实施目标实现量表作为以人为中心的测量工具来指导神经康复设置的护理和评估结果。

IF 3.7 2区 医学 Q1 REHABILITATION
Tracey D Wallace, Bridget A Cotner, Daniel Klyce, Amber Walter, April T Hodge, Russell K Gore, Katy H O'Brien
{"title":"实施目标实现量表作为以人为中心的测量工具来指导神经康复设置的护理和评估结果。","authors":"Tracey D Wallace, Bridget A Cotner, Daniel Klyce, Amber Walter, April T Hodge, Russell K Gore, Katy H O'Brien","doi":"10.1016/j.apmr.2025.07.018","DOIUrl":null,"url":null,"abstract":"<p><p>The purpose of this Special Communication is to describe barriers and facilitators to implementing goal attainment scaling (GAS) as a patient-centered measurement tool in neurorehabilitation settings. The experiences of 3 distinct neurorehabilitation settings that implemented GAS to enhance person-centered care and measure person-centered goal attainment are described: a neurorehabilitation service at an inpatient rehabilitation facility; an intensive outpatient program serving military service members, veterans, and first responders with a history of mild to moderate traumatic brain injury; and an outpatient clinic serving adolescents and adults with recent history of mild traumatic brain injury. Each setting instituted different methods to implement GAS yet experienced commonalities in barriers and facilitators to implementation and adoption. Experiences were thematically organized using the normalization process theory (NPT), a framework that supports the design and evaluation of clinical process implementation. Barriers clustered in the NPT domains of coherence and cognitive participation, including factors such as staff training requirements, time required to implement, and challenges related to shifting program philosophies. Implementation was facilitated by actions taken in collective action and reflexive monitoring domains, such as integrating processes into workflows, leveraging technology for team communication and measurement, and completing regular audits and staff feedback. Patient-centered measurement tools, such as GAS, provide a framework for capturing patient priorities, enhancing the relevance of care plans, and ensuring treatment goals align with individual patient needs. Evaluating GAS implementation using the NPT provides direction to future clinical implementation efforts, which should continue to integrate clinical experiences with those of the persons served.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.7000,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Implementing Goal Attainment Scaling as a Person-Centered Measurement Tool to Direct Care and Evaluate Outcomes in Neurorehabilitation Settings.\",\"authors\":\"Tracey D Wallace, Bridget A Cotner, Daniel Klyce, Amber Walter, April T Hodge, Russell K Gore, Katy H O'Brien\",\"doi\":\"10.1016/j.apmr.2025.07.018\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The purpose of this Special Communication is to describe barriers and facilitators to implementing goal attainment scaling (GAS) as a patient-centered measurement tool in neurorehabilitation settings. The experiences of 3 distinct neurorehabilitation settings that implemented GAS to enhance person-centered care and measure person-centered goal attainment are described: a neurorehabilitation service at an inpatient rehabilitation facility; an intensive outpatient program serving military service members, veterans, and first responders with a history of mild to moderate traumatic brain injury; and an outpatient clinic serving adolescents and adults with recent history of mild traumatic brain injury. Each setting instituted different methods to implement GAS yet experienced commonalities in barriers and facilitators to implementation and adoption. Experiences were thematically organized using the normalization process theory (NPT), a framework that supports the design and evaluation of clinical process implementation. Barriers clustered in the NPT domains of coherence and cognitive participation, including factors such as staff training requirements, time required to implement, and challenges related to shifting program philosophies. Implementation was facilitated by actions taken in collective action and reflexive monitoring domains, such as integrating processes into workflows, leveraging technology for team communication and measurement, and completing regular audits and staff feedback. Patient-centered measurement tools, such as GAS, provide a framework for capturing patient priorities, enhancing the relevance of care plans, and ensuring treatment goals align with individual patient needs. Evaluating GAS implementation using the NPT provides direction to future clinical implementation efforts, which should continue to integrate clinical experiences with those of the persons served.</p>\",\"PeriodicalId\":8313,\"journal\":{\"name\":\"Archives of physical medicine and rehabilitation\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.7000,\"publicationDate\":\"2025-08-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archives of physical medicine and rehabilitation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.apmr.2025.07.018\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of physical medicine and rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.apmr.2025.07.018","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0

摘要

本特别交流的目的是描述障碍和促进实施目标实现尺度(GAS)作为一个以患者为中心的测量工具在神经康复设置。本文描述了三种不同的神经康复设置的经验,这些设置实施GAS来加强以人为本的护理和衡量以人为本的目标实现:住院康复设施的神经康复服务;为有轻度至中度创伤性脑损伤史的军人、退伍军人和急救人员提供强化门诊服务;还有一家门诊诊所为最近有轻度创伤性脑损伤史的青少年和成年人提供服务。每个环境都制定了不同的方法来实施GAS,但在实施和采用的障碍和促进因素方面存在共同点。使用规范化过程理论(NPT),一个支持设计和评估临床过程实施的框架,按主题组织经验。《不扩散核武器条约》在一致性和认知参与方面的障碍聚集在一起,包括员工培训要求、实施所需的时间以及与转变项目理念相关的挑战等因素。在集体行动和反思性监控领域中采取的行动促进了实施,例如将过程集成到工作流中,利用技术进行团队沟通和度量,以及完成定期审计和员工反馈。以患者为中心的测量工具(如GAS)提供了一个框架,用于捕捉患者的优先事项,增强护理计划的相关性,并确保治疗目标与患者的个人需求保持一致。利用《不扩散核武器条约》评估GAS的实施情况,为今后的临床实施工作提供了方向,这些工作应继续将临床经验与所服务人员的经验结合起来。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Implementing Goal Attainment Scaling as a Person-Centered Measurement Tool to Direct Care and Evaluate Outcomes in Neurorehabilitation Settings.

The purpose of this Special Communication is to describe barriers and facilitators to implementing goal attainment scaling (GAS) as a patient-centered measurement tool in neurorehabilitation settings. The experiences of 3 distinct neurorehabilitation settings that implemented GAS to enhance person-centered care and measure person-centered goal attainment are described: a neurorehabilitation service at an inpatient rehabilitation facility; an intensive outpatient program serving military service members, veterans, and first responders with a history of mild to moderate traumatic brain injury; and an outpatient clinic serving adolescents and adults with recent history of mild traumatic brain injury. Each setting instituted different methods to implement GAS yet experienced commonalities in barriers and facilitators to implementation and adoption. Experiences were thematically organized using the normalization process theory (NPT), a framework that supports the design and evaluation of clinical process implementation. Barriers clustered in the NPT domains of coherence and cognitive participation, including factors such as staff training requirements, time required to implement, and challenges related to shifting program philosophies. Implementation was facilitated by actions taken in collective action and reflexive monitoring domains, such as integrating processes into workflows, leveraging technology for team communication and measurement, and completing regular audits and staff feedback. Patient-centered measurement tools, such as GAS, provide a framework for capturing patient priorities, enhancing the relevance of care plans, and ensuring treatment goals align with individual patient needs. Evaluating GAS implementation using the NPT provides direction to future clinical implementation efforts, which should continue to integrate clinical experiences with those of the persons served.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
6.20
自引率
4.70%
发文量
495
审稿时长
38 days
期刊介绍: The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities. Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信