A randomized trial of a theory-driven model of health coaching for older adults: short-term and sustained outcomes.

Background: Healthy Lifetime, a theoretically driven, personalized health coaching program delivered electronically, including face-to-face videoconferencing, was developed to intervene in early aging to stave off functional decline and minimize the onset/exacerbation of chronic conditions.

Objective: To determine the efficacy of a theoretically driven, personalized health coaching program in participants 50 years and older with one or more chronic conditions using a randomized, controlled, pragmatic clinical trial methodology.

Methods: Participants were randomly assigned to the HL (n = 59) or a usual care (n = 63) group.

Case Studies: Person-Centered Health Coaching in People With Negative Social Determinants of Health.

Social determinants of health are the conditions in the environment that influence health outcomes, such as housing, transportation, and neighborhoods. In this report, we examine 3 cases of participants with social risk factors who participated in a health coaching intervention study. The study was a science-based, nurse health coaching model provided to older adult participants in a Midwestern state designed to equip and empower them to achieve and maintain their health and optimum function to support independent living at home.

The Impact of Nurse Health-Coaching Strategies on Cognitive-Behavioral Outcomes in Older Adults.

The practice of nurse health coaching (NHC) draws from the art and science of nursing, behavioral sciences, and evidence-based health-coaching methods. This secondary analysis of the audio-recorded natural language of participants during NHC sessions of our recent 8-week RCT evaluates improvement over time in cognitive−behavioral outcomes: change talk, resiliency, self-efficacy/independent agency, insight and pattern recognition, and building towards sustainability. We developed a measurement tool for coding, Indicators of Health Behavior Change (IHBC), that was designed to allow trained health-coach experts to assess the presence and frequency of the indicators in the natural language content of participants.

Healthy Lifetime : An Internet-Based Behavioral Health Coaching Protocol for Older Adults.

By 2060, the number of Americans 65 years and older will more than double, comprising nearly one-quarter of the population in the United States. While there are many advantages to living longer, a byproduct of aging is also a growing incidence of chronic illness and functional health limitations associated with a concurrent rise in chronic disease and disability that impair independent living in the community. We describe a personalized, behavioral health coaching protocol for early intervention that is delivered online to enhance a participant's independent functioning and to increase their self-care capacity with a goal to maintain independent living throughout aging.

A Cost-Benefit Analysis: Electronic Clinical Procedural Resource Supporting Evidence-Based Practice.

There are many benefits of having an electronic reference at the patient bedside. Because of the significant costs involved, it is important to first understand if staff will utilize the system. A cost-benefit analysis of such an electronic clinical procedural resource at one large, academic health system showed a significant savings of $360,899.

Whole scale change for real-time strategic application in complex health systems.

This department highlights change management strategies that may be successful in strategically planning and executing organizational change initiatives. In this article, the authors introduce Whole Scale Change™, an action learning approach that accelerates organizational transformation to meet the challenges of dynamic environments.

Building the clinical bridge to advance education, research, and practice excellence.

The University of Michigan School of Nursing and the Health System partnered to develop an undergraduate clinical education model as part of a larger project to advance clinical education, practice, and scholarship with education serving as the clinical bridge that anchors all three areas. The clinical model includes clusters of clinical units as the clinical home for four years of a student's education, clinical instruction through team mentorship, clinical immersion, special skills preparation, and student portfolio. The model was examined during a one-year pilot with junior students.

Leadership at the front line: a clinical partnership model on general care inpatient units.

Hospitals strive to provide all their patients with quality care that is safe, timely, efficient, equitable, effective, and patient centered. Although hospitals have developed technology- and industry-based quality improvement models, there remains a need to better engage the frontline health care workers at the site of care to enhance communication and coordination of care. To foster the work environment and relationships in the general acute care units, the authors describe a leadership model that partners a nurse manager with a physician director to build a local clinical care environment that seeks to enhance the whole patient care experience.

The impact of positive practices on nurse work environments: emerging applications of positive organizational scholarship.

The overall purpose of improving work environments in health care is to enhance patient care delivery and improve the retention of nurses by engaging nurses in a model of cultural change that enhances communication and collaboration and actively involves nurses in organizational and clinical decision making. This article reports the findings from a 5-year study that describes an educational intervention for nurse leaders and a unit-based educational intervention for nursing staff, based on the application of Positive Organizational Scholarship (POS) and its impact on nursing work environments.

An evidence-based approach to nurses week celebrations.

It is time to examine nurses week investments. With expenses increasingly scrutinized, healthcare leaders require data-driven decisions. Managing by instinct and intuition is both inadequate and reckless.