Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/26961
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Patient-centred goal setting in a hospice: a comparative case study of how health practitioners understand and use goal setting in practice
Authors: Boa, Sally
Duncan, Edward
Haraldsdottir, Erna
Wyke, Sally
Contact Email: edward.duncan@stir.ac.uk
Keywords: Palliative care
End of life
Goal setting
Patient-centred care
Issue Date: 2018
Citation: Boa S, Duncan E, Haraldsdottir E & Wyke S (2018) Patient-centred goal setting in a hospice: a comparative case study of how health practitioners understand and use goal setting in practice, International Journal of Palliative Nursing, 24 (3), pp. 115-122.
Abstract: Background:  Goal setting is recognised as an important way of supporting people to live as actively as possible until death. However, there is little agreement about how goal setting should be handled or delivered by health professionals in everyday practice.  Aim:  To investigate health-care practitioners' understanding and practice of patient-centred goal setting in a hospice.  Methods:  A comparative case study of 10 healthcare practitioners in one hospice. Non-participant observations (n=28), semi-structured interviews (n=10) and case-note analysis (n=67) were undertaken. Data were analysed using framework analysis.  Results:  Participants viewed goal setting as part of routine practice. However, goal setting focused around what was seen as important from the health practitioner's perspective, rather than being patient-centred. Participants' goal-setting practice was implicit and opportunities to support patients to pursue goals were missed. Participants emphasised problem solving and alleviating symptoms rather than focusing on patient priorities and establishing patient-centred goals.  Conclusion:  While goal setting is valued, it is practiced in an implicit, practitioner-centred and inconsistent manner. A more explicit, person-centred goal setting process may support practitioners more consistently in helping patients to identify their priorities and enhance their quality of life.
DOI Link: http://dx.doi.org/10.12968/ijpn.2018.24.3.115
Rights: This item has been embargoed for a period. During the embargo please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study. This document is the Accepted Manuscript version of a Published Work that appeared in final form in International Journal of Palliative Nursing, copyright © MA Healthcare, after peer review and technical editing by the publisher. To access the final edited and published work see https://doi.org/10.12968/ijpn.2018.24.3.115

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