An Integrated Approach to Worker Self-Management and Health Outcomes: Chronic Conditions, Evidence-Based Practice, and Health Coaching

AAOHN Journal ◽  
2011 ◽  
Vol 59 (11) ◽  
pp. 502-502
AAOHN Journal ◽  
2011 ◽  
Vol 59 (11) ◽  
pp. 491-502 ◽  
Author(s):  
Colleen Miller

Employee health, prevention, and maintenance programs are growing exponentially each year as costs continue to rise across the health care continuum. Employers and payers alike continue to be challenged by chronic health risks, effective prevention strategies, optimal health and wellness strategies, and programs that are effective for America's work force. In light of these challenges, new and exciting health management approaches are evolving. Changes in occupational health nursing practice can ultimately affect the way occupational health nurses plan, structure, and conduct education sessions. New trends, such as health coaching, embrace the incorporation of health research through evidence-based practice and standards of care to provide the science clinicians need to support interventions. Through knowledge of chronic conditions, evidence-based practice, and health coaching, occupational health nurses possess the skills and strategies that form the foundation necessary to affect and safely guide employee self-discovery and self-management and produce optimal health outcomes.


2003 ◽  
Vol 9 (3) ◽  
pp. 217

People who wish to systematically work in the area of chronic disease self-management will find the two resources in this section of great value. The first, by Hill and Stoelwinder, discusses an approach to evidence-based practice developed by the Cochrane Consumers and Communication Review Group, to identify areas where communication interventions produce benefits for consumers. The second paper in this section (Aroni et al.) is a ?beginner?s bibliography? prepared for people who are interested in working on issues of self-management. The bibliography will be of interest to practitioners, consumers, and researchers.


2018 ◽  
Vol 6 (3) ◽  
pp. 462
Author(s):  
James Marcum

Evidence-based practice and person-centered healthcare are often seen as opposing approaches to clinical practice. And yet both offer advantages to providing quality healthcare. In this paper, both approaches to clinical practice are analyzed and mapped philosophically by comparing and contrasting their key foundational principles. The goal is to progress the dialogue between them in order to determine whether a common ground exists in which they might be integrated and how best to operationalize, both clinically and pedagogically, an integrated approach. To that end, key principles undergirding them are enumerated and then integrated by shifting the focus from evidence to the person - whether patient or clinician - for the delivery of quality healthcare. In this way, person-centered healthcare provides the optimal starting point for framing evidence-based practice. Next, operationalizing the integrated approach to clinical practice and medical education is addressed. Finally, the root of modern healthcare must be a person’s, whether patient’s or clinician’s, dignity. For the goal of healthcare is to relieve suffering associated with illness, whether that involves curing a disease or not and not adding to the suffering associated with illness.


2017 ◽  
Vol 32 (6) ◽  
pp. 346-349 ◽  
Author(s):  
Erin D. Maughan ◽  
Catherine F. Yonkaitis

Care coordination is an important part of school nurses’ responsibilities, but coordinating that care for students in schools with chronic conditions is more complex than what we learned in nursing school. This article is the second in a series of articles for NASN School Nurse that will delve into how to apply evidence-based practice (EBP) to school nursing. The article focuses on the first step of EBP: asking the question. As the series progresses, we encourage you to apply the steps to a situation in your setting or even use the series to increase discussions at nursing staff meetings so all can benefit.


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