title: Coaching in the cardiovascular surgical population.
abstract: BACKGROUND
  More than one quarter of all cardiovascular surgical patients are re-admitted to hospitals with postoperative complications experienced during the first three months of recovery.
  
  
  OBJECTIVE
  The purpose of this discursive paper is to review the literature pertaining to a self-management coaching intervention that is currently being evaluated using a randomized controlled clinical trial.
  
  
  CONCLUSIONS
  A discussion of how to integrate coaching into clinical practice is presented. The use of coaching in the clinical setting has implications for nurses in that it can be used to assess behaviours, knowledge, and learning needs; provide individualized education that is reflective of a patient's identified learning needs; collaborate with patients in setting goals; identify barriers and engage in problem-solving to overcome barriers; and create a specific plan for follow-up.
authors.affiliation: Daphne Cockwell School of Nursing, Ryerson University, 350 Victoria St., Toronto, ON. sfrederi@ryerson.ca
authors.forename: Suzanne
authors.initials: S
authors.lastname: Fredericks
mesh_terms: D001026:Coronary Artery Bypass / Q000534:rehabilitation*; D019918:Heart Valve Prosthesis Implantation / Q000534:rehabilitation*; D006801:Humans; D009042:Motivation; D010351:Patient Discharge; D010353:Patient Education as Topic; D010359:Patient Readmission; D011340:Problem Solving; D012648:Self Care