Playford E D, Dawson L, Limbert V, Smith M, Ward C D, Wells R
University of Nottingham Rehabilitation Research Unit, Derby, UK.
Clin Rehabil. 2000 Oct;14(5):491-6. doi: 10.1191/0269215500cr343oa.
To explore the views of therapists, nurses and doctors working in a variety of rehabilitation settings on the goal-setting process.
Sixteen rehabilitation staff from three different settings attended a goal-setting workshop in which the difficulties associated with goal-setting were described with their potential solutions.
Five difficulties with goal-setting were identified. (1) Formal goal-setting was felt to be an activity unusual for many of the patients although intrinsic to the activity of many professional groups. (2) Goal-setting is often insensitive to people's roles in the community. (3) Goal-setting in the hospital environment does not transfer easily to the community. (4) External factors (e.g. staff turnover) over which staff felt they had little control were important in the success of a goal-setting programme. (5) Goals tend to be formulated and owned by the team, rather than the patient.
Goal-setting is a very satisfactory activity for the team but to be as successful for the patient their needs must be acknowledged. People with mild disability and a short inpatient stay have different needs to those with acute onset severe permanent disability and those with chronic or progressive disability admitted from the community. Comparison of both process and outcome effects of different types of goal-setting is an area for future study.
探讨在各种康复环境中工作的治疗师、护士和医生对目标设定过程的看法。
来自三种不同环境的16名康复工作人员参加了一个目标设定研讨会，会上描述了与目标设定相关的困难及其潜在解决方案。
确定了目标设定的五个困难。（1）尽管正式目标设定对许多专业团体的活动来说是内在的，但许多患者认为这是一项不常见的活动。（2）目标设定往往对人们在社区中的角色不敏感。（3）医院环境中的目标设定不容易转移到社区。（4）工作人员认为他们几乎无法控制的外部因素（如人员流动）对目标设定计划的成功很重要。（5）目标往往由团队制定和主导，而不是患者。
目标设定对团队来说是一项非常令人满意的活动，但要对患者同样成功，就必须承认他们的需求。轻度残疾且住院时间短的患者与急性起病严重永久性残疾患者以及从社区入院的慢性或进行性残疾患者有不同的需求。比较不同类型目标设定的过程和结果影响是未来研究的一个领域。
