Model Of Advanced Practice Nurse Guidance And Coaching

Coaching is defined as “a purposeful, complex, dynamic, collaborative, and holistic interpersonal process aimed at supporting and facilitating patients and families through health-related experiences and transitions to achieve health-related goals, mutually determined, whenever possible.” 1 It serves as an intervention implemented and mediated by the APN using self-reflection, interpersonal, clinical, and technical skills.1 Understanding patients’ experiences of transitions, defined as “passage(s) from one life phase, condition, or status to another” 2 is imperative for the APN to successfully coach. The main transitions that require coaching by the APN are developmental, health and illness, situational, and organizational.2 Developmental transitions

To practice reflection-in-action, I will place aside any potential distractions, such as time pressures, prior to entering each patient’s room. As a new graduate APN, I will also practice gathering my patient intakes on paper rather than electronically, so that I can maintain better focus and eye contact with my patients. Minimizing these distractions will help me to remains more astute and aware of the moments I spend with my patients. To strengthen reflection-on-action, I will continue to keep a journal to reflect especially on rewarding and successful day-to-day experiences throughout my career, which I am currently doing as a graduate student. Writing down my feelings and intuition by acknowledging them on paper will in turn help me to practice reflection-in-action when similar experiences occur again. To develop technical competence, I plan to graduate from the FNP program at UCLA School of Nursing, apply for board certification, and to maintain and continue to grow my knowledge and skills in family practice by completing continuing education coursework and seminars. To develop clinical competence, I will periodically

I will practice self-awareness of my expressions, tone of voice, affect, body language, and use of therapeutic silences in my current interactions with patients as a student FNP and ICU nurse, as well as with my friends and family. To gain the skills necessary to use a person- or family-centered approach, I will perform an “internal check” 3 prior to each patient interaction by scanning the chart and reminding myself to be emotionally as well as physically present for the patient. I will also connect with each patient with a smile and handshake and introducing myself and my role, maintaining awareness of my own body language. To improve my competency of “knowing the patient,” I will be comprehensive in considering the social, psychosocial, and spiritual factors that influence my patients’ experiences of health and illness. While gathering a comprehensive intake during interviews, I will also get to know my patients on an individual level through small talk. To strengthen empathy, I will help my patients to feel at ease and encourage them to bring up their concerns by asking them if there is anything else I can do for them each time before leaving the room. To ensure cultural competency, I will reflect on my own previous experiences, biases, and perceptions about other cultural groups and