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Related Experiment Videos

Coaching for competence.

Joyce L Nelson1, Debra K Apenhorst, Lisa C Carter

  • 1Mayo Clinic, Rochester, MN, USA.

Medsurg Nursing : Official Journal of the Academy of Medical-Surgical Nurses
|March 20, 2004
PubMed
Summary

A pilot "unit coach" role was created to support newly hired nurses on a general medical unit. This initiative fostered confidence and critical thinking through guided reflective practice.

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Area of Science:

  • Nursing Education
  • Clinical Practice
  • Healthcare Management

Background:

  • High nurse turnover impacts patient care quality.
  • Onboarding new nurses requires effective clinical support strategies.
  • Acute care general medical units face unique staffing challenges.

Purpose of the Study:

  • To evaluate the impact of a novel
  • unit coach
  • role on newly hired nurses.
  • To enhance clinical support and professional development for nursing staff.
  • To improve confidence and critical thinking skills in novice nurses.

Main Methods:

  • A pilot program was implemented on a busy acute care general medical unit.
  • Preceptors and leadership collaborated to create the unit coach role.
  • Unit coaches facilitated reflective practice through questioning and prompting.

Main Results:

  • The unit coach role provided dedicated clinical support to 38 newly hired nurses.
  • The program aimed to build confidence and critical thinking abilities.
  • Reflective practice was a key component of the coaching intervention.

Conclusions:

  • The unit coach model shows promise for supporting new nurses in acute care settings.
  • Investing in targeted support roles can enhance nurse confidence and critical thinking.
  • Collaborative leadership is essential for successful implementation of innovative nursing support programs.

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