Performance Measurements There Are Several Assessment

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Problems for the key stakeholders -- the mothers and their infants -- should be avoided at all costs in her evaluation. She needs to focus on reducing errors and she should also focus on developing positive outcomes, as these demonstrate a greater degree of respect for the stakeholders (Winstanley & Stuart-Smith, 1996).

The study should be observational in nature. The clinic may have, or could gather, data from past participants to begin Marjorie's evaluation process. This would allow her to make improvements immediately to the programs. Even if only partial data could be gathered, it may be sufficient for Marjorie to develop stronger hypotheses to test. She currently has little more than hunches to test, so gathering data from past courses would be a good starting point, since many of the participants will have retained their contact information.

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Marjorie could also begin her evaluation based on the experiences of other similar programs elsewhere. Other clinics, governments or NGOs will have run similar programs and some of the data from those programs may be readily obtainable. By doing so, Marjorie would shorten the lead time for gathering information about program effectiveness. Currently, it could take years for Marjorie to truly understand the effectiveness of the various programs available.

It is reasonable then that Marjorie should evaluate the programs based on other experiences and on past experiences with her clinic's programs. This would negate the ethical issues that exist with her current study proposal, since the programs have already been complete. In addition, she would be able to make her evaluations more quickly, as opposed to taking years to put together the study of program effectiveness.

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