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Development and field testing of a standardised goal setting package for person-centred discharge care planning in stroke
- Source :
- PEC Innovation, Vol 1, Iss , Pp 100008- (2022)
- Publication Year :
- 2022
- Publisher :
- Elsevier, 2022.
-
Abstract
- Objective: Develop and test a person-centred goal-setting package for discharge care planning in acute and rehabilitation stroke units. Methods: A multidisciplinary, expert working group (n = 15), and consumer group (n = 4) was convened. A multistage iterative approach was used to develop and test the package. Stages included: (i) contextual understanding, (ii) package development, and (iii) clinician training and field-testing in acute and rehabilitation settings. Observational field notes were taken and clinicians' perspectives captured using semi-structured focus groups post-testing. Results: The final package included a 34-item menu aligned with a manual containing: guideline summaries; common goals; goal metrics based on the SMART Goal Evaluation Method (SMART-GEM); evidence-based strategies; and worked examples. Twenty-three clinicians attended training. Clinician observations (n = 5) indicated that: the package could be incorporated into practice; a range of person-centred goals were set; and opportunities provided to raise additional issues. Clinician feedback (n = 8) suggested the package was useful and facilitated person-centred goal-setting. Enablers included potential for incorporation into existing processes and beliefs that it promoted person-centred care. Barriers included additional time. Conclusion: The package demonstrated potential to facilitate comprehensive person-centred goal-setting for patients with stroke. Innovation: We developed an innovative approach to support structured person-centred goal setting in clinical and research settings.
Details
- Language :
- English
- ISSN :
- 27726282
- Volume :
- 1
- Issue :
- 100008-
- Database :
- Directory of Open Access Journals
- Journal :
- PEC Innovation
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.3662c391f74da6b6db505637597234
- Document Type :
- article
- Full Text :
- https://doi.org/10.1016/j.pecinn.2021.100008