Leveraging Peer Coaching to Transform Care Delivery: The Nursing Innovation Fellowship.

Area of Science:

• Healthcare Management
• Nursing Education
• Organizational Behavior

Background:

• Peer coaching is an effective, collaborative strategy for driving practice change.
• Leveraging bedside credibility, it accelerates the adoption of new practices.
• Academic health systems can benefit from structured peer coaching initiatives.

Purpose of the Study:

• To evaluate the impact of a systemwide peer coaching fellowship.
• To assess improvements in clinical competence and patient outcomes.
• To determine the role of peer coaching in adopting evidence-based practices.

Main Methods:

• Implementation of a systemwide peer coaching fellowship.
• Focus on collaborative, nonhierarchical coaching at the bedside.
• Data collection on clinical competence, patient outcomes, and practice adoption.

Main Results:

• Demonstrated improvements in clinical competence.
• Positive impact on patient outcomes observed.
• Increased adoption of evidence-based practices within the system.

Conclusions:

• Peer coaching is a sustainable strategy for healthcare leaders.
• It effectively reduces missed care and strengthens professional development.
• This model advances overall organizational performance in academic health systems.