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J Nurs Manag. 2014 May;22(4):452-64. doi: 10.1111/jonm.12068. Epub 2013 Jun 20.

Coaching interprofessional health care improvement teams: the coachee, the coach and the leader perspectives.

Author information

1
Student, School of Health Sciences, and Jönköping Academy for Improvement of Health and Welfare, Jönköping University, Jönköping, Sweden; The Dartmouth Institute Microsystem Academy, The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA.

Abstract

AIM:

To investigate health care improvement team coaching activities from the perspectives of coachees, coaches and unit leaders in two national improvement collaboratives.

BACKGROUND:

Despite numerous methods to improve health care, inconsistencies in success have been attributed to factors that include unengaged staff, absence of supportive improvement resources and organisational inertia.

METHODS:

Mixed methods sequential exploratory study design, including quantitative and qualitative data from interprofessional improvement teams who received team coaching. The coachees (n = 382), coaches (n = 9) and leaders (n = 30) completed three different data collection tools identifying coaching actions perceived to support improvement activities.

RESULTS:

Coachees, coaches and unit leaders in both collaboratives reported generally positive perceptions about team coaching. Four categories of coaching actions were perceived to support improvement work: context, relationships, helping and technical support.

CONCLUSIONS:

All participants agreed that regardless of who the coach is, emphasis should include the four categories of team coaching actions.

IMPLICATIONS FOR NURSING MANAGEMENT:

Leaders should reflect on their efforts to support improvement teams and consider the four categories of team coaching actions. A structured team coaching model that offers needed encouragement to keep the team energized, seems to support health care improvement.

KEYWORDS:

coaching; collaboratives; facilitation; health care quality improvement; interprofessional teams; leadership

PMID:
23782339
DOI:
10.1111/jonm.12068
[Indexed for MEDLINE]
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