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Creation of a client goal-setting framework.

C M Heenan1, U Piotrowski

  • 1Vancouver Hospital, Health Sciences Centre, Vancouver, BC, Canada.

SCI Nursing : a Publication of the American Association of Spinal Cord Injury Nurses
|June 1, 2002
PubMed
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A new interdisciplinary goal-setting framework in spinal cord rehabilitation enhances client and staff partnership. While most find it provides better structure, some note it can be overly prescriptive.

Area of Science:

  • Rehabilitation Medicine
  • Healthcare Philosophy
  • Patient-Centered Care

Background:

  • Shift in healthcare from problem-focused to goal-oriented and team-driven approaches.
  • Rehabilitation settings are adopting interdisciplinary, client-centered models.
  • The G. F. Strong Rehab Centre developed a novel goal-setting framework.

Purpose of the Study:

  • To outline client and staff expectations in rehabilitation.
  • To define responsibilities and ensure accountability.
  • To facilitate the measurement of goal achievement within an interdisciplinary framework.

Main Methods:

  • Development of an interdisciplinary goal-setting framework based on Donabedian's paradigm.
  • Implementation of the framework within a Spinal Cord Program.

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  • Evaluation of the framework through client and staff feedback.

    • Main Results:

    • Most staff and clients perceived the framework as providing improved structure and direction.
    • Some participants felt the goal checklist imposed excessive structure, potentially compromising goal specificity.
    • The framework aims to foster a partnership between clients, families, and the clinical team.

    Conclusions:

    • The interdisciplinary goal-setting framework offers a structured approach to rehabilitation.
    • Balancing structure and flexibility in goal setting is crucial for optimal client outcomes.
    • Further refinement of the framework is recommended to address concerns about specificity and structure.