Clinical trial NCT04977206: Engaging Patients in Mutual Goal-Setting in Hospitalized Patients
Official title: Engaging Patients in Mutual Goal-Setting in Hospitalized Patients
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Goals
Lead sponsor: Marquette University
Sponsor class: OTHER
Collaborators: name: Froedtert Hospital
First posted: 2021-07-26
Enrollment: 500
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: Mutual goal setting and action planning in patients with long-term conditions in outpatient settings is associated with favorable effects on measures of physical health, psychological health, subjective health status, self-management self-efficacy levels, activation levels, and perceived empowerment. The purpose of this study is to examine the impact of an educational intervention delivered to the staff nurses of two surgical units on how to engage patients in mutual goal-setting in the acute care setting. Staff nurses from two 32-bed surgical units will be scheduled to attend an hour-long educational intervention. A total of 630 chart audits will be conducted one month prior and one and three months following the intervention per unit, to examine the number of patients with a daily goal recorded in the prior 24 hours and the quality of the recorded goal using the SMART-GEM. The self-efficacy of engaging in mutual goal-setting with patients will be examined by asking nurses to complete the Appraisal Inventory Tool (AIT) prior to and immediately following the intervention. The patient experience of engaging in mutual goal-setting will be examined by having a total of 165 patients complete the Patient Experience of Mutual Goal-Setting Tool (PEMGST) one month prior to the intervention and one and three months following the intervention on each of the two units.


Eligibility criteria: Inclusion Criteria

* At least 18 years of age or older
* Must be alert and oriented to person, place, and time
* Inpatient on one of two included units

Exclusion Criteria

* Less than 24 hour length of stay
* Non English-speaking

Primary outcomes:
measure: Change in percentage of charts reviewed with an individualized goal recorded in the electronic health record
timeFrame: Over the course of one month before delivery of education intervention and one and three months post delivery of intervention
Secondary outcomes:
measure: Change in quality of goals as measured by the SMART-GEM.
timeFrame: Over the course of one month before delivery of education intervention and one and three months post delivery of intervention
measure: Change in patient experience with mutual goal-setting using the Patient Experience of Mutual Goal-Setting Tool.
timeFrame: Over the course of one month before delivery of educational intervention and one and three months post delivery of intervention
measure: Change in nurse self-efficacy participating in mutual goal-setting with patients pre and post-intervention using the Appraisal Inventory Tool.
timeFrame: Immediately before starting the educational intervention and immediately following the conclusion of the educational intervention
Other outcomes:
Locations:
city: Milwaukee
country: United States
facility: Froedtert Memorial Hospital
state: Wisconsin
Study officials:
References: