Authors: Winnie Lai-Sheung Cheng
Abstract: Objective: To evaluate the effects of a structured goal setting practice on the outcomes of care in Hong Kong Chinese patients receiving nursing care at home. Design: A quasiexperimental design with repeated measures was employed. Setting: Community nursing centres in Hong Kong. Subjects: Patients received care from community nursing service (N=80). Interventions: Patients in the intervention group received mutual goal-setting (MGS) practice. Outcome measures: Percentage of goal achievement, Disability Index of the Health Assessment Questionnaire (HAQ-DI), perceived health status, and self-efficacy in self-managing chronic illness. Results: Repeated measures showed that the intervention group achieved a higher percentage of their goals than the control group at the scheduled sessions, and better perceived functional ability and health status after the intervention. Insignificant group and time interaction effects between groups were found in perceived functional ability, perceived health status and selfefficacy in selfmanaging chronic illness. Conclusions: The findings provide support for patient participation and mutually agreed on goal setting practice enable goal achievement in the care of patients.
Keywords: patient participation, mutuality, goal-setting, goal achievement, older people, home care, community nursing