Chapter 10 Flashcards
Which options represent the steps in health program management process?
a. Assess, plan, implement, evaluate
b. Identify, initiate, implement
c. Organize, operationalize, mobilize, subsidize
d. Substantiate, negotiate, evaluate
a. Assess, plan, implement, evaluate
What is the ultimate goal of program planning?
a. Avoiding unanticipated conflicts in the program development phase
b. Ensuring adequate funding to meet the program’s resource requirements
c. Ensuring that health care services are satisfactory, comparable, effective, and beneficial
d. Preventing unnecessary duplication of services
c. Ensuring that health care services are satisfactory, comparable, effective, and beneficial
On the basis of projected increases in the number of older Canadian citizens, a planning committee wants to establish a daycare program for the community’s elderly population. What stage would be used to assess the needs of this proposed program?
a. Preactive stage
b. Reactive stage
c. Inactive stage
d. Interactive stage
a. Preactive stage
Which descriptors meet all of the criteria for identifying a potential client for a program?
a. All women 40 to 50 years of age who have not had a menstrual period for 3 consecutive months
b. Immigrants residing in the district of Wakefield for less than 5 years who have difficulty understanding care instructions because of limited English proficiency
c. Pregnant women who have received nutritional counselling but whose nutritional status did not improve
d. Children aged 18 months to 5 years who have been treated for nutritional deficiencies at the district health clinic
b. Immigrants residing in the district of Wakefield for less than 5 years who have difficulty understanding care instructions because of limited English proficiency.
-who/what/when/where
Evaluation is under way for a province-wide program that aims to decrease teen injury and death associated with driving while under the influence of alcohol. Which of the following questions is most effective in helping make a summative evaluation of the program?
a. Are program participants completing all aspects of the program, and do their satisfaction scores indicate that they are pleased with the program?
b. What is the change in statistics for injuries and deaths associated with drunk driving among teens in the year following the program?
c. What is the difference in the amount of alcohol intake by teens before and after participant entry into the program?
d. What problems with program implementation have been identified?
b. What is the change in statistics for injuries and deaths associated with drunk driving among teens in the year following the program?
A committee concludes that a program’s objectives were met and that activities received positive ratings from the community but decides that the program will be discontinued because its cost was triple the amount anticipated. In this scenario, which program
evaluation measure has been identified as the problem?
a. Adequacy
b. Effectiveness
c. Impact
d. Sustainability
d. Sustainability
Which proposed program best emphasizes tertiary prevention?
a. Development of an in-school clinic that provides counselling on contraception
b. Providing a diabetes management program for persons with diabetes mellitus
c. Providing cardiovascular fitness evaluations at annual health fairs
d. Setting up free blood pressure screening at popular department stores and supermarkets
b. Providing a diabetes management program for persons with diabetes mellitus
A committee of health care professionals would like to establish a district-wide program to improve access to culturally competent health care services for Vietnamese immigrants. Who would be the best person to select as a key informant about this community’s needs?
a. The hospital administrator
b. A Vietnamese community leader
c. A national expert on cultural competency
d. A provincial/territorial or municipal government official
b. A Vietnamese community leader
Which data source would most likely be eliminated by the community health nurse (CHN) who wishes to conduct a needs assessment on a limited budget?
a. Community forums
b. Examination of community indicators
c. Focus groups
d. Surveys
d. Surveys
Which question would be most important to consider in order to evaluate a program designed to decrease obesity among school-aged children?
a. Are the school-aged children satisfied with the program?
b. Can the parents and guardians support the program requirements?
c. Has obesity among the school-aged children decreased?
d. What is the program cost compared with the program benefit?
c. Has obesity among the school-aged children decreased?
A community health nurse (CHN) is checking the records of a health unit to compare the number of new teen clients who have sought contraceptive counselling and management in the 2 months before and after an education intervention program to decrease teen pregnancy. What step of the evaluation process does the CHN’s action represent?
a. Determining outcome goal measurement
b. Goal setting
c. Measuring the goal effect
d. Evaluating the program
c. Measuring the goal effect
Typical Steps Within the Evaluation Phase:
1. Engage stakeholders – Because nothing screams “evaluation” like making sure Bob from accounting and Karen from the school board feel involved.
2. Describe the program – Not like, “it’s good,” but goals, activities, timelines, target groups, logic models. Basically, it’s a PowerPoint that no one asked for.
3. Focus the evaluation design – Decide what you’re actually trying to evaluate so you don’t accidentally collect 800 surveys about something irrelevant.
4. Gather credible evidence – Yes, evidence. No, vibes and anecdotes don’t count here. You’re looking for real data (outcomes, stats, maybe some sad graphs).
5. Measure the goal effect – Hello again! This is where you’re literally checking if the goal was reached. Was there an actual decrease in teen pregnancy? Or just a decrease in people admitting to it?
6. Interpret findings – Not just “what happened?” but “what does it mean?” Cue: lots of charts and nervous energy.
7. Make recommendations – Time to sound wise and propose next steps. Spoiler alert: it’s usually “more funding” or “expand the program” or “don’t do this again, it was bad.”
8. Disseminate results – Share findings in a report that everyone swears they read but didn’t. Maybe a webinar no one shows up for. Classic
___________ is the relationship between s program’s outcomes and the resources spent.
a. Relevance
b. Progress
c. Efficiency
d. Adequacy
c. Efficiency
