Is the practice of goal-setting for patients in acute stroke care patient-centred and what factors influence this? A qualitative study
Authors: Rosewilliam, S., Sintler, C., Pandyan, A.D., Skelton, J. and Roskell, C.A.
Journal: Clinical Rehabilitation
Volume: 30
Issue: 5
Pages: 508-519
eISSN: 1477-0873
ISSN: 0269-2155
DOI: 10.1177/0269215515584167
Abstract:Objective: To explore whether goal-setting for rehabilitation with acute stroke survivors is patient-centred and identify factors which influence the adoption of patient-centredness in goal-setting practice. Setting: Acute stroke unit in a large teaching hospital in England. Participants: Patients with stroke who had no cognitive or significant communication problems and health care professionals who had a significant engagement with an individual patient were approached for participation. Method: Multiple qualitative methods were used. Perceptions and beliefs about patient-centredness, within the context of goal-setting, were collected from patients and corresponding professionals using qualitative semi-structured interviews. Adoption of patient-centred behaviour was triangulated using analysis of patient records and observation of team meetings related to participating patients. Data analysis: Interview transcripts and field notes were coded, clustered under categories and descriptively summarised. Additionally, data from patients' documents were summarised. These summaries were then mapped on to an a-priori frame work of patient-centredness from which further interpretative themes were derived. Results: Seven patients and seven health-care professionals participated. Goal-setting was not consistently patient-centred as evidenced by a) incongruities between patients and professionals in setting, communicating and prioritising of goals and b) dysfunctional therapeutic relationships. The factors that influenced patient-centred goal-setting were both professional and patient beliefs and attributes, work-culture, practice model, limitations in knowledge and systems that disempowered both professionals and patients. Conclusion: It may be possible to infer that current local practice of goal-setting was inadequately patient-centred. Further research is required to identify strategies to overcome these challenges and to develop patient-centred goal-setting methods.
Source: Scopus
Is the practice of goal-setting for patients in acute stroke care patient-centred and what factors influence this? A qualitative study.
Authors: Rosewilliam, S., Sintler, C., Pandyan, A.D., Skelton, J. and Roskell, C.A.
Journal: Clin Rehabil
Volume: 30
Issue: 5
Pages: 508-519
eISSN: 1477-0873
DOI: 10.1177/0269215515584167
Abstract:OBJECTIVE: To explore whether goal-setting for rehabilitation with acute stroke survivors is patient-centred and identify factors which influence the adoption of patient-centredness in goal-setting practice. SETTING: Acute stroke unit in a large teaching hospital in England. PARTICIPANTS: Patients with stroke who had no cognitive or significant communication problems and health care professionals who had a significant engagement with an individual patient were approached for participation. METHOD: Multiple qualitative methods were used. Perceptions and beliefs about patient-centredness, within the context of goal-setting, were collected from patients and corresponding professionals using qualitative semi-structured interviews. Adoption of patient-centred behaviour was triangulated using analysis of patient records and observation of team meetings related to participating patients. DATA ANALYSIS: Interview transcripts and field notes were coded, clustered under categories and descriptively summarised. Additionally, data from patients' documents were summarised. These summaries were then mapped on to an a-priori frame work of patient-centredness from which further interpretative themes were derived. RESULTS: Seven patients and seven health-care professionals participated. Goal-setting was not consistently patient-centred as evidenced by a) incongruities between patients and professionals in setting, communicating and prioritising of goals and b) dysfunctional therapeutic relationships. The factors that influenced patient-centred goal-setting were both professional and patient beliefs and attributes, work-culture, practice model, limitations in knowledge and systems that disempowered both professionals and patients. CONCLUSION: It may be possible to infer that current local practice of goal-setting was inadequately patient-centred. Further research is required to identify strategies to overcome these challenges and to develop patient-centred goal-setting methods.
Source: PubMed
Is the practice of goal-setting for patients in acute stroke care patient-centred and what factors influence this? A qualitative study
Authors: Rosewilliam, S., Sintler, C., Pandyan, A.D., Skelton, J. and Roskell, C.A.
Journal: CLINICAL REHABILITATION
Volume: 30
Issue: 5
Pages: 508-519
eISSN: 1477-0873
ISSN: 0269-2155
DOI: 10.1177/0269215515584167
Source: Web of Science (Lite)
Is the practice of goal-setting for patients in acute stroke care patient-centred and what factors influence this? A qualitative study.
Authors: Rosewilliam, S., Sintler, C., Pandyan, A.D., Skelton, J. and Roskell, C.A.
Journal: Clinical rehabilitation
Volume: 30
Issue: 5
Pages: 508-519
eISSN: 1477-0873
ISSN: 0269-2155
DOI: 10.1177/0269215515584167
Abstract:Objective
To explore whether goal-setting for rehabilitation with acute stroke survivors is patient-centred and identify factors which influence the adoption of patient-centredness in goal-setting practice.Setting
Acute stroke unit in a large teaching hospital in England.Participants
Patients with stroke who had no cognitive or significant communication problems and health care professionals who had a significant engagement with an individual patient were approached for participation.Method
Multiple qualitative methods were used. Perceptions and beliefs about patient-centredness, within the context of goal-setting, were collected from patients and corresponding professionals using qualitative semi-structured interviews. Adoption of patient-centred behaviour was triangulated using analysis of patient records and observation of team meetings related to participating patients.Data analysis
Interview transcripts and field notes were coded, clustered under categories and descriptively summarised. Additionally, data from patients' documents were summarised. These summaries were then mapped on to an a-priori frame work of patient-centredness from which further interpretative themes were derived.Results
Seven patients and seven health-care professionals participated. Goal-setting was not consistently patient-centred as evidenced by a) incongruities between patients and professionals in setting, communicating and prioritising of goals and b) dysfunctional therapeutic relationships. The factors that influenced patient-centred goal-setting were both professional and patient beliefs and attributes, work-culture, practice model, limitations in knowledge and systems that disempowered both professionals and patients.Conclusion
It may be possible to infer that current local practice of goal-setting was inadequately patient-centred. Further research is required to identify strategies to overcome these challenges and to develop patient-centred goal-setting methods.Source: Europe PubMed Central