Worksheet 2
N 815 Logic Model ** ADD TITLE**
Evaluation:
Situation:
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Outputs |
Outcomes-Impact |
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Inputs |
Activities |
Participation |
Short |
Intermediate/Medium |
Long Term (Impact) |
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Assumptions:
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External Factors: |
Directions
· Include the title, current situation and your PICOT (In healthcare (P), how does antibacterial foam dispensers (I) compared to water and soap (C) affect the spread of bacteria and help decrease infection O) during the month of October 2022).
· Describe inputs (minimum of 2) and outputs (minimum of 2)
· Outline Outcomes - Impact at the short term (minimum of 2) and long term (minimum of 2)
· Include Assumptions
· Include External Factors
· Include Evaluation