Transformational Leadership: Creation and Evaluation of a Prosperity Planning Coaching Program for Registered Nurse Retention

Monday, 12 July 2010: 3:05 PM

Ginger Pesata, MSN, RN1
Rose Rivers, PhD, RN2
Mary Beasley, BSN, RN1
1Administrative Director, Shands at the University of Florida, Gainesville, FL
2Chief Nursing Officer, Shands Health Care, Gainesville, FL

Learning Objective 1: List 3 symptoms of compassion fatigue.

Learning Objective 2: Describe the Life Coaching model.


Nurses are challenged to maintain resilience against burnout and develop successful coping skills in the work environment. The purpose of this project was to develop a comprehensive program to alert nurses to the risks of cumulative stress and provide training for self-care promotion to minimize the negative effects of compassion fatigue.

Nurse leaders chose to combat the symptoms of compassion fatigue in the nursing staff. After obtaining a recruitment and retention grant from the Florida Center for Nursing, the investigators consulted with Dr. Charles Figley, traumatolgist. Based on his recommendations a life coach model was implemented. The Life Coaches facilitated participants in setting appropriate goals and ensured consistent follow up.


After approval by IRB, thirty nurse managers and staff enrolled in a 20-week partnership with a life coach to develop an individualized prosperity plan. The nurse and life coach had three face-to-face meetings and weekly telephone calls. Utilizing both a quantitative and qualitative study design, participants completed four pre and post-test surveys and a structured interview. In addition, several continuing nursing education programs on self-care promotion and stress reduction were offered to nurse managers and staff.


This pilot program had significant results. All the participants expressed the program was a positive experience. There was significant improvement in Satisfaction with Life scale scores and other items on three instruments; Professional Quality of Life Scale, How Vulnerable Are You to Stress, and Life Satisfaction Self  Evaluation. During the post-invention interview nurses expressed being better able to deal with stress. Specifically it helped with organization, setting goals, making realistic plans, accountability and setting priorities.


The goal of retention was met; all participants plan to remain at the hospital for two years. These results have been the basis of further program development and expansion.