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Beyond measurement: fourth-generation evaluation in nursing

T Koch1

  • 1School of Nursing, Flinders University of South Australia, Adelaide.

Journal of Advanced Nursing
|December 1, 1994
PubMed
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Fourth-generation evaluation, a negotiation-oriented approach, is presented as an alternative to traditional scientific methods for quality assurance. It emphasizes stakeholder involvement, including patients, in the evaluation process.

Area of Science:

  • Evaluation Research
  • Health Services Research
  • Quality Assurance

Background:

  • Traditional evaluation methods (measurement, objective, judgment-oriented) have limitations.
  • Fourth-generation evaluation offers a 'negotiation-oriented' alternative.
  • This approach challenges the sole reliance on the scientific method in evaluation.

Purpose of the Study:

  • To describe the evolution of evaluation methodologies.
  • To introduce and advocate for fourth-generation evaluation.
  • To suggest the implementation of fourth-generation evaluation in healthcare.

Main Methods:

  • Descriptive analysis of evaluation generations.
  • Conceptual framework for negotiation-oriented evaluation.
  • Exploration of stakeholder roles and participation.

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Main Results:

  • Fourth-generation evaluation prioritizes stakeholder claims, concerns, and issues.
  • The evaluator functions as a facilitator in the negotiation process.
  • Patient and client participation is integral to the negotiation.

Conclusions:

  • Fourth-generation evaluation offers a more inclusive approach to quality assurance and research.
  • Stakeholder collaboration is key to effective healthcare evaluation.
  • This method empowers all affected parties in the evaluation process.