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The nurse as coach: a conceptual framework for clinical practice
1Department of Family and Child Nursing, University of Washington School of Nursing, Seattle, USA.
Oncology Nursing Forum
|December 17, 1997
Summary
This study operationalizes a nurse coaching model to enhance cancer patients' self-management skills. The model focuses on cognitive-emotional processing and behavioral strategies for patients and families.
Area of Science:
- Nursing
- Oncology
- Psychosocial Care
Background:
- Cancer significantly impacts patients and families, necessitating enhanced self-management strategies.
- Existing patient teaching and supportive therapies can be complemented by specialized coaching.
- A client-centered approach is crucial for effective cancer care interventions.
Purpose of the Study:
- To operationalize a professional educational counseling model for nurses.
- To enhance patients' behavioral management of cancer's impact, including self-care and cognitive control.
- To derive the model from the client's frame of reference.
Main Methods:
- Literature review and four years of clinical experience with 84 couples.
- Application of coaching behavior in home-based intervention sessions.
- Development of a six-dimension nurse coaching behavior model.
Main Results:
- Nurse coaching behavior encompasses six dimensions: Attending to the Story, Encircling the Experience, Inviting the Work, Exploring Solutions, Anchoring the Skill, and Setting Up Success.
- These dimensions facilitate cognitive-emotional processing of the cancer experience.
- The model enhances patients' and family members' self-care and self-management skills.
Conclusions:
- Nurse coaching behavior facilitates cognitive-emotional processing and enhances self-care skills for cancer patients and families.
- This practice framework complements existing patient education and supportive therapies.
- Further research is needed to evaluate the processes and outcomes of nurse coaching in cancer care.