Author Affiliations: President (Ms Lee), BL Enterprises, LLC, Chapel Hill, North Carolina; Dean and Professor (Dr Hendricks), Indiana University Kokomo School of Nursing, Kokomo, Indiana; Clinical Assistant Professor (Dr LaMothe) and Angela Barron McBride Endowed Professor in Mental Health Nursing (Dr Draucker), Indiana University School of Nursing, Indianapolis; and Registered Nurse (Ms Wright), Midwest Center for Dermatology and Cosmetic Surgery, Clinton Township, Michigan.
Clin Nurse Spec. 2020 Nov/Dec;34(6):263-269. doi: 10.1097/NUR.0000000000000557.
PURPOSE/AIMS: Clinical nurse specialists and other advanced practice registered nurses use healthcare team coaching to foster interprofessional practice and enhance healthcare quality. Although coaching has been shown to support positive changes in healthcare, little is known about how coaching strategies are used in practice. The purpose of this study was to describe the strategies used by an experienced healthcare team coach tasked with advancing interprofessional care and teamwork in primary care clinics.
This qualitative description study was part of a larger project that included an objective to increase interprofessional practice in 3 primary care clinics in the midwestern United States. Data drawn from 35 audio-recorded and transcribed coaching telephone calls were analyzed using content analysis.
Twelve coaching strategies were identified and divided into the following groups: (a) enhancing team development, (b) affirming the work of the team, (c) facilitating progress, (d) providing resources, and (e) connecting work to theoretical frameworks.
The coaching strategies described in this study can inform the work of clinical nurse specialists and other advanced practice registered nurses charged with advancing interprofessional collaborative practice. Future research is recommended to examine the efficacy of strategies and develop a comprehensive model of healthcare team coaching.
目的/目标：临床护士专家和其他高级实践注册护士使用医疗团队辅导来促进专业间实践并提高医疗质量。尽管辅导已被证明可以支持医疗保健方面的积极变革，但对于辅导策略在实践中的使用方式却知之甚少。本研究的目的是描述一位经验丰富的医疗团队教练在初级保健诊所中推进跨专业护理和团队合作时所使用的策略。
这项定性描述研究是一个更大项目的一部分，该项目的目标是增加美国中西部 3 家初级保健诊所的跨专业实践。从 35 次录音和转录的辅导电话中提取的数据使用内容分析进行了分析。
确定了 12 种辅导策略，并将其分为以下几类：(a) 增强团队发展，(b) 肯定团队的工作，(c) 促进进展，(d) 提供资源，以及 (e) 将工作与理论框架联系起来。
本研究中描述的辅导策略可以为负责推进跨专业协作实践的临床护士专家和其他高级实践注册护士提供信息。建议进行未来研究，以检验策略的效果并开发全面的医疗团队辅导模型。
