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An Educational Intervention to Increase Nurse Adherence in Eliciting Patient Daily Goals
Kathleen Revello1, Willa Fields2
1Rehabilitation Unit, Sharp Grossmont Hospital, La Mesa, CA, USA.
Background:
The literature suggests that nurse and patient collaborative goal setting demonstrates better patient outcomes. The SMART goal evaluation method (Specific, Measureable, Attainable, Relevant, and Timely) is a strategy to develop effective and measureable goals.
Purpose:
The purpose of this educational project was to improve nurse collaborative goal-setting skills.
Methods:
A pre- and postevaluation of an educational intervention was accomplished by patient interviews and observation for adherence to obtaining patient daily goals.
Results:
Results of nurse adherence in writing SMART collaborative goal setting increased from 11% preeducation to 63% posteducation. Patients' perceptions of feeling well informed by their nurses and physicians increased from 57% preeducation to 91% posteducation.
Conclusion:
Nurses continued to need reminding to collaborate with their patients, but their goal writing skills greatly improved.
Clinical Relevance:
The results of this educational project demonstrated nurses' improved ability to cowrite collaborative patient goals which resulted in better informed patients.
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Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
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Planning Nursing Care I
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...