Patient-centred goal setting in a hospice: a comparative case study of how health practitioners understand and use goal setting in practice

Boa, S., Duncan, E., Haraldsdottir, E. and 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. (doi: 10.12968/ijpn.2018.24.3.115)

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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.

Item Type:Articles
Additional Information:This study was financially supported by Strathcarron Hospice and The University of Stirling Strategic Research and Knowledge Transfer Development Fund.
Glasgow Author(s) Enlighten ID:Wyke, Professor Sally and Boa, Dr Sally
Authors: Boa, S., Duncan, E., Haraldsdottir, E., and Wyke, S.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Social Scientists working in Health and Wellbeing
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:International Journal of Palliative Nursing
Publisher:Mark Allen Healthcare
Published Online:02 April 2018
Copyright Holders:Copyright © 2018 MA Healthcare Ltd.
First Published:First published in International Journal of Palliative Nursing 24(3):115-122
Publisher Policy:Reproduced in accordance with the copyright policy of the publisher

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