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Nurse Coach Research Paper

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Nurse Coach: A New Model to Health Promotion
September 18th, 2014
N503: Scientific Inquiry

Abstract:
A nurse coach is a relatively new term that incorporates multiple themes in nursing. These themes include wellness, prevention and the change process. With the changes in the healthcare system with a paradigm shift toward preventative care focused on quality, not quantity, the importance of coaching as a model to improve patient’s health is vital.

Introduction
In general, a coach is an individual who guides, teaches, or provides instructions. Example of settings where coaches are utilized can be seen in sports, schooling, or performing arts. Applying the theme of coaching to healthcare is a newer concept; …show more content…
In practice, health coaching is defined as “helping patients gain the knowledge, skills, tools and confidence to become active participants in their care so that they can reach their self-identified goals” (Bennett et al, 2010 p. …show more content…
At this time, healthcare costs are high, and there is an emphasis on quantity, not quality. The Affordable Care Act (ACA), addresses these issues by working to “reduce costs while improving healthcare quality, medical outcomes, and patient satisfaction” (Lanese et al, 2011 p. 16). In particular, the ACA has a targeted goal of promoting preventative care. One of the main issues is how we care for patients with chronic illness and that this takes a different approach than dealing with acute cases. Working with chronic illness changes the education dynamic to focusing on behavior changes, psychosocial needs, resources, and understanding of self-care. In addition, all of these plans need to be individualized for each patient. In our current system, a main issue is a lack of time for providers. A “recent study revealed that 21.7 hours per working day is required at a primary care practice to meet the chronic, preventative, and acute needs (Lanese et al, 2011 p.16).” Physicians only spend about 15 minutes with each patient which is not enough time to work through the various levels of change. Not only is the initial meeting not enough, but continuity and follow up is insufficient. To make changes in patient’s healthcare behaviors needs a multifaceted approach that works toward “personalized treatment strategies that should account patient preferences, readiness to changes, and

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