Running
head:
WHITE
PAPER:
HOLISTIC
NURSE
COACHING
White
Paper:
Holistic
Nurse
Coaching
Authors
Darlene
Hess,
PhD,
RN,
AHN‐BC,
PMHNP‐BC,
ACC
Brown
Mountain
Visions
University
of
Phoenix
Linda
A.
Bark,
PhD,
RN,
MCC
Bark
Coaching
Institute
John
F.
Kennedy
University
Mary
Elaine
Southard,
RN,
MSN,
APHN‐BC
Integrative
Health
Consulting
and
Coaching
Contributors
Bonney
Gulino
Schaub,
RN,
MS,
PMHCNS‐BC
International
Nurse
Coach
Association
Huntington
Meditation
and
Imagery
Center
Barbara
M.
Dossey,
PhD,
RN,
AHN‐BC,
FAAN
International
Nurse
Coach
Association
International
Co‐Director,
Nightingale
Initiative
for
Global
Health
Susan
Luck,
RN,
BS,
MA,
HNC,
CCN
International
Nurse
Coach
Association
Earthrose
Institute
Copyright
©
February,
2010
All
rights
reserved.
Do
not
reprint
without
permission
of
authors
1
WHITE
PAPER:
HOLISTIC
NURSE
COACHING
2
White
Paper:
Holistic
Nurse
Coaching
This
white
paper
examines
the
relevance
of
a
holistic
nurse
coaching
model
to
discussions
concerning
development
of
health
and
wellness
coaches.
Readers
are
introduced
to
coaching
from
the
perspective
of
holistic
nursing.
Holistic
nurse
coaching
is
presented
as
a
model
of
coaching
practice
that
is
designed
to
fully
engage
clients
in
self
care
and
the
management
of
individual
health
care
practices
and
outcomes.
A
definition
and
overview
of
Holistic
Nurse
Coaching
is
provided.
The
evolution
of
holistic
nurse
coaching
is
discussed.
As
the
role
and
scope
of
practice
for
health
and
wellness
coaches
is
determined,
it
is
important
to
acknowledge
and
remember
that
coaching
is
a
professional
nursing
skill
set
that
is
within
the
scope
of
practice
of
nursing.
All
nursing
practice
includes
assisting
clients
to
achieve
and
maintain
health
and
well
being.
Holistic
Nursing
Holistic
nursing
is
committed
to
the
promotion
of
health
and
wellness
in
individuals,
communities,
and
the
environment.
Holistic
nursing
includes
holism,
healing,
and
transpersonal
caring
as
its
core
concepts.
Holistic
nursing
is
person‐centered
and
healing
(wholeness)
oriented.
Holistic
nurses
encourage
nurses
to
be
models
of
wellness.
Holistic
nursing
“emphasizes
practices
of
self‐care,
intentionality,
presence,
mindfulness,
and
therapeutic
use
of
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not
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of
authors.
WHITE
PAPER:
HOLISTIC
NURSE
COACHING
3
self”
(American
Holistic
Nurses
Association/American
Nurses
Association.
2007,
p.
1)
as
foundational
practices
for
professional
nursing
practice.
Holistic
nurses
are
committed
to
the
development
of
humanistic
practices
and
policies
in
healthcare
settings
and
elsewhere.
Definition
of
Holistic
Nurse
Coaching
Holistic
Nurse
Coaching
is
defined
as
skilled,
purposeful,
results‐oriented,
and
structured
relationship‐centered
interactions
with
clients
provided
by
Registered
Nurses
for
the
purpose
of
promoting
the
health
and
well
being
of
the
whole
person.
Holistic
nurse
coaching
is
grounded
in
the
principles
and
core
values
of
holistic
nursing.
Coaching
is
designed
to
assist
clients
in
achieving
specific
goals.
An
effective
coaching
interaction
involves
the
ability
to
create
a
coaching
relationship,
structure
a
coaching
session,
assess
client
readiness
for
coaching,
assist
the
client
in
achieving
desired
goals,
establish
a
means
of
evaluation,
and
terminate
a
coaching
session.
