92 DEVELOPING THE EVALUATION PLAN The evaluation plan specines how the nurse will determine changes in health status, condition or situation and achievement of the outcomes of care specifjed in the objectives of the family nursing care plan. The plan includes evalua. tion criteria/ indicators, standards, methods and tools/evaluation data sources. As the nurses systematic guide to facilitate improvement in client's health status, home and environment condition or situation, behavior or role/task performance, the evaluation plan specifies the criteria as objective, measurable and Oexible indicators to determi ne achievement of expected perlonnance, behavior, circumstances or clirucal status (ICN 1989). An evaluation ~tandard refers to t11e desired or acceptable condition, clinical status or level of performance correspond. ing to an evaluation criterion or indicator against which actual condition, clinical status or performance is compared. The evaluation plan also includes evaluation methods and tools and/or evaluation data sources. Examples of evaluation methods include direct observation, interview, oral or written tests, record revie\,v, health/physical examination (e. g. _vi~a J signs and anthropometric measurement-taking, IPIPA, etc. ), Note that these are s1m1lar methods used during the assessment phase. It_must be re~embered that because the cyclical nature of the nursing process, e~aluation ushers m the assessm~n t phase at the next level of app Hcalion of the nursm~ proc_ess. ~valuation tools mclude performance evaluation checklist, ratmg scale, inte IV1ew guide, food recall form, food frequency and food record form as examples. Instruments such as weighing scale, thermometer, blood pressure apparatus, tape measure and glucometer are e..xamples of evaluation tools too. Evaluation data sources are records and reports which document the data results generated from specific methods and tools to determine achievement of expected outcomes based on the goals/ob jectives specified in the family health nursing care plan. See Table 3. 2 for a sample evaluation plan · DOCUMENTATION The family care plan isa written guide of the nurse and family to ensure a systematic approach to planned behavior change. Appendices C2 and C3 include The Family Service and Progress Record (FSPR) and the instructions on the Use of the Family Service and Progress Record. Together with Appendix C1 (Charting Nursing Care, Progress Notes and Client Responses/Out comes), these tools are examples of how to set up a record keeping system which proyjdes direction for planning, implen1entation and evaluation of client care. Accurate record keeping is an important responsibility of the community health nurse. It provides evidence for professional accountability and quality care. 