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Patient Health Goals Elicited During Home Care Admission: A Categorization
Journal article   Open access   Peer reviewed

Patient Health Goals Elicited During Home Care Admission: A Categorization

Paulina Sockolow, Kavita Radhakrishnan, Edgar Y Chou and Christine Wojciechowicz
Western journal of nursing research, v 39(11), pp 1447-1458
Nov 2017
DOI: https://doi.org/10.1177/0193945916676541
PMID: 27837160
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1177/0193945916676541View
Published, Version of Record (VoR) Restricted

Abstract

Activities of Daily Living - psychology Goals Home Care Services - organization & administration Home Care Services - statistics & numerical data Humans Outpatients - psychology Outpatients - statistics & numerical data Patient Admission - statistics & numerical data Quality of Life - psychology
Home care agencies are initiating "patient health goal elicitation" activities as part of home care admission planning. We categorized elicited goals and identified "clinically informative" goals at a home care agency. We examined patient goals that admitting clinicians documented in the point-of-care electronic health record; conducted content analysis on patient goal data to develop a coding scheme; grouped goal themes into codes; assigned codes to each goal; and identified goals that were in the patient voice. Of the 1,763 patient records, 16% lacked a goal; only 15 goals were in a patient's voice. Nurse and physician experts identified 12 of the 20 codes as clinically important accounting for 82% of goal occurrences. The most frequent goal documented was safety/falls (23%). Training and consistent communication of the intent and operationalization of patient goal elicitation may address the absence of patient voice and the less than universal recording of home care patients' goals.

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5 citations in Web of Science
6 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Nursing
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