The nurse as coach: a conceptual framework for clinical practice

Oncol Nurs Forum. 1997 Nov-Dec;24(10):1695-702.

Abstract

Purpose/objectives: To operationalize a professional educational counseling model for nurses that derives from the client's frame of reference and adds to the client's behavioral management of the impact of cancer, including self-care skills and cognitive control.

Data sources: Published literature and four years of clinical experience with 84 couples in which coaching behavior was applied in home-based intervention sessions.

Data synthesis: Nurse coaching behavior includes six dimensions. Attending to the Story, Encircling the Experience, inviting the Work, Exploring Solutions, Anchoring the Skill, and Setting Up Success.

Conclusions: Nurse coaching behavior is designed to facilitate the cognitive emotional processing of the cancer experience and to add to the patient and family member's repertoire of behavioral self-care and self-management skills. Future research is needed to evaluate the processes and outcomes of nurse coaching behavior when working with patients and family members experiencing cancer.

Implications for nursing practice: Nurse coaching provides a practice framework that complements patient teaching and supportive therapy as a method for enhancing self-care and self-management behavior for people with cancer and their family members.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Adaptation, Psychological*
  • Counseling / methods*
  • Humans
  • Models, Nursing
  • Neoplasms / nursing*
  • Neoplasms / psychology
  • Patient Education as Topic*
  • Self Care / psychology*