Rehabilitation team members‘ view on how goal-setting is practised in patients after stroke
Abstract
Background: Goal-setting is a key element in the rehabilitation process of stroke patients. Patient centeredness has not only become an important underlying principle for the delivery of health and rehabilitation services, it has also become an important aspect of the goal-setting process. Current research in the area of stroke rehabilitation suggests that there is a lack of consensus concerning best practice for goal-setting. The aim of the study was to determine how rehabilitation team members set rehabilitation goals in patients after stroke, which assessment tools do they use and what obstacles are present during the goal-setting process.
Methods: Qualitative semi-structured interviews were conducted with 35 stroke unit rehabilitation team members at the University Rehabilitation Institute. The interview included questions about clinical experience of goal setting process generally in rehabilitation, the use of assessment tools and problems that arise in setting goals.
Results: Most of the team members already used goal-setting as a measure of the effectiveness of rehabilitation treatment and perceived goal-setting as demanding. Most common mentioned barriers to goal-setting were lack of time, and patient characteristics (disease, personality and expectations). Specific improvements were suggested regarding education.
Conclusion: This study highlights a number of issues relevant to rehabilitation team members during the goal-setting process in stroke rehabilitation. Rehabilitation process should be patient-centred and goal-directed. In the future, it is important to develop clear guidelines about goal setting in stroke rehabilitation, as well as additional training for healthcare professionals.
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