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An Educational Intervention on Mutual Goal Setting for Hospital Nurses: A Mixed-Methods Study
Teresa A Jerofke-Owen1, Kristi Opper2, Joseph Beiler2
1College of Nursing, Marquette University, Milwaukee, WI, USA.
Western Journal of Nursing Research
|November 5, 2025
Summary
A nurse educational intervention significantly improved mutual goal setting between nurses and patients. This approach enhances patient engagement and care personalization, leading to better outcomes.
Area of Science:
- Healthcare delivery
- Nursing education
- Patient engagement
Background:
- Mutual goal setting personalizes care and improves patient outcomes.
- Effective goal setting requires patient involvement in care planning.
Purpose of the Study:
- To assess the impact of nurse education on mutual goal setting.
- To evaluate changes in nurse engagement, self-efficacy, and patient/nurse experiences.
Main Methods:
- Mixed-methods study with chart audits and surveys.
- Nurse self-efficacy measured using the Appraisal Inventory Tool.
- Patient and nurse experiences assessed via surveys and focus groups.
Main Results:
- Goal presence in charts doubled post-intervention; goal quality improved.
- Nurse self-efficacy and patient goal achievement significantly increased.
- Nurses identified facilitators, barriers, and benefits of mutual goal setting.
Conclusions:
- Nurse education is key to improving mutual goal setting.
- Involving patients early in care planning identifies barriers and individualizes care.
- Eliciting the patient voice ensures tailored, effective healthcare.
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