TY - JOUR
T1 - Development of a practical guideline for person centred goal setting in geriatric rehabilitation
T2 - a participatory action research
AU - Wattel, Elizabeth M.
AU - de Groot, Aafke J.
AU - Deetman-van der Breggen, Sacha
AU - Bonthuis, Robin
AU - Jongejan, Niels
AU - Tol-Schilder, Marina M. R.
AU - van der Wouden, Johannes C.
AU - Gobbens, Robbert
N1 - Funding Information: We thank the colleagues of our research team members and the patients in their GR wards who helped us testing the guideline and providing valuable feedback. Publisher Copyright: © 2023, The Author(s).
PY - 2023/10
Y1 - 2023/10
N2 - Purpose: To improve goal setting in Geriatric Rehabilitation (GR), by developing an evidence-based practical guideline for patient-centred goal setting. Methods: Participatory action research (PAR) in a cyclical process, with GR professionals as co-researchers. Each cycle consisted of five phases: problem analysis, literature review, development, practical experience, feedback & evaluation. The evaluation was based on video recordings of goal setting conversations, and on oral and written feedback of the GR professionals who tested the guideline. Results: In two PAR-cycles the guideline was developed, consisting of eight recommendations for setting and using goals, and of practical advices elaborating three of the recommendations, concerning conversational skills specific for goal setting conversations. After the second cycle the research team concluded that the guideline was feasible in daily practice and effective when used consciously. Conclusion: In this study, a practical guideline for setting and using goals in GR was developed. GR teams can improve their patient centred working with goals by discussing the recommendations in their team and choosing the recommendations to work on. This can be supported by the development of an interdisciplinary training. The effect on quality of care should be subject to further investigation.
AB - Purpose: To improve goal setting in Geriatric Rehabilitation (GR), by developing an evidence-based practical guideline for patient-centred goal setting. Methods: Participatory action research (PAR) in a cyclical process, with GR professionals as co-researchers. Each cycle consisted of five phases: problem analysis, literature review, development, practical experience, feedback & evaluation. The evaluation was based on video recordings of goal setting conversations, and on oral and written feedback of the GR professionals who tested the guideline. Results: In two PAR-cycles the guideline was developed, consisting of eight recommendations for setting and using goals, and of practical advices elaborating three of the recommendations, concerning conversational skills specific for goal setting conversations. After the second cycle the research team concluded that the guideline was feasible in daily practice and effective when used consciously. Conclusion: In this study, a practical guideline for setting and using goals in GR was developed. GR teams can improve their patient centred working with goals by discussing the recommendations in their team and choosing the recommendations to work on. This can be supported by the development of an interdisciplinary training. The effect on quality of care should be subject to further investigation.
KW - Geriatric rehabilitation
KW - Goal setting
KW - Patient centeredness
KW - Practical Guideline
UR - http://www.scopus.com/inward/record.url?scp=85164950148&partnerID=8YFLogxK
U2 - https://doi.org/10.1007/s41999-023-00830-w
DO - https://doi.org/10.1007/s41999-023-00830-w
M3 - Article
C2 - 37460835
SN - 1878-7649
VL - 14
SP - 1011
EP - 1019
JO - European Geriatric Medicine
JF - European Geriatric Medicine
IS - 5
ER -