Health Coaching for Patients With Type 2 Diabetes Mellitus to Decrease 30-Day Hospital Readmissions

Abstract

Purpose/Objectives: The purpose of this program was to provide health coaching to patients with a primary or secondary diagnosis of Type 2 diabetes mellitus (T2DM) to increase self-management skills and reduce 30-day readmissions. Primary Practice Setting: The setting was a 273-bed, acute care not-for-profit hospital in the southern region of the United States. Findings/Conclusions: Health coaching that emphasized self-management, empowered patients to set healthy goals, and provided support through weekly reminders to improve self-management for patients with T2DM in this pilot program. The majority of patients reported accomplishment of goals with 16 out of 20 patients who did not require inpatient stay 30 days after discharge from the acute care facility. Implications for Case Management Practice: The T2DM piloted program can easily be modified to fit other chronic illness that require routine monitoring and complex regimens to remain healthy. Case managers have the opportunity to coach on the importance of lifestyle modification and self-management support for patients with chronic illness with follow-up interactive phone visits after hospital discharge. Motivation and confidence through coaching may increase self-efficacy and better management of self-care and reduce the burden of unplanned hospital readmissions.

Utilização de Coaching por Enfermeiros na prática profissional: revisão integrativa

“…Quanto ao cargo ou função do enfermeiro que utilizou Coaching, identifica-se em 48% dos artigos (n=16) enfermeiros assistenciais (Sullivan, et al, 2019;Rahn, et al, 2018;Petursdottir, et al, 2019;Hazard, et al, 2018;Berger-Höger, Liethmann, Mühlhauser & Steckelberg, 2017;Early, et al, 2017;Sherry, et al, 2017;Gray-Miceli, et al, 2017;Cooper & Zimmerman, 2016;Janice, Karen, Justine, Sonya & Genevieve, 2015;Bakitas, et al, 2015), 27% (n=8) o enfermeiro pesquisador (Rocha, et al, 2019;Tweedie, et al, 2019;Miyamoto, et al, 2019;Petursdottir, et al, 2019;Berry, et al, 2015), 6% (n=2) de enfermeiros gerentes (Hazard, et al, 2018;, 6% (n=2) de enfermeiros externos (Ouden, et al, 2019;Nyamathi, et al, 2015) e 6% (n=2) enfermeiros de prática avançada Dionne-Odom, et al, 2015), e enfermeiro docente (Ubolrat, et al, 2015) e enfermeiro intervencionista em 3% (n=1) dos artigos.…”

“…Quanto ao tipo de treinamento dos enfermeiros no papel de coach, 36% (n=12) dos artigos não descrevem (Piamjariyakul, et al, 2019;Petty & Lingham, 2019;Noh & Kim, 2019;Petursdottir, et al, 2019;Sherry, et al, 2017;Westland, et al, 2017;Ubolrat, et al, 2015;Berry, et al, 2015;Nyamathi, et al, 2015), 30% (n=10) sinalizam oficinas, workshops, cursos ou treinamentos com textos e vídeos (Tweedie, et al, 2019;Rahn, et al, 2018;Zhang, et al, 2017;Gray-Miceli, et al, 2017;Cooper & Zimmerman, 2016;Janice, et al, 2015;Thoonsen, et al, 2015;Bakitas, et al, 2015;Dionne-Odom, et al, 2015) e 27% (n=9) artigos informa treinamento na ferramenta, técnica ou protocolo aplicado (Sullivan, et al, 2019;Ouden, et al, 2019;Hazard, et al, 2018;Berger-Höger, et al, 2017;Early, et al, 2017; e 6% (n=2) sinalizam formação certificada em Coaching (Rocha, et al, 2019;Miyamoto, et al, 2019).…”

Thirty‐day readmission, length of stay and self‐management behaviour among patients with acute coronary syndrome and type 2 diabetes mellitus: A scoping review

“…Previous studies indicated that patients with cardiac conditions or diabetes with poor self-management behavior had significantly higher readmissions (Topaz et al, 2016;Sullivan, Hays, & Alexander, 2019). Hamar et al (2013) found that chronic disease management programs successfully reduced readmission rates and LOS among patients with heart disease or diabetes.…”

Feasibility and Acceptability of a Language Concordant Health Coaching Intervention Delivered by Nurses for Latinx With Type 2 Diabetes

“…Intensive self‐management is the optimal method of achieving glycemic targets and preventing short‐ and long‐term diabetes‐related complications (Powers et al, 2017). However, this complex treatment regimen is difficult to maintain and requires high levels of continuity of care, frequent access to and collaboration with healthcare providers, and intensive health education (Sullivan, Hays, & Alexander, 2019). As such, interventions to improve self‐management are crucial (Powers et al, 2017).…”

“…As such, interventions to improve self‐management are crucial (Powers et al, 2017). Health coaching has been shown to be an effective means of improving adherence to the diabetes treatment regimen, consequently improving glycemic control and reducing diabetes‐related complications (Huang, Chen, Chang, Su, & Lin, 2017; National Academies of Sciences, Engineering, & Medicine, 2017; Pirbaglou et al, 2018; Sherifali, Viscardi, Bai, & Ali, 2016; Sullivan et al, 2019; Wagner et al, 2017).…”