Overview
of
Holistic
Nurse
Coaching
Holistic
nurse
coaches
draw
on
numerous
sources
of
information
to
develop
the
skills
and
expertise
needed
to
effectively
enhance
client
achievement
of
goals.
Empirical,
aesthetic,
ethical,
personal,
and
socio‐political
ways
of
knowing
are
included,
as
is
“not‐knowing”
(Dossey,
2008)
‐
the
gateway
to
where
new
knowledge
resides.
Holistic
nurse
coaching
involves
being
present
to
the
larger
morphic
field
where
new
realities
emerge.
Reflective
knowing
–
being
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WHITE
PAPER:
HOLISTIC
NURSE
COACHING
4
mindful
of
self
within
the
context
of
a
coaching
interaction
as
a
way
to
develop
insight
‐
is
an
essential
skill
in
holistic
nurse
coaching.
“Integrative
knowing
is
the
bringing
together
of
multiple
ways‐of‐knowing,
integrating
and
creating
new
knowledge”
(Erickson,
2010,
p.
65).
Many
nurse
coaches
utilize
a
holistic,
integral
model
of
coaching
that
includes
structures
of
consciousness
as
a
way
to
frame
coaching
interactions
(Bark,
2010).
Behavioral
change
theory
including
the
Transtheoretical
Stages
of
Change
Model,
the
Health
Belief
Model,
motivational
interviewing,
and
others
have
been
adopted
by
many
nurse
coaches.
Some
view
coaching
as
a
means
to
direct
clients
towards
pre‐determined
goals
or
as
a
way
to
provide
education
that
is
deemed
essential
for
the
client
to
know.
Instead,
holistic
nurse
coaches
employ
a
partnership
approach
that
fosters
and
promotes
client
determination
of
goals
and
the
best
way
to
achieve
them.
Holistic
nurse
coaches
do
not
presume
to
know
what
is
best
for
another,
yet
professional
nursing
knowledge
informs
the
holistic
nurse
coach’s
responses
to
client
questions
and
concerns,
whether
verbalized
by
the
client
or
intuited
by
the
nurse.
Holistic
nurses
utilize
an
unlimited
variety
of
evidence
informed
coaching
skills
and
interventions
learned
and
practiced
in
approved
holistic
nurse
coach
training
programs.
Skills
include
the
ability
to
recognize
and
effectively
manage
one’s
own
response
to
clients
for
the
purpose
of
enhancing
client
success.
Thus,
self
awareness
is
a
key
component
of
holistic
nurse
coaching.
The
ability
to
be
totally
in
the
present
moment,
curious
and
compassionate,
is
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COACHING
5
another
key
component
of
effective
holistic
nurse
coaching.
Additional
skills,
interventions,
or
techniques
might
include
the
use
of
essential
oils;
sensing
energetic
fields;
using
empowerment
language,
affirmations,
and
story;
developing
lists,
plans
and
timelines;
asking
powerful
questions
of
the
client
to
promote
deeper
understanding
or
effective
action;
or
using
silence
to
promote
reflection.
Skill
development
is
a
continuous
process
for
the
holistic
nurse
coach.
Holistic
nurse
coaches
work
with
individuals
and
with
groups.
As
long
as
a
coaching
agreement
exists
between
two
(or
more)
individuals,
clients
may
be
coworkers,
patients,
family
members,
students,
or
friends.
Holistic
nurse
coaches
are
staff
nurses,
case
managers,
advanced
practice
nurses,
nurse
faculty,
nurse
researchers
and
educators,
and
nurse
managers
and
nurse
administrators
who
have
added
holistic
nurse
coaching
skills
to
their
work.
For
some,
coaching
is
their
primary
role.
Holistic
nurse
coaches
include
nurse
entrepreneurs
who
have
developed
successful
and
thriving
businesses.
