The Art and Science of Nurse Coaching National Wellness Conference June 24, 2014 Holly Miller, RN, BS, HWNC-BC, CWP Joan Scialo-Rubin, RN, BSN, HWNC-BC Margaret Schmidt, RN, MSN, FNP, NC-BC
Identify new nursing roles and competencies for improving patient outcomes. Discuss ways to promote a sense of renewal and purpose in our work as nurses. Explore the nurse coach process using the Integrative Health and Wellness Assessment TM (IHWA). Experience using the IHWA in coaching sessions with a peer.
What seeds do you want to plant for your present and future nurse role?
Reshaping the Wellness Landscape: the next 5 years 5
$900 billon saved over 10 years with lifestyle medicine Health Promotion Proactive Participatory Partnering Empowering Repatterning Hyman M, Ornish D, Roizen M. Life Style Medicine: Treating the Causes of Disease. Alternative Therapies Nov/Dec 2009, 15(6): 12-14.
Future of Nursing: Leading Change, Advancing Health (IOM & RWJF, 2010) Practice to full extent of education and training Achieve higher levels of education Full partners with physicians Workforce planning & policies
Professional Nurse Coach Registered nurse Integrates coaching competencies Facilitate change or development Assist individuals or groups to realize their potential Uses principles and modalities that integrate Body Mind- Spirit Culture Emotion - Environment 8
Professional Nurse Coaching Structured relationship-centered interaction Skilled, purposeful, results-oriented Establish co-creative partnership with the client where the client is the expert Identify the client s priorities, areas for change and goals Clarify the client s agenda 9
Shift in Terminology Nurse 1. Assessment 2. Diagnosis 3. Outcomes Nurse Coaching 1. Establishing Relationship and Identifying Readiness to Change. 2. Identifying Opportunities, Issues, and Concerns 3. Establishing Client- Centered Goals
Shift in Terminology continued Nurse 4. Plan 5. Implementation 6. Evaluation Nurse Coaching 4. Creating the Structure of the Coaching Interaction 5. Empowering and Motivation Clients to Reach Goals. 6. Assisting Client to Determine the Extent to which Goals were Achieved.
Nurse Coach Practice Areas Health and wellness coaching Executive coaching Faculty development coaching Managerial coaching Business coaching Life coaching 10
Nurse Coaching Competencies Follow the ANA Scope and Standards of Nursing Practice. Grouped by Practice Standards (6) and Performance Standards (10) Are applicable to all areas of nurse coaching practice. 12
Board Certification in Nurse Coaching American Holistic Nursing Credentialing Center 60 hours of didactic CNE and 60 hours clinical supervision with a board certified nurse coach Certification examination 100 CNEs in nurse coaching over 5 years to maintain certification 14
INTEGRATIVE NURSE COACH: 5-Step Process 1. Connecting to the story. 2. Deep listening and skillful questioning. 3. Inviting opportunities, potentials, and change. 4. Integrating, practicing, and embodying change. 5. Guiding and supporting the transforming self.
Integrative Nurse Coaching: Art & Science Knowing Doing Being
Presence is everything Are you in the moment? Is your client/patient mindful?
Nurse Coach Self-Development Learn centering practices Presence and mindfulness Identify with intention Align with intention Practice self-compassion Recognize inner wisdom
Integrative Health & Wellness Assessment Health Responsibility Life Balance and Satisfaction Environmental Relationships Physical: Nutrition, Exercise, Weight Spiritual Emotional Mental
Core Skills learned through Peer Coaching Mindful listening Open-ended inquiry Self-awareness
Questions To Use in Peer Coaching What are you hoping for? What do you need to take that step? What do you trust the most about yourself? 23
So never lose an opportunity of urging a practical beginning, however small, for it is wonderful how often in such matters the mustard-seed germinates and roots itself. Florence Nightingale, 1893
What Seeds Were Planted Today?
References Bark, L. (2011), The Wisdom of the Whole: Coaching for Joy and Success. Alameda, CA: Create Space. Dossey BM, Luck S, & Schaub, BG. (2013). Nurse Coaching for Health and Wellness. North Miami, FL: International Nurse Coach Association. Hess DR, Dossey BM, Southard ME, Luck S, Schaub BG, & Bark L. (2013). The art and science of nurse coaching: A provider s guide to scope and competencies. Silver Spring, MD: Nursesbooks.org. www.ahna.org
Contact Information Holly Miller hollymiller.hn@gmail.com Joan Scialo Rubin joanscialorubin@gmail.com Margaret Schmidt schmidtmj2@gmail.com Thank You