Goal-setting in rehabilitation: report of a workshop to explore professionals' perceptions of goal-setting
Goal-setting in rehabilitation: report of a workshop to explore professionals' perceptions of goal-setting
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DOI：
10.1191/0269215500cr343oa
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发表时间：
2000-10-01
影响因子：
3
通讯作者：
Wells, R
中科院分区：
文献类型：
--
作者：
Playford, ED;Dawson, L;Wells, R
目的：探讨治疗师，护士和医生的意见，在各种康复设置上的目标设定process.Methods：16康复工作人员从三个不同的设置参加了一个目标设定讲习班，其中与目标设定的困难与他们潜在的solutions.Results：五个困难与目标设定被确定。(1)正式的目标设定被认为是一个不寻常的许多患者的活动，虽然固有的许多专业团体的活动。(2)目标设定往往对人们在社区中的角色不敏感。(3)医院环境中的目标设定不容易转移到社区。(4)工作人员感到他们几乎无法控制的外部因素（例如工作人员更替）对目标制定方案的成功很重要。(5)目标往往是制定和拥有的团队，而不是patient.Conclusions：目标设定是一个非常令人满意的活动的团队，但要成功的病人，他们的需求必须得到承认。轻度残疾和短期住院的人与急性发作的严重永久残疾和从社区入院的慢性或渐进性残疾的人有不同的需要。不同类型目标设定的过程效应和结果效应的比较是未来研究的一个领域。
Objective: To explore the views of therapists, nurses and doctors working in a variety of rehabilitation settings on the goal-setting process.Methods: Sixteen rehabilitation staff from three different settings attended a goal-setting workshop in which the difficulties associated with goal-setting were described with their potential solutions.Results: Five difficulties with goal-setting were identified. (1) Formal goal-setting was felt to be an activity unusual for many of the patients although intrinsic to the activity of many professional groups. (2) Goal-setting is often insensitive to people's roles in the community. (3) Goal-setting in the hospital environment does not transfer easily to the community. (4) External factors (e.g. staff turnover) over which staff felt they had little control were important in the success of a goal-setting programme. (5) Goals tend to be formulated and owned by the team, rather than the patient.Conclusions: Goal-setting is a very satisfactory activity for the team but to be as successful for the patient their needs must be acknowledged. People with mild disability and a short inpatient stay have different needs to those with acute onset severe permanent disability and those with chronic or progressive disability admitted from the community. Comparison of both process and outcome effects of different types of goal-setting is an area for future study.