The nurse as coach: a conceptual framework for clinical practice.
OBJECTIVE
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.


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


RESULTS
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.


CONCLUSIONS
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.
Lewis
F M
FM
Department of Family and Child Nursing, University of Washington School of Nursing, Seattle, USA.
Zahlis
E H
EH
D000223:Adaptation, Psychological; D003376:Counseling / Q000379:methods*; D006801:Humans; D016294:Models, Nursing; D009369:Neoplasms / Q000451:nursing* / Q000523:psychology; D010353:Patient Education as Topic; D012648:Self Care / Q000523:psychology*