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Goal setting in neurological rehabilitation : staff perspectives

VAN DE WEYER RC; BALLINGER C; PLAYFORD ED
DISABIL REHABIL , 2010, vol. 32, n° 17, p. 1419-1427
Doc n°: 151466
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09638280903574345

The purpose of this study was to explore rehabilitation professionals'
perspectives about goal setting, and more particularly, the use of two specific
forms of goal setting used within the same setting; 'usual participation' and
'increased participation'. METHODS: A qualitative research approach was
identified as being particularly pertinent for the aims of this study. Fifteen
rehabilitation professionals representing five different professions and having
experience of usual and increased participation goal setting approaches used in
one Neurological Rehabilitation Unit participated in two focus groups. The focus
group questions were designed to elicit staff views about goal setting generally,
and to invite comparison regarding their experiences of using two goal setting
approaches. The focus group transcripts were analysed according to thematic
analysis principles. FINDINGS: Five themes were identified: the goal setting
tools (including views about the folder developed for one form of goal setting);
barriers to goal setting (including lack of time, professional group work
patterns and lack of experience), the keyworker role (including prerequisites for
effective keyworking); patient characteristics (disease, personality and
expectations); and the nature of goals. CONCLUSIONS: Whilst the 'increased
participation' mode of goal setting was seen as having the potential to allow
patients a stronger voice within the goal setting process, both time and
resources are required to ensure that this potential is fully realised.

Langue : ANGLAIS

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