Deck 9: Overview of Applied Program Evaluation

Question 1

Describe the 6 steps of the Framework for Program Evaluation.

Answer 1

The 6 steps are: 1) Engage Stakeholders, 2) Describe the Program, 3) Focus the Evaluation Design, 4) Gather Credible Evidence, 5) Justify Conclusions, and 6) Ensure and Share

Question 2

How does using SMART objectives assist the practitioner in program evaluation?

Answer 2

SMART objectives help the practitioner to develop specific, focused objectives that are likely to be achieved. The use of SMART objectives help you know immediately if you are on track because of the clarity produced. The SMART objectives are detailed and well-defined so you know where you are headed and will know when you get where you are headed. The SMART objectives are easy to put into action and realistic but also provide you with a time-frame to keep you on track. SMART objectives help guide the practitioner's work in program evaluation.

Question 3

Discuss the steps to creating a fishbone diagram found on the AHRQ site: HYPERLINK "https://pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-11-root-cause-analysis.pdf" https://pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-11-root-cause-analysis.pdf.

Answer 3

The practice team must first meet, and the fishbone diagramming will be introduced to ensure all team members understand the process. The team members will then define a measurable performance issue to analyze and write this in the fish head position. Each of the five categories will be prefilled, so avoid adding more categories to make the process more effective. Have the team work to brainstorm factors that could be contributing to the problem and place the factors in the categories. Remind the team of rules for brainstorming where all ideas are good, and limit the cross-talk until everyone shares ideas. Ensure each category is considered and attempt to find factors for each category. Then discuss with the group the results of the process and the next steps for improvement. Determine how the causes interact and which cause or causes are contributing to the problem. Make sure full discussion of the interactions of causes is complete. Finally, have the team discuss the changes they would like to try. Consider the next step and discussing a Plan-Do-Study-Act process to begin the change process.

Question 4

The public health nurse is preparing to evaluate a program aimed at compliance to an immunization program in an underserved community. Which needs assessment is appropriate?

A) Preschool children are in need of immunizations at mobile clinics.
B) Older adults need to be aware of the need for shingles immunizations.
C) Physical examinations are required for all students participating in sports.
D) Adolescent pregnancy rates in the community have declined over five years.

Question 5

The nurse becomes aware of a high incidence of breast cancer among the females of a community. Which is the first action taken by the nurse to address the situation?

A) Gather demographics on persons diagnosed with breast cancer.
B) Prepare an educational program about risks and prevention of breast cancer.
C) Identify community agencies who can support actions to fight breast cancer.
D) Conduct interviews with females in the community diagnosed with breast cancer.

Question 6

After performing a community evaluation, the nurse determines that obesity in children is strongly related to a dependence on fast food. Using a classic logic model, which activity is most likely to positively impact this issue?

A) The community food bank agrees to provide nonperishable food to families.
B) A series of presentations is prepared regarding the cost and value of fast food.
C) The school system initiates a program designed to promote healthy weight loss.
D) A local vocational school offers classes on fast and economic meal preparation.

Question 7

Which concept does the nurse use for evaluating the effectiveness of a community health program?

A) Critical thinking
B) Deductive reasoning
C) Nursing process
D) Population response

Question 8

The nurse has completed a study for a community health intervention. Which option does the nurse use for dissemination?

A) Publicize the availability of the study in the newspaper.
B) Place the completed report with other department studies.
C) Send a copy to the state to be available to other communities.
D) Share with program managers and staff who implement changes.

Question 9

Maintaining the integrity of an evidence-based intervention is an aspect of intervention fidelity.

Question 10

A potential limitation of a program evaluation is that the design is exclusive to the specific program.

Question 11

"Increase the number of patients who receive a pneumonia vaccine" is an example of an objective written in SMART format.

Question 12

________ validity refers to the degree results from a sample can be generalized to the entire population.

Question 13

A _________ vaccine is recommended for adults age 65 and older and is a Healthy People 2020 objective.