Select an education program in a health care agency and assess it for its recognition of the impact of the internal and external factors on the program. Evaluate the program according to the classic components of curriculum development and evaluation. Include an analysis of the evaluation plan in place for individual sessions and the program as a whole. Is there any evidence that the data collected for evaluation are used to revise the program and improve quality? Analyze the budget of the program…(Evaluation of an Education Program)
Introduction
In the 21st century, nursing education experts have expressed the need to shift focus to curriculum development and evaluation besides the instructional framework and approaches used in its delivery, experienced as well as new faculty has a significant role to play not only in the development of the curriculum but also in its evaluation with regard to staff development and successful patient education. Taking the case of a health education program on how to decrease blood sugar levels in diabetes mellitus type 2 (T2DM) through increased visits to the physician in a healthcare organization, this essay seeks to propose a change initiative that would improve outcomes.(Evaluation of an Education Program)
Education Program To lower Blood Sugar Levels in a Healthcare Agency
Diabetes Mellitus Type 2 (T2DM) is a chronic condition that is projected to affect about 55 million people in the US between 2015 and 2030(Rowley et al., 2017). Normal blood sugar levels should fall between 4-4 % and 6.4%, with levels starting at 6.5% being diagnostic criteria for DM. Conventionally, first-line treatment includes diet, exercise, and accompanying lifestyle modifications. Healthcare professionals in ABC healthcare agency recognized the need for an extensive amount of patient education for increased frequency of visits to the physician for close medication and lab monitoring. The healthcare providers in the selected agency determined that a significant number of patients with abnormal HbA1c had not been assessed by the physician to serve in the best interests’ of the patients’ health. Instead of seeing the patient every three months, the number of visits was reduced by Wang et al. (2019) in China. In implementing the education program, the change agents’ recognized internal factors like the level of knowledge for both and patient, the patient’s life adaptation skills to effect self- regulation behavior, and the attitudes beliefs and core values of the health organization and its staff. Other factors that though external, would affect the success of the education program included social support and the media. Suffice it to say that social settings and interactions trigger health goals and offer beneficial action schemas.(Evaluation of an Education Program)
Evaluation of the Program as per the Classic Components of Curriculum Development and Evaluation
To evaluate the efficacy of the education program, the four components of a well-developed curriculum, namely, objectives, content, method, and evaluation, are examined. To begin with, the education program’s objective and content were effective since the project aimed at veterans with HbA1c with levels of more than 8.9%. A decrease in 1% in HbA1c levels has been linked to a105 decrease in T2DM related deaths while content envisaged assessing patients more frequently and making early interventions by changing the patient’s plan of care early enough. The method involved having veterans the only patients served by this healthcare agency diagnosed with T2DM and having more than 8.9% visit the clinic every three months. At every visit, the primary care provider (PCP) assessed the patient, and the patient offered more education by the PCP. The benefits of frequent visits were discussed, and theHbA1c levels monitored then compared to the patient’s past to establish the trend. Lab results were also reviewed, and medications adjusted accordingly. The PCP had the option of renewing the patient’s medication electronically and then emailed it to the patient’s home.(Evaluation of an Education Program)
During the evaluation phase, data is collected on the program to determine its value and decide whether the project is worth being adopted, rejected, or revised to improve it. To evaluate the developed curriculum, Stufflebeam’s CIPP evaluation model is used (Aziz et al., 2018). Again the four evaluation components are context evaluation where then needs to be addressed were clear. In input evaluation, it is essential to note that although the resources available were outlined, no alternative strategies were offered. Process evaluation is also found to be wanting since barriers to the successful implementation are not candidly identified, and strategies layout to resolve. At the same time, product evaluation is also earmarked for revision since the program implementers had not anticipated what they would do after the health education program had run its full course of 12 months. Based on the available data, the projected had started with 31 patients with an HbA1c of8.9% or more and each wasmonitoredfor12months. By the time the project was ending, 14 of the veterans still had 8.9% or more. A significant achievement of the program was that at initiation, the highest patient had a level of 14.3%, and after the year had 11.6%. It is worth noting that all the participants had lowered their levels at the end of the program.(Evaluation of an Education Program)
Budget of the Program and its Relationship to Mission and Goals of the Agency and the Education Program
The projected costs of the EBP education program were $15 00which comprised $250 for the provider travel expenses printing costs of the IRB data at $75, which the organization reimbursed to the provider. As demonstrated by the outcomes, the budget was adequate to meet the stated project’s goals of lowering the HbA1c levels by 1%. However, one should not forget that healthy blood sugar levels range between 4.4 and 6.4%. It can, therefore, be argued that this amount was inadequate to achieve and align with the clinic’s stated mission of offering quality patients to all veterans across all ages.(Evaluation of an Education Program)
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Evaluation of an Education ProgramRecommended Revisions to the Education Program
To begin with, this education program approach is provider-driven, whereas the current trend is to make the patient the main driver of the health maintained initiative. As such, the change initiative would call for enhanced patient self- monitoring of the blood sugar levels. At the same time, I would propose that technology plays a greater role in offering telehealthcare. The provider would utilize emails or text reminders to closely monitor and assist the veterans with the necessary information, which would then be reinforced by monthly visits in the home/ community setting by the provider (Yao et al., 2019). Additionally, I would include the identification of barriers to the implementation of the successful implementation of the education come up with measures to overcome them. While sticking to the patient population of veterans, the education component would have a component involving the patient’s family and community outreach sessions since the patient’s family and the community in general also have a role to play. Lastly, I would set the target goal at 7% or less.(Evaluation of an Education Program)
Conclusion
For successful management of T2DM, patients and should be a priority of public health. Besides initiating patient and staff education programs in nursing schools, there need to enhance screening even as education complements the treatment and effective management of T2Dm and prediabetics. All stakeholders should join hands to change the cultural norms and behaviors at the societal level as well as structures that proactively support healthy living.(Evaluation of an Education Program)
References
Aziz, S., Mahmood, M., & Rehman, Z. (2018). Implementation of the CIPP model for quality evaluation at the school level: A case study. Journal of Education and Educational Development, 5(1), 189-206.(Evaluation of an Education Program)
Rowley, W. R., Bezold, C., Arikan, Y., Byrne, E., & Krohe, S. (2017). Diabetes 2030: insights from yesterday, today, and future trends. Population health management, 20(1), 6-12.
Wang, J., Zuo, H., Chen, X., Hou, L., & Ma, J. (2019). Analysis of factors influencing the frequency of primary care visits among diabetic patients in two provinces in China. BMC public health, 19(1), 1267.(Evaluation of an Education Program)
Yao, J., Wang, H., Yin, X., Yin, J., Guo, X., & Sun, Q. (2019). The association between self-efficacy and self-management behaviors among Chinese patients with type 2 diabetes. PloS one, 14(11), e0224869.
Question – Evaluation of an Education Program
Select an education program in a health care agency and assess it for its recognition of the impact of the internal and external factors on the program. Evaluate the program according to the classic components of curriculum development and evaluation. Include an analysis of the evaluation plan in place for individual sessions and the program as a whole. Is there any evidence that the data collected for evaluation are used to revise the program and improve quality? Analyze the budget of the program for its relationship to the mission and goals of the agency and the education program. Based on your analysis, how would you revise the program? Compose a scholarly essay proposing a change that you would make in the education program to improve outcomes. Include the components discussed above in your scholarly essay, and at least 2 references other than your textbook.(Evaluation of an Education Program)
Keating, S. B. (2011). Curriculum development and evaluation in nursing (2nd ed.). New York: Springer. (Chapter 13)
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