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An Educational Intervention to Increase Nurse Adherence in Eliciting Patient Daily Goals

Revello, Kathleen BSN, RN, CRRN1; Fields, Willa DNSc, RN, FHIMSS2

doi: 10.1002/rnj.201
Current Issues: CE ARTICLE
Continuing Education

Background: The literature suggests that nurse and patient collaborative goal setting demonstrates better patient outcomes. The SMART goal evaluation method (Specific, Measureable, Attainable, Relevant, and Timely) is a strategy to develop effective and measureable goals.

Purpose: The purpose of this educational project was to improve nurse collaborative goal-setting skills.

Methods: A pre- and postevaluation of an educational intervention was accomplished by patient interviews and observation for adherence to obtaining patient daily goals.

Results: Results of nurse adherence in writing SMART collaborative goal setting increased from 11% preeducation to 63% posteducation. Patients' perceptions of feeling well informed by their nurses and physicians increased from 57% preeducation to 91% posteducation.

Conclusion: Nurses continued to need reminding to collaborate with their patients, but their goal writing skills greatly improved.

Clinical Relevance: The results of this educational project demonstrated nurses' improved ability to cowrite collaborative patient goals which resulted in better informed patients.

1 Rehabilitation Unit, Sharp Grossmont Hospital, La Mesa, CA, USA

2 San Diego State University, San Diego, CA, USA

Accepted 7 December 2014


Kathleen Revello, Rehabilitation Educator, Rehabilitation Unit, Grossmont Hospital, 5555 Grossmont Center Drive, La Mesa, CA.


© 2015 Association of Rehabilitation Nurses.
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