“…Self-management support is a core activity of outpatient nurses (Elissen et al 2013). They are expected to have insight into the impact of a chronic condition on a patient's life and are therefore designated to coach patients in their self-management (Schenk & Hartley 2002, Alleyne et al 2011, Elissen et al 2013.…”
Successful interventions focus on patients' intrinsic processes (i.e. motivation or self-efficacy). This would guide nurses to decide what self-management support intervention they can best use in their specific setting and patient group.
“…Self-management support is a core activity of outpatient nurses (Elissen et al 2013). They are expected to have insight into the impact of a chronic condition on a patient's life and are therefore designated to coach patients in their self-management (Schenk & Hartley 2002, Alleyne et al 2011, Elissen et al 2013.…”
Successful interventions focus on patients' intrinsic processes (i.e. motivation or self-efficacy). This would guide nurses to decide what self-management support intervention they can best use in their specific setting and patient group.
“…The TN health coach role relies on patient‐focused interactions between the nurse and the patient. These interactions integrate self‐efficacy, emphasize behavioral lifestyle changes, and utilize motivation as key drivers in collaborating with patients to improve health outcomes (Schenk & Hartley, ). The IOM supports the use of telehealth services that not only provide treatment but also include follow‐up, health promotion, and increased access to medically underserved communities.…”
Section: Iom Recommendations On the Future Of Nursingmentioning
“…The central qualities and role responsibilities of the health coach role found in a literature review are consistent with the role as it is developing in Canada. Several authors implementing the health coach in primary care, clinics, and community health settings specify that the health coach provides person-centred care within relationships that are based in respect and nonjudgmental attitudes and practices [2–5]. Coaches need to have excellent listening skills and to be able to offer support and care based on value-based principles, including a clear commitment to follow the lead of the person and his/her priorities and goals for change [3, 6–8].…”
Section: The Registered Nurse Health Coachmentioning
Health care professionals are increasingly aware that persons are complex and live in relation with other complex human communities and broader systems. Complex beings and systems are living and evolving in nonlinear ways through a process of mutual influence. Traditional standardized approaches in chronic disease management do not address these non-linear linkages and the meaning and changes that impact day-to-day life and caring for self and family. The RN health coach role described in this paper addresses the complexities and ambiguities for persons living with chronic illness in order to provide person-centered care and support that are unique and responsive to the context of persons' lives. Informed by complexity thinking and relational inquiry, the RN health coach is an emergent innovation of creative action with community and groups that support persons as they shape their health and patterns of living.
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