Article

OBJECTIVE: To investigate whether the introduction of an electronic goals system
followed by staff training improved the quality, rating, framing and structure of
goals written by a community-based brain injury rehabilitation team. DESIGN:
Interrupted time series design. INTERVENTION: Two interventions were introduced
six months apart. The first intervention comprised the introduction of an
electronic goals system. The second intervention comprised a staff goal training
workshop. METHODS: An audit protocol was devised to evaluate the goals. A random
selection of goal statements from the 12 months prior to the interventions (Time
1 baseline) were compared with all goal statements written after the introduction
of the electronic goals system (Time 2) and staff training (Time 3). All goals
were de-identified for client and time-period, and randomly ordered. RESULTS: A
total of 745 goals (Time 1 n = 242; Time 2 n = 283; Time 3 n = 220) were
evaluated. Compared with baseline, the introduction of the electronic goals
system alone significantly increased goal rating, framing and structure (chi(2)
tests 144.7, 18.9, 48.1, respectively, p < 0.001). The addition of staff training
meant that the improvement in goal quality, which was only a trend at Time 2, was
statistically significant at Time 3 (chi(2) 15.0, p </= 001). The training also
led to a further significant increase in the framing and structuring of goals
over the electronic goals system (chi(2) 11.5, 12.5, respectively, p </= 0.001).
CONCLUSION: An electronic goals system combined with staff training improved the
quality, rating, framing and structure of goal statements.
CI - (c) The Author(s) 2014.

Langue : ANGLAIS