Evaluation of nursing care with communities involves evaluation of programs of care for populations. Program evaluation includes evaluation of outcomes (program goals and outcome objectives), as well as evaluation of the structures and processes used to achieve the outcomes (Ervin, 2002). The ANA considers outcomes, structures, and processes as the primary categories of criteria to be used to measure the quality of nursing care. Outcomes are the end results; structures are the social and physical resources; and processes are the “sequence of events and activities” (ANA, 1986, p. 18) used by the nurse during the delivery of care. For example, evaluation of a health program designed to identify adults with high cholesterol levels would include the following: Show Table 17-1 describes the following five categories of questions that can be answered by evaluation: (1) outcome attainment, also called effectiveness; (2) appropriateness of care; (3) adequacy of care in relation to the scope of the problem; (4) relationship of resources to results, also called efficiency; and (5) process. This set of questions includes the criteria of outcome, structure, and process evaluation and adds appropriateness and adequacy. Questions of appropriateness and adequacy evaluate the nursing care program in relation to the community health needs. Efficiency addresses the relationship of outcomes to structures and processes. Each of these sets of evaluation questions is discussed in more detail. Table 17-1 Questions Answered by Evaluation
 Data from Deniston, O., & Rosenstock, I. (1970). Evaluating health programs. Public Health Reports, 85(9), 835–840; Donabedian, A. (1980). The definition of quality and approaches to its assessment (Vol. 1). Ann Arbor, MI: Health Administration Press; Freeman, R. (1963). Public health nursing practice (3 rd ed.). Philadelphia: W. B. Saunders; and Suchman, E. (1967). Evaluative research: Principles and practice in public service and social action programs. New York: Russell Sage Foundation. How do you evaluate nursing interventions?Steps in Evaluation. Collecting Data. ... . Comparing Data with Desired Outcomes. ... . Analyzing Client's Response Relating to Nursing Activities. ... . Identifying Factors Contributing to Success or Failure. ... . Continuing, Modifying, or Terminating the Nursing Care Plan. ... . Discharge Planning.. Which step of the nursing process considers the effectiveness of nursing care?Evaluation phase
The final phase of the nursing process is the evaluation phase. It takes place following the interventions to see if the goals have been met. During the evaluation phase, the nurse will determine how to measure the success of the goals and interventions.
Which step of the nursing process considers the effectiveness of nursing care quizlet?Evaluation is the fifth step of the nursing process. The nurse determines if the patient's goals are met, examines the effectiveness of interventions, and decides whether the plan of care should be discontinued, continued, or revised.
What is evaluative measures in nursing?Evaluative measures require the nurse to use assessment skills and techniques to determine the patient's response to nursing care. Examples of evaluative measures include assessment of wound healing and respiratory status, blood pressure measurement, and assessment of patient feelings.
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Which questions would the nurse ask to evaluate the effectiveness of nursing interventions?
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