses the importance of using macro-level variables for program analysis. It is argued that three types of macro variables--cultural, economic, and demographic--provide a context for evaluation, and offer alternative explanations for the success or failure of a program. The problems of causality and availability of data are discussed. Macro variables are seen to be especially useful in "meta evaluation," and in integrating the results of specific program evaluations into general conclusions.

Culture↗

Use of the Computer Automated Structure Evaluation program in determining quantitative structure-activity relationships within hallucinogenic phenylalkylamines.

The Computer Automated Structure Evaluation (CASE) program has been successfully used to generate automatically and identify molecular fragments relevant to the hallucinogenic activity expressed by some phenylalkylamines. Utilizing these major fragments, Quantitative Structure-Activity Relationship (QSAR) calculations were carried out to obtain an equation which was used for predictions of potencies. Correlations of these major activating/inactivating fragments with the biological activity of the compounds, as well as predictive capabilities of the CASE program, are discussed.

Aniline Compounds↗

A health promotion program evaluation in a minority industry.

Wellness or health promotion programs (HPP) in the worksite are beneficial to both employer and employee. Companies report reduced absenteeism and improved job performance and productivity (O'Donnell & Ainsworth, 1984; Glantz & Orr, 1986). These programs are vital for Black Americans who experience distressing disparity in the leading causes of mortality and morbidity when compared to White Americans. Black Americans also experience poorer health as a result of racism, prejudice, discrimination, economic issues, and social ills such as poverty and lack of access to health care. The major purpose of this study was to examine the effects of a nurse-delivered six-month pilot HPP on the health awareness and reported health behaviors of Black Americans in the workplace. Approximately 50 employees participated in the HPP. The overall health screening and evaluation survey results indicated that the HPP was effective in increasing health awareness and in changing health behaviors. Nurses can play an important leadership role in improving the health of Black Americans in the workplace.

Adolescent↗

Barriers to diabetes self-management education programs in underserved rural Arkansas: implications for program evaluation.

BACKGROUND: Diabetes prevalence has reached epidemic proportions. Diabetes self-management education (DSME) has been shown to improve preventive care practices and clinical outcomes. In this study, we discuss the barriers faced during the implementation of DSME programs in medically underserved rural areas of Arkansas. CONTEXT: Arkansas is a rural state, with most southeastern counties experiencing a shortage of health care professionals. The Arkansas Diabetes Prevention and Control Program and its partners established 12 DSME programs in underserved counties with a high prevalence of diabetes. METHODS: DSME programs were delivered by a registered nurse and a dietitian who provided 10 to 13 hours of education to each program participant. Baseline, 6-month, and year-end data were collected on preventive care practices, such as daily blood glucose monitoring, foot examination, systolic and diastolic blood pressure, and glycosylated hemoglobin level, among the participants in newly established DSME programs. CONSEQUENCES: Of the 12 DSME programs established, 11 received American Diabetes Association recognition. The number of participants in the DSME programs increased 138% in 1 year, from 308 in February 2003 to 734 in March 2004. Preventive care practices improved: daily blood glucose monitoring increased from 56% to 67% of participants, and daily foot examinations increased from 63% to 84% of participants. Glycosylated hemoglobin decreased by an average of 0.5 units per participant who completed the program. However, many anticipated and a few unanticipated barriers during the implementation of the program could not be overcome because of the lack of an evaluation plan. INTERPRETATION: Although results point to potential benefits of preventive care practices among DSME participants, interpretation of findings was limited by sample size. Sample size limitations are traced to barriers to assessing program outcome. Program evaluation should be integrated into the planning phase to ensure adequate measures of program effectiveness.

Adult↗

Program evaluation in pediatric education.

The goal of this project at the Hospital for Sick Children (HSC), Toronto, Canada, was to evaluate the effectiveness of structure, processes, and outcomes of three pediatric nursing education programs offered by HSC Nursing Education Services. Participatory evaluation was the process used for the project. Results of this project will assist nurse educators to show accountability for the effectiveness and efficiency of their programs, and provide a model for planning and evaluating future programs.

Education, Nursing, Baccalaureate↗

A user-friendly approach to program evaluation and effective community interventions for families at risk of homelessness.

This article demonstrates how a user-friendly evaluation of a federally funded homeless prevention program using an action research approach--and using a logic model as the analytic framework--informed multiple stakeholders, including members of Congress, other decision makers, and Family Center practitioners. The program's target population was very low-income families at risk of being evicted from public housing. The authors discuss the methods used, the application of the logic model, and the study's findings as they unfolded in four phases: (1) logic modeling as program planning, (2) conceptualizing the intervention, (3) delineating implementation processes, and (4) determining the range of client outcomes. Implications for social policy, social work practice, and evaluation research are discussed.

Community-Institutional Relations↗

Implementing program evaluation and accountability for population health: progress of a national diabetes control effort.

Diabetes affects some 16 million Americans at a cost estimated at $100 billion. The Centers for Disease Control and Prevention funds a diabetes control program (DCP) in every state as part of the National Diabetes Control Program (NDCP). In 1999, a new policy added emphasis on evaluation and made NDCP and its DCPs accountable for achieving impacts related to the health of populations with diabetes. The article reports on the experiences of the NDCP in implementing a performance-based program evaluation paradigm. It also discusses potential future directions for national diabetes-control efforts.

Centers for Disease Control and Prevention, U.S.↗