Evolution
of
Holistic
Nurse
Coaching
Today’s
healthcare
delivery
practices,
whether
conventional
or
holistic,
are
seeking
integrative
models
of
care
that
provide
people
with
a
wide
range
of
personalized
healthcare
choices
that
are
also
cost
effective.
Yet
often,
making
the
optimal
choice
is
fraught
with
confusing
information
or
done
while
burdened
with
physical,
emotional,
and
spiritual
distress.
Others
are
seeking
ways
to
live
life
more
fully.
A
holistic
nurse
coach
model
of
care
addresses
the
need
and
desire
of
health
care
providers
to
more
effectively
assist
clients
in
living
healthy,
fulfilled,
and
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NURSE
COACHING
6
productive
lives
that
are
compatible
with
and
informed
by
the
client’s
personal
values,
choices,
and
preferences.
Coaching
has
a
broad
framework
that
has
been
implemented
within
the
practices
of
many
disciplines.
These
practices
are
dynamic
and
contextual
and
have
been
developed
to
meet
the
needs
of
individuals
and
organizations
in
a
rapidly
changing
and
complex
world.
Coaching
has
developed
within
the
context
of
significant
cultural
changes
emphasizing
diversity
and
inclusion,
personal
growth
and
self‐exploration,
and
new
approaches
to
conducting
business
that
value
people.
Those
who
have
studied
the
development
of
coaching
acknowledge
the
emergence
of
coaching
from
several
independent
sources
at
the
same
time.
In
many
ways
coaching
is
an
interactive
social
phenomenon
that
involves
a
process
and
style
of
communication
that
is
based
on
enhancing
the
best
in
others.
Coaching
has
been
influenced
by
humanistic
psychology
whereby
clients
are
viewed
as
having
an
inherent
goodness
and
ability
to
know
what
is
best
for
them.
Another
strong
influence
on
coaching
has
been
the
business
world
where
an
emphasis
on
leadership
and
organizational
development
has
led
to
a
proliferation
of
coaching
models
and
programs
to
prepare
coaches.
For
some
within
nursing
and
health
care,
coaching
has
emerged
as
a
way
to
deliver
health
education
and
to
promote
behavioral
and
attitudinal
changes
to
enable
the
achievement
of
predetermined
health
care
goals
and
outcomes.
While
holistic
nurse
coaches
are
Registered
Nurses,
and
are
able
to
provide
a
wide
spectrum
of
nursing
services
in
numerous
settings,
Copyright©2010
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not
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permission
of
authors.
WHITE
PAPER:
HOLISTIC
NURSE
COACHING
7
holistic
nurse
coaches
view
coaching
as
a
separate
and
distinct
skill
not
to
be
confused
with
teaching,
consulting,
or
directing
others
towards
predetermined
goals
established
by
the
nurse
or
others.
There
is
a
growing
emphasis
on
health
and
wellness
coaching
as
a
result
of
health
care
reform.
“The
new
focus
on
wellness
and
disease
management
will
require
the
guidance
of
a
profession
that
has
always
adapted
to
change”
(Luck,
2010).
Many
holistic
nurses
have
already
incorporated
coaching
into
their
professional
nursing
practice.
Holistic
nursing
is
in
a
prime
position
to
move
further
forward
with
an
already
evolved
innovative
and
creative
holistic
nurse
coach
model
of
care
–
one
that
is
designed
to
fully
engage
clients
in
self
care
and
the
management
of
individual
health
care
practices
and
outcomes.
Copyright©2010
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rights
reserved.
Do
not
reproduce
without
permission
of
authors.
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HOLISTIC
NURSE
COACHING
8
The
International
Nurse
Coach
Institute
In
early
2010,
a
group
of
nurses
organized
a
grassroots
task
force
to
discuss
the
role
of
nurse
coaches.
During
the
first
meeting
of
the
task
force,
foundational
concepts
of
nurse
coaching
and
coaching
as
a
component
of
nursing
practice
were
discussed.
