Goal setting in cardiac rehabilitation: implications for clinical practice.
Summary of "Goal setting in cardiac rehabilitation: implications for clinical practice."
Abstract Background: Effective goal setting is a vital component of cardiac rehabilitation programs. Objective: The objectives of this study were to investigate the types of goals set by patients attending a cardiac rehabilitation program in a tertiary teaching hospital and the compatibility of the goals set with the patient's risk factor profile. Methods: A descriptive, cross sectional, retrospective audit of the medical records of patients who attended the cardiac rehabilitation program in a tertiary teaching hospital in Sydney NSW between January 2007 and December 2009 was undertaken. The medical records of 355 patients who attended cardiac rehabilitation within the stipulated time frame were audited. Results: Short and long term goals were set by 104 and 50 patients respectively. Four themes identified in the analysis of the goal data were reducing behavioural risk factors for further cardiovascular events, improvements in physical symptoms, enhancing mental well being and return to normal life. The majority of the goals related to physical activity (82%). Conclusion: Collaborative goal setting and the need to establish goals that are attainable and correspond with the patient's health behaviours and clinical measures that require modification is vital.
Affiliation
St George and Sutherland Hospitals University of Wollongong School of Nursing Midwifery and Indigenous Health Email: ritin.fernandez@sesiahs.health.nsw.gov.au.
Journal Details
This article was published in the following journal.
Name: Contemporary nurse
ISSN: 1037-6178
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22721169
- DOI: http://dx.doi.org/10.5172/conu.2012.2939
Medical and Biotech [MESH] Definitions
Rehabilitation Nursing
The diagnosis and treatment of human responses of individuals and groups to actual or potential health problems with the characteristics of altered functional ability and altered life-style. (American Nurses Association & Association of Rehabilitation Nurses. Standards of Rehabilitation Nursing Practice, 1986, p.2)
Therapeutic Community
Psychotherapeutic technique which emphasizes socioenvironmental and interpersonal influences in the resocialization and rehabilitation of the patient. The setting is usually a hospital unit or ward in which professional and nonprofessional staff interact with the patients.
Rate Setting And Review
A method of examining and setting levels of payments.
Clinical Nursing Research
Research carried out by nurses in the clinical setting and designed to provide information that will help improve patient care. Other professional staff may also participate in the research.
Nursing Faculty Practice
Clinical practice by members of the nursing faculty in order to maintain a balance in their nursing activities--clinical, education, and research.
PubMed Articles
Addressing the Challenges of Collaborative Goal Setting with Children and Their Families.
ABSTRACT Collaborative goal setting between clinicians and clients/families is considered a fundamental component of the pediatric rehabilitation process. However, truly client-centered goal setting i...
The effects and experiences of goal setting in stroke rehabilitation - a systematic review.
Objective: To systematically integrate and appraise the evidence for effects and experiences of goal setting in stroke rehabilitation. Design: Systematic review of quantitative and qualitative studies...
Cardiac rehabilitation : Current status and future challenges.
The goal of cardiac rehabilitation is to support heart patients using a multidisciplinary team in order to obtain the best possible physical and mental health and achieve long-term social reintegratio...
Purpose: Develop an International Classification of Functioning, Disability and Health (ICF) Code Set, useful in goal oriented rehabilitation of a study population of children with chronic disabilitie...
Clinical Trials
Stress Management and Biomarkers of Risk in Cardiac Rehabilitation
The purpose of this study is to assess the extent to which combining exercise and stress management training (SMT) is more effective at improving biomarkers in vulnerable cardiac patients...
Cardiac Rehabilitation in Advanced aGE: EXercise TRaining and Active Follow-up CR-AGE-EXTRA Trial
The goal of this trial is to assess the medium- (6 months) and long-term (12 months) effects of a Home-Based exercise program after in-Hospital comprehensive Cardiac Rehabilitation (CR) -...
Cardiac Rehabilitation for Heart Event Recovery (HER)
The purpose of this study is to compare women's cardiac rehabilitation program adherence across three program models.
The Impact of Cardiac Rehabilitation Participation on Cardiac Syndrome X
The study is designed to test the hypothesis that participation in a standard phase III group based cardiac rehabilitation programme will improve psychological morbidity, quality of life a...
Cardiac Rehabilitation for the Treatment of Refractory Angina
The purpose of this study is to determine whether cardiac rehabilitation is a successful treatment for refractory angina, in relation to improvements in cardiovascular risk factors, physic...