The Evaluation of Coaching as an Evidence-based Intervention for Nurse Managers

Saturday, 16 November 2013: 3:35 PM

Marie A. Bashaw, DNP, RN
College of Nursing and Health, Wright State University, Dayton, OH

Learning Objective 1: discuss the application of Mindfulness-based Stress Reduction as an evidence-based intervention for nurse manager job satisfaction.

Learning Objective 2: discuss importance of stress reduction programs for nurse managers job satisfaction

Purpose: Purpose of this evidence-based practice (EBP) project was implementation of a coaching intervention with nurse managers to decrease stress and improve job satisfaction thereby improving retention.

Understanding and facilitating nurse managers’ job satisfaction is important for retention of current nurse managers and creating organizational success. Retaining nurse managers is important in terms of savings in turnover costs ($80,000/nurse) and for providing quality patient care.

Methods: An eight-week coaching intervention of MBSR conducted on four dates every two weeks, were provided to 10 nurse managers in a West Central Ohio hospital. MBSR sessions included coaching with relaxation techniques of yoga and breathing techniques. Surveys were completed three times: Weeks 1, 9, and 16. Perceived Stress Scale (PSS) was used to measure stress and McCloskey/Mueller satisfaction survey (MMSS) measured satisfaction. Practice diaries were kept by participants.

Results: No significant differences were noted pre-training to post-training for stress (p=0.501) or job satisfaction (p=0.449). Correlation of the number of times practiced and the PSS, was -0.6027.  Indicating as the times practiced increased the PSS score decreased. The effect was moderately strong.  

Conclusions: Literature indicated nurse managers burdened with stress affects job satisfaction. While the project did not support a MBSR stress reduction program, results may have been affected by the small sample size. Implementation of stress programs with larger sample sizes and addressing barriers are next steps in this important program of evidence-based practice are needed to retain these critical healthcare team members.