Development and field testing of a standardised goal setting package for person-centred discharge care planning in stroke

Rebecca Barnden; Dominique A. Cadilhac; Natasha A. Lannin; Ian Kneebone; Deborah Hersh; Erin Godecke; Rene Stolwyk; Tara Purvis; Rebecca Nicks; Michelle Farquhar; Stephanie Gleeson; Carol Gore; Kelsie Herrmann; Nadine E. Andrew

PEC Innovation (Dec 2022)

Development and field testing of a standardised goal setting package for person-centred discharge care planning in stroke

Rebecca Barnden,
Dominique A. Cadilhac,
Natasha A. Lannin,
Ian Kneebone,
Deborah Hersh,
Erin Godecke,
Rene Stolwyk,
Tara Purvis,
Rebecca Nicks,
Michelle Farquhar,
Stephanie Gleeson,
Carol Gore,
Kelsie Herrmann,
Nadine E. Andrew

Affiliations

Rebecca Barnden: Department of Medicine, Peninsula Clinical School, Central Clinical School, Monash University, PO Box 52, Frankston, VIC 3199, Australia; Academic Unit, Peninsula Health, PO Box 52, Frankston, VIC 3199, Australia
Dominique A. Cadilhac: Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Level 3, Hudson Institute Building, 27-31 Wright Street, Clayton, VIC 3168, Australia
Natasha A. Lannin: School of Allied Health, Health Sciences Building 1, La Trobe University, Kingsbury Drive, Bundoora, VIC 3086, Australia; Alfred Health, 55 Commercial Road, Melbourne, VIC 3004, Australia
Ian Kneebone: Graduate School of Health, Building 20, University of Technology Sydney, 100 Broadway, Ultimo, NSW 2007, Australia
Deborah Hersh: School of Medical and Health Sciences, Edith Cowan University, 270 Joondalup Dr, Joondalup, WA 6027, Australia
Erin Godecke: School of Medical and Health Sciences, Edith Cowan University, 270 Joondalup Dr, Joondalup, WA 6027, Australia
Rene Stolwyk: Monash Institute of Cognitive and Clinical Neurosciences, School of Psychological Sciences, Monash University, 18 Innovation Walk, Clayton Campus, Wellington Rd, Clayton, VIC 3800, Australia
Tara Purvis: Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Level 3, Hudson Institute Building, 27-31 Wright Street, Clayton, VIC 3168, Australia
Rebecca Nicks: Occupational Therapy Department, Eastern Health, 5 Arnold St, Box Hill, Melbourne, VIC 3128, Australia
Michelle Farquhar: Alfred Health, 55 Commercial Road, Melbourne, VIC 3004, Australia
Stephanie Gleeson: Occupational Therapy Department, Peninsula Health, PO Box 52, Frankston, VIC 3199, Australia
Carol Gore: Subacute Care Services, Peninsula Health, PO Box 52, Frankston, VIC 3199, Australia
Kelsie Herrmann: Lung Foundation Australia, 11 Finchley St, Milton, QLD 4064, Australia
Nadine E. Andrew: Department of Medicine, Peninsula Clinical School, Central Clinical School, Monash University, PO Box 52, Frankston, VIC 3199, Australia; Academic Unit, Peninsula Health, PO Box 52, Frankston, VIC 3199, Australia; Corresponding author at: Peninsula Clinical School, Central Clincial School, Monash University, PO Box 52, Frankston, Victoria 3199, Australia.

Journal volume & issue: Vol. 1
p. 100008

Abstract

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Objective: Develop and test a person-centred goal-setting package for discharge care planning in acute and rehabilitation stroke units. Methods: A multidisciplinary, expert working group (n = 15), and consumer group (n = 4) was convened. A multistage iterative approach was used to develop and test the package. Stages included: (i) contextual understanding, (ii) package development, and (iii) clinician training and field-testing in acute and rehabilitation settings. Observational field notes were taken and clinicians' perspectives captured using semi-structured focus groups post-testing. Results: The final package included a 34-item menu aligned with a manual containing: guideline summaries; common goals; goal metrics based on the SMART Goal Evaluation Method (SMART-GEM); evidence-based strategies; and worked examples. Twenty-three clinicians attended training. Clinician observations (n = 5) indicated that: the package could be incorporated into practice; a range of person-centred goals were set; and opportunities provided to raise additional issues. Clinician feedback (n = 8) suggested the package was useful and facilitated person-centred goal-setting. Enablers included potential for incorporation into existing processes and beliefs that it promoted person-centred care. Barriers included additional time. Conclusion: The package demonstrated potential to facilitate comprehensive person-centred goal-setting for patients with stroke. Innovation: We developed an innovative approach to support structured person-centred goal setting in clinical and research settings.

Published in PEC Innovation

ISSN: 2772-6282 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Public aspects of medicine
Website: https://www.sciencedirect.com/journal/pec-innovation

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