Engaging Patients in Mutual Goal-Setting in Hospitalized Patients

NCT04977206 | Unknown

• 1 other identifier: HR-3725
• Study Type: interventional
• Target: 500
• Locations: 1 country
• Sites: 1

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.

Conditions

Goals

Outcome Measures

Primary Outcomes (1)

• Change in percentage of charts reviewed with an individualized goal recorded in the electronic health record

  percentage of charts reviewed with individualized goals recorded in their electronic health record

  Over the course of one month before delivery of education intervention and one and three months post delivery of intervention

Secondary Outcomes (3)

• Change in quality of goals as measured by the SMART-GEM.

  Over the course of one month before delivery of education intervention and one and three months post delivery of intervention

• Change in patient experience with mutual goal-setting using the Patient Experience of Mutual Goal-Setting Tool.

  Over the course of one month before delivery of educational intervention and one and three months post delivery of intervention

• Change in nurse self-efficacy participating in mutual goal-setting with patients pre and post-intervention using the Appraisal Inventory Tool.

  Immediately before starting the educational intervention and immediately following the conclusion of the educational intervention

Study Arms (2)

No Intervention

NO INTERVENTION

Patients receiving usual care

Intervention

EXPERIMENTAL

Patient's receiving care following nurse education on mutual goal-setting

Other: Mutual Goal-Setting Education

Interventions

Mutual Goal-Setting Education OTHER

Nurses will receive both written and verbal instruction on mutual goal-setting with patients using SMART methodology

Intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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

You may not qualify if:

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

Sponsors & Collaborators

• Marquette University: lead
• Froedtert Hospital: collaborator

Study Sites (1)

Froedtert Memorial Hospital

Milwaukee, Wisconsin, 53226, United States

RECRUITING

Related Publications (1)

• Jerofke-Owen TA, Opper K, Beiler J, Singh M. An Educational Intervention on Mutual Goal Setting for Hospital Nurses: A Mixed-Methods Study. West J Nurs Res. 2026 Jan;48(1):4-14. doi: 10.1177/01939459251384711. Epub 2025 Nov 5.

  PMID: 41190497 DERIVED

Central Study Contacts

Teresa A Jerofke-Owen, PhD

CONTACT

2624423696; teresa.jerofke@marquette.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Nursing Professor

Study Record Dates

• First Submitted: June 22, 2021
• First Posted: July 26, 2021
• Study Start: May 19, 2022
• Primary Completion: December 30, 2022
• Study Completion: March 30, 2023
• Last Updated: May 26, 2022

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)