In
the
several
meetings
that
followed,
members
addressed
the
growing
emergence
of
health
and
wellness
coaches,
the
relationship
between
health
and
wellness
coaching
and
nursing,
and
the
need
to
incorporate
holistic
and
integral
principles
into
a
certification
process
for
nurse
coaches.
In
addition
to
discussing
definitions
of
coaching,
the
group
discussed
current
coaching
programs
and
nursing
credentialing
organizations
and
groups
with
which
to
collaborate.
The
grassroots
task
force
began
to
look
more
closely
at
details
involving
certification
with
professional
nursing
groups.
The
group
discussed
the
preparation
of
a
White
Paper
that
delineated
the
role
of
nurse
coaches.
The
International
Nurse
Coach
Institute
was
created
in
early
June.
American
Holistic
Nurses
Association
During
the
same
period
of
time,
the
grass
roots
task
force,
now
known
as
the
International
Nurse
Coach
Institute,
was
appointed
to
a
task
force
created
by
the
American
Holistic
Nurses
Association
(AHNA)
to
propose
a
scope
and
standards
of
practice
for
holistic
nurse
coaches
to
serve
as
the
initial
step
in
development
of
a
certification
process
for
holistic
nurse
coaches.
The
group
plans
to
submit
a
proposed
Scope
and
Standards
of
Practice
for
Holistic
Nurse
Coaches
to
AHNA
by
the
end
of
2010.
The
proposed
Scope
and
Standards
of
Practice
for
Holistic
Nurse
Copyright©2010
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COACHING
9
Coaches
will
be
based
upon
the
Scope
and
Standards
of
Practice
for
Holistic
Nursing
(American
Holistic
Nurses
Association/American
Nurses
Association,
2007).
It
will
emphasize
the
core
values
of
holistic
nursing
as
the
basis
of
nurse
coaching.
Summary
A
holistic
nurse
coaching
model
is
relevant
to
discussions
concerning
development
of
health
and
wellness
coaches.
A
holistic
nurse
coaching
model
is
designed
to
fully
engage
clients
in
self
care
and
the
management
of
individual
health
care
practices
and
outcomes.
Holistic
nurse
coaches
are
the
ideal
health
professional
to
lead
the
way
in
determining
the
role
and
relevance
of
health
and
wellness
coaches
in
a
manner
that
preserves
a
focus
on
the
whole
person.
Coaching
is
a
professional
nursing
skill
set
that
is
within
the
scope
of
practice
of
nursing.
The
American
Holistic
Nurses
Association
is
leading
the
way
in
establishment
of
standards
of
practice
for
nurse
coaches.
Copyright©2010
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rights
reserved.
Do
not
reproduce
without
permission
of
authors.
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COACHING
10
References
American
Holistic
Nurses
Association/American
Nurses
Association.
(2007).
Holistic
nursing:
Scope
and
standards
of
care.
Silver
Spring,
MD:
Nurses
books.org.
Bark,
L.
(2010).
A
new
way
of
coaching:
A
holistic
integral
approach
to
a
new
level
of
success
and
fulfillment.
Manuscript
in
preparation.
Dossey,
B.M.
(2008).
Integral
and
holistic
nursing:
Local
to
global.
In
B.M.
Dossey
&
L.
Keegan,
Holistic
Nursing:
A
Handbook
for
Practice
(5th
ed.),
(pp.
23‐24).
Sudbury,
MA:
Jones
&
Bartlett.
Erickson,
H.
L.
(2010).
Exploring
the
interface
between
the
philosophy
and
discipline
of
holistic
nursing:
Modeling
and
role‐modeling
at
work.
Cedar
Park,
TX:
Unicorns
Unlimited.
Luck,
S.
(2010).
Changing
the
health
of
our
nation:
The
role
of
nurse
coaches.
Manuscript
submitted
for
publication.
Copyright©2010
All
rights
reserved.
Do
not
reproduce
without
permission
of
authors.