Abstract
This study assesses client satisfaction and canvasses staff opinions concerning the first year of a Goal Planning rehabilitation programme implemented with in-patients who had sustained a severe spinal cord injury. Questionnaires were completed by 33 patients. As a keyworker system is an integral part of Goal Planning, separate questionnaires were completed by 13 staff/key workers. The results indicated that patients believed Goal Planning to be informative about their injury and helpful in promoting a sense of control over their rehabilitation. In addition, a positive, and statistically significant association was found between perceived informativeness and control and the implications for successful rehabilitation are considered. Staff also gave favourable feedback regarding the perceived benefits of Goal Planning for patients, relatives and staff, although they acknowledged the resulting increase in their workload.
Similar content being viewed by others
Article PDF
References
The Health of the Nation: A strategy for Health in England. Presented to Parliament by the Secretary of State for Health (July 1992) London: HMSO.
The Patient's Charter: A Charter for Health. Produced by the Scottish Office (Sept. 1991) Edinburgh: HMSO.
Partridge C, Johnston M . Perceived control of recovery from physical disability: measurement and prediction. British Journal of Clinical Psychology 1989; 28: 53–59.
Norris-Baker C, Stephens M, Rintala D . Patient behaviour as a predictor of outcome in spinal cord inury. Archives of Physiological and Medical Research 1981; 62: 602–608.
Kennedy P, Walker L, White D . Ecological evaluation of goal planning and advocacy in rehabilitative environment for spinal cord injured people. Paraplegia 1991; 29: 197–202.
Kennedy P, Pearce N . Goal planning, needs assessment and advocacy. Health Services Management 1993: March: 17–19.
Houts P, Scott R . Goal Planning with Developmentally Disabled Persons: Procedures for Developing. In. Individualised Client Plan. Milton Hershey Centre: Pennsylvania, 1975.
Trinder H, Mitchell S A, Newness C, Todd L M K . Valuing patient feedback II: Shelton Hospital's rehabilitation wards. Clinical Psychology Forum 1994; 74: 21–25.
Bucknall A . Evaluation of a client satisfaction questionnaire. Clinical Psychology Forum 1994; 63: 22–26.
Ferguson G A . Statistical Analysis in Psychology and Education 3rd ed. London: McGraw Hill, 1971.
Stuckey N . Pilot study to examine the adjustment, emotional state, locus of control and social support of spinally injured patients. Final report to Disability Research Committee, Scottish Home and Health Department, Edinburgh (Grant no. D/RED/6/ 31/2/F2), 1993.
McPhee C B, Zusman J, Ross R H . Measurement of patient satisfaction. A survey of practices in Community Mental Health Centres. Comprehensive Psychiatry 1975; 16: 399–404.
Rotter J B . Generalised expectancies for internal versus external locus of control of reinforcement. Psychological Monographs 1966; 80 (1): whole no. 609.
Rotter J B . The Development and Application of Social Learning Theory. New York: Praeger, 1982.
Shulz R, Decker A . Long-term adjustment to physical disability: the role of social support, perceived control and self-blame. Journal of Personality and Social Psychology 1985; 48: 1162–1172.
Strickland B R . Internal external expectancies and health related behaviours. Journal of Consulting and Clinical Psychology 1978; 46(6): 1192–1211.
Morrison V, Johnston M, MacWalter R . Disability following stroke: Psychological predictors of residual disability. Final report to the Chest, Heart and Stroke Association (Scotland), 1994.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
MacLeod, G., Macleod, L. Evaluation of client and staff satisfaction with a Goal Planning project implemented with people with spinal cord injuries. Spinal Cord 34, 525–530 (1996). https://doi.org/10.1038/sc.1996.95
Issue Date:
DOI: https://doi.org/10.1038/sc.1996.95