Comparison of Two Methods for Measuring the Tangible Outcomes of an Associate Degree Nursing Program

Abstract

The purposes of this study were (a) to describe and measure the tangible outcomes of an Associate Degree Nursing (ADN) program for the graduate, the community, and cooperating clinical agencies; and (b) to propose a methodology that explicates the tangible outcomes of an ADN program. Using a descriptive design, tangible outcomes of one ADN program at a North Central Alabama community college were measured, collection methods were evaluated for effectiveness and efficiency, and the need for training of data collection staff was evaluated.

The study was based on human capital theory (Becker, 1993; Mincer, 1958; Schultz, 1971). Graduates of the ADN program in May 2000, full- and part-time faculty employed from Fall 1998 through Summer 2000, and students in nursing courses in May 2000 were surveyed. The investigator adapted existing surveys for data collection. Data were analyzed using the Caffrey and Isaacs and the Regional Input-Output Modeling System II (RIMS II) methodologies to compare direct and indirect expenditures for housing, leisure activities, and services by faculty, graduates, students, and the Department of Nursing Education (DNE). The value of uncompensated consulting services by faculty for cooperating clinical agencies and faculty donations of time to health-related community activities was estimated. The value of client care services by students in cooperating clinical agencies was also quantified.

Based on the Caffrey and Isaacs methodology, the tangible outcomes for the graduate, the community, and the cooperating clinical agencies for a 24-month period were 6,684,903.30. Utilization of the RIMS methodology resulted in tangible outcomes of 6,709,789.90 which was 1.5% less than that measured by Caffrey and Isaacs methodology.

The difference in total expenditures as measured by the two methodologies was negligible. The Caffrey and Isaacs methodology was more time efficient for data collection, cost of instrument development, and ease of use. No specific training was essential for data collection and analysis.

The methodology developed in the present study is a useful tool for nursing education administrators. The results of an economic impact study of an ADN program can be used to demonstrate that ADN programs contribute measurable and significant economic benefits to the community in which they are based.