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Models for evaluating nursing education programs.

Systematic evaluations of nursing educational programs can be difficult, time-consuming, contentious, and unrewarding processes. Yet there is little doubt of the value of a well-designed, systematic evaluation. Nurse educators and administrators currently face challenges to maximize the value of educational resources by increasing productivity, allocating resources appropriately, and accounting for their use. Credible, ongoing evaluations are necessary for meeting these challenges and maintaining high standards in nursing education. Several heuristic models are available to assist nurse educators and administrators in establishing systematic, ongoing processes of program evaluation. Each of the models described offers a slightly different perspective and organizing framework. Each also has various advantages and disadvantages, depending on individual program needs.

Education, Nursing↗

Study of road-rail crashes in Claremore, OK, and allocation of resources for preventive measures.

Road-rail crossings where a train and motor vehicle crashed were compared with the next crossing in the direction from which the train traveled at the same time of day and day of week of the crash. The odds of a crash were much lower at crossings with automatically lowered gates (odds ratio = 0.11). Average road traffic was much higher at crash sites; the presence of automatic gates was unrelated to the volume of road traffic. Federally funded modifications of road-rail crossings have substantially reduced deaths at such sites. The program would be more cost effective, however, if criteria for highest risk sites were applied more systematically, and funds were apportioned among the States according to their relative proportions of the problem.

Accident Prevention↗