2017
DOI: 10.1111/jan.13243
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Goals of care: a concept clarification

Abstract: Development of clear goals of care can increase patient satisfaction and quality of care while decreasing costs, hospital length of stay and hospital readmission. Goals of care are dynamic and should be reassessed regularly. How and when goals of care transition from implicit to explicit should be explored further, and what prompts this transition. Nurses, physicians and healthcare providers need education on how to best fill their roles in the development of goals of care.

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Cited by 29 publications
(12 citation statements)
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“…Patient comfort in our study seemed to constitute an implicit goal of care (GOC). According to Stanek (), GOCs are ideally established and made explicit through interaction between a patient and healthcare professionals, but are frequently taken for granted and not explicitly articulated. A critically ill patient's ability to express comfort needs may be impaired, hindering the establishment of explicit goals of comfort.…”
Section: Discussionmentioning
confidence: 99%
“…Patient comfort in our study seemed to constitute an implicit goal of care (GOC). According to Stanek (), GOCs are ideally established and made explicit through interaction between a patient and healthcare professionals, but are frequently taken for granted and not explicitly articulated. A critically ill patient's ability to express comfort needs may be impaired, hindering the establishment of explicit goals of comfort.…”
Section: Discussionmentioning
confidence: 99%
“…Through this methodology, she defined ''goals of care'' as desired health expectations formulated through thoughtful interactions between the health care team and a human being. 16 Although Stanek's definition offers a potentially unified concept for ''goals of care,'' in our experience, there still is not a uniformly accepted definition that is applied reliably throughout clinical situations, nor a standardized process for establishing goals of care, which are essential in the current culture of inpatient practice involving multiple clinicians and care teams. Although having a standardized and uniformly accepted definition for ''goals of care'' certainly would not replace the need for direct communication between referring and consulting providers, we do believe it could potentially reduce communication misadventures between care services, or even with patients, knowing that time pressures to complete consultations efficiently Klement and Marks; Palliative Medicine Reports 2020, 1.1 http://online.liebertpub.com/doi/10.1089/pmr.2020.0063 and communication challenges in dealing with increasingly complex care teams are likely to continue in inpatient care environments.…”
Section: Case Analysismentioning
confidence: 99%
“…[1][2][3] In this paper, we define goals of care as a conversation between a health care provider and patient or surrogate to determine a patient's values, goals, and preferences related to treatment and end-oflife wishes in the context of medical illness. [4][5][6] While viewed separately, goals of care conversations, life-sustaining treatment orders, 7 and advance care planning 8 all draw on conversations about patient goals and seek to foster goal-concordant care. Diverse initiatives promoting such conversations include elements of communication training to physicians, physician trainees, and advanced practice providers 1,9,10 and expanded training to nurses and lay health workers.…”
Section: Introductionmentioning
confidence: 99%