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Implementing Patient-Centred Goal-Setting in Practice: Perspectives of Primary Care Nurses.
Karen S Schaepe1, Michelle A Lampman2, Angela B Mattson3
1Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota, USA.
Scandinavian Journal of Caring Sciences
|April 8, 2025
Summary
Primary care nurses empower patients through patient-centered goal-setting to improve chronic illness self-management. This approach enhances motivation and action planning, overcoming challenges like patient unfamiliarity with goal-setting.
Area of Science:
- Nursing
- Primary Care
- Health Behavior
Background:
- Goal-setting is crucial for chronic illness self-management and reducing patient burden.
- Primary care nurses are key in supporting self-management for patients with multiple chronic conditions.
- Limited understanding exists regarding nurses' perspectives on collaborative goal-setting in self-management programs.
Purpose of the Study:
- To explore primary care nurses' perspectives on their practices of goal-setting with patients.
- To understand how nurses facilitate patient self-management through collaborative goal-setting.
Main Methods:
- Qualitative exploratory study utilizing semi-structured interviews.
- 28 primary care nurses providing self-management support were interviewed.
- Data analyzed using inductive thematic analysis.
Main Results:
- Nurses described goal-setting practices that empower patients, enhancing motivation and realistic action plans.
- Key challenges included patients' unfamiliarity with goal-setting, competing stressors, and reluctance to change.
- A patient-centered approach was valued for its positive impact on patient motivation and adherence.
Conclusions:
- Primary care nurses' patient-centered goal-setting practices are associated with positive patient and clinical outcomes.
- Unlike previous findings, nurses in this study did not report time constraints hindering patient-centered goal-setting.
- Future research should explore Registered Nurses' (RNs) perspectives and evaluate nurse-patient goal-setting interactions.
Keywords:
chronic illnessgoal‐oriented caregoal‐settingpatient‐centred carepractice nursingprimary care nursingself‐management supportMore Related Videos
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