Goal‐setting in geriatric rehabilitation: Can the nursing profession meet patients' needs? A narrative review. Issue 3 (24th February 2021)

• Record Type: Journal Article
• Authors: Vaalburg, Anne Marie; Wattel, Elizabeth; Boersma, Petra; Hertogh, Cees; Gobbens, Robbert
• Is Part Of: Nursing forum. Volume 56:Issue 3(2021)
• Page Start: 648
• Page End: 659
• Publication Date: 2021-02-24
• Subjects: geriatric rehabilitation -- goal‐setting -- nursing role; Nursing -- Periodicals; 610.7305
• DOI: 10.1111/nuf.12562
• Languages: English
• ISSNs: 0029-6473

Abstract

Abstract: Study Objective: To provide an overview of patients' needs concerning goal‐setting, and indications of how those needs can be met by nurses. Methods: A narrative review. Pubmed and Cinahl were searched through March 1, 2020 for: patients' experiences concerning goal‐setting and the role of nursing in rehabilitation. Additional articles were found through snowballing. A total of 22 articles were reviewed on patients' experiences, and 12 on the nursing role. Results: Patients need to be prepared for collaborating in goal‐setting and to receive an explanation about their part in that process. The multiplicity of disciplines may cloud patients' understanding of the process. The nurse's planning of the rehabilitation process should be aimed at resolving this issue. Goals need to be meaningful, and patients need support in attaining them. The interpretive, integrative, and consoling functions of Kirkevold's nursing role are suitable to meet these needs. Conclusions: Both the literature about patients' needs regarding goal‐setting and the nursing role make clear that the way nurses work in rehabilitation can gain in clarity. Strengthening the role of nurses will improve the goal‐setting process for patients. Interprofessional collaboration, clear work procedures, continuity of care, time and trust, and the physical environment all are important to reinforce this role. KEY PRACTICE POINTS: Goals should be personally meaningful for each patient. Patients need information about the process of goal‐setting to effectively work on their return home. The multiplicity of disciplines may cloud patients' understanding of the process. The nurse's planning and coordinating of the rehabilitation process should be executed not just to structure their own work, but for the benefit of the patient's understanding of the process. Talking about and being occupied with goals should determine the daily routine in geriatric rehabilitation. Through their interpretive, integrative, and consoling function, nurses can play a key role in guiding patients in goal‐setting and goal‐achieving.