Scholarship and Wellness Coaching

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Scholarship and Wellness Coaching

• Eileen T. OGrady PhD, RN, NP
• eogrady_at_pace.edu

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My Story abridged

• My lifelong desire to be a nurse
• My faculty practice and Lucille Ball
• My decision to live a life in balance
• Compassionately, creatively, in service to others
• Start with the end in mind My obituary
• Wellness Coach training

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Motivator

• We all see people suffering because of their
  lifestyle behaviors including
• being physically inactive
• making poor food choices
• neglecting self-care and relaxation
• not paying attention to what they cherish most.
• Living an unbalanced life

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The Behavior Change Pyramid
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Stages of Change
Permanent Exit
Pre- Contemplation
Relapse
Maintenance
Contemplation
Action
Determination
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Wellness Coaching

• Used evidenced based methods from 15 disciplines
• A relational vehicle using radical acceptance and
  unconditional positive regard.
• Partnership creates structure, accountability,
  expertise, and inspiration to enable individuals
  to get unstuck, learn, grow.
• Best with strangers so that we can explore
• strengths immodestly
• obstacles honestly

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A Wellness Visioncompelling statement of
health-promoting, life-giving behaviors you want
to do consistently.

• in one year, my life will be lived in peace
  and balance, I will be relating to food and wine
  in a healthy way by eating an abundance of
  wholesome foods that I love and drinking wine in
  moderation. I will be at a healthy weight,
  practicing Yoga, exercising regularly, and have
  more free time to do the things that call to me.
  I will be a person that does not take
  responsibility for the negative feelings of
  others. I will be communicating more honestly
  with my husband.

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Old me and New me

• Treats diseases
• Is trained to solve problems by prescribing pills
  or performing procedures or providing patient
  education

• Prevents diseases
• Is trained to foster healthy habits- physical
  activity, good nutrition, stress management,
  attention to loved ones, and BALANCE!

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Knowledge is a Partial Solution

• Knowledge is power Sir Francis Bacon
• not sufficient to create lasting behavior change
• My certainty about your ability change far
  outweighs your doubt
• We must expand our sense of self and get closer
  to becoming our best selves
• or the real me

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Old me and New me

• Is trained to have all the answers
• Relies on her confidence in knowledge/ skills to
  diagnose, treat, and heal patients
• Feels responsible for the patients disease,
  treatments, health

• Is trained to help clients find their own answers
• Relies on her self-efficacy to help clients on
  their journey to lasting behavior change
• Feels client is responsible for their actions,
  behaviors, and health

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Old me and New me

• Focuses on the problems
• Feels she must interrupt if patients start going
  off topic
• Believes if advice comes from me, the expert,
  patients will follow it
• Wrestling with the patient

• Focuses on what is working well
• Can learn from clients no matter what topic they
  choose
• Believes that clients are more likely to
  tenaciously pursue their own ideas.
• Dancing with the client

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Expanding Scholarship Integration

• Interpreting creative strategies to prevention
  and disease management
• Finding evidence from new sources to influence
  nursing practice
• Illuminating core nursing skills in a new way-
• reflective listening, appreciative inquiry,
  nonjudgementalism
• Making connections across disciplines
• Useful beyond the bounds of nursing /advanced
  practice.

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Expanding Scholarship Application

• Using innovation to remedy societal problem
• Tsunami of chronicity and lifestyle-related
  illness
• Linking service activity(wellness coaching) to
  core NP role
• fresh approach to health promotion/disease
  prevention
• Coaching skill apply to teaching
• Recoil at stand and deliver
• When done well, wellness coaching is as serious,
  demanding, rigorous and accountable as discovery.
  

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Scholarship

• Submitting abstracts to APRN conferences.
• Must expand to other disciplines
• Submitting articles about wellness and extreme
  self-care to lay media
• The Washington Post Health section
• Engaged in organizations help build the evidence
  base on coaching as a disease- preventing
  strategy.

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Challenges

• Maintaining life-work balance (ongoing)
• Self-imposed need to serve as humble role model
• maintain my own optimal wellness
• Restraint on advice-giving/expert role
• Client has the answers
• Discomfort with the business aspect