Tanta University

Faculty of Nursing
Pediatric Nursing Department
Doctoral Degree
2023/2024

Topic title:

Coaching program in pediatric

nursing

Under supervision
Prof. Dr/ Sahar ElKhedr
Professor of pediatric nursing
Faculty of nursing / Tanta University

Prepared by
.Amany Tarek Ali Batta
Assistant lecturers of pediatric nursing
Faculty of nursing / Tanta University

Outlines
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 1. Introduction
2. Definition of coaching
3. Benefits of coaching
4. Types of coaching
5. Characteristic of coaching
6. Characteristic of an Effective Coach
7. The Biggest Challenges of Coaching
8. The role of coaches
9. Important nursing ability for coaching
10. Critical steps to setting the foundation of the coaching relationship
11. The most effective coaching models
12. Applications of Coaching by using ACHIEVE model

Introduction

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Coaching is a collaborative relation between the coach and client. The
coaching relationship has a time limit and includes a series of significant
dialogues between the coach and the client. Coaching is not giving advice,
and not directing it is a collaboration in which the coach acts like a midwife:
supporting, encouraging and helping the client.
Coaching is a valuable tool for the biopsychosocial assessment of patients and
caregivers, to facilitate cooperation between them and to enhance
communication. Coaching is an opportunity for nurses to perform their roles
as consultants, mentors, and collaborators as well as caregivers. A well-
structured coaching program can be an important supportive strategy that
allows nurses to assist patients and providers in achieving their goals.

Definition

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 Coaching is a form of development in which an experienced person, called
a coach, supports a learner or child, called a coachee to build their personal
capabilities, interpersonal skills and capacity so that they can achieve
personal, professional and organization goals.
Benefits of coaching
The benefits of coaching to client
 Increased confidence
 Better communication skills
 Greater self-awareness and self-discovery
 Greater productivity and ability to work towards goals
 Play an essential role in transition from a disease-focused health care
system to a culturally health care system which focused on disease
prevention and health promotion.
The benefits of coaching to nurse (a coach)
 Personal growth
 Problem-solving
 Skills development
 Leadership development
Types of Coaching
Individual, group and team coaching are relatively new to nursing.
a) Individual coaching mean that provided in person, by phone or over the
Internet, has traditionally been seen as a one-on-one activity.
b) Group coaching it brings individuals together in a group to present their
individual issues and work together with a facilitator (the coach) to develop
individual plans to resolve those issues.
c) Team coaching: the issue to be discussed and resolved is the team’s issue,
not the individuals. The same process applies as with a group however, the

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 team develops the plan. Team coaching is about helping a group of people to
learn how to work together as a single unit towards a common goal.
Characteristic of coaching
Collaborative relationship. It includes supporting and encouraging the
individual as well as helping him utilize past experiences to facilitate the
process of behavioral change
Balance in the coaching interaction: a questioning and sharing of
information and ideas with the full involvement of both you and whoever
you’re coaching.
Being concrete: This is about focusing on what the client can improve, and
using language that is very specific to describe it.
Shared responsibility: Both the coach and coachee share the responsibility
for making a coaching conversation as useful as possible, and for the
continuous performance that follows that conversation. The improvement is
not only the coach’s responsibility, not is it solely the coachee’s.
Characteristic of an Effective Coach
1. Positive. The job of a coach is not correcting mistakes, finding fault and
blame. Instead, a coach's function is achieving productivity goals by
coaching staff to peak performance
2. Flexible. Coaches should adjust their techniques to meet the unique needs
and preferences of each individual
3. Supportive. The job of a coach is to get children what they need to achieve
their goals well, including training, answers to questions, anticipating needs
and preventing problems from happening.
4. Goal-oriented. Base assignments on clear, definable goals. Tie specific
tasks to those goals. Communicate those goals to the people who actually
have to do the work.

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 5. Observant. A supervisor who is paying attention, will not have to wait for
somebody to tell him about a problem.
6. Respectful. Equity requires equal access to treatment regardless of issues
such as race, religion, ethnicity, or gender.
7. Communicator. Active listening, Repeating and use open-ended questions
these questions promote reflection and self-discovery, guiding individuals
toward their own solutions.
8. Respect the children they are coaching and accept children’s abilities

The Biggest Challenges of Coaching

 Building trust in the coaching relationship
 Finding the direction for the coaching session
 Dealing with people who are pessimistic about succeeding
 Focusing on the person, not the problem
 Letting them do the work, even when they say ‘I don’t know’
 Helping them to see the behaviors that need to change
The role of coach

1. The Teacher
provides the client with knowledge, language, and information that the
client is not easily able to get on their own.
2. The Guide
The Guide who provides ideas for action and assists a client in making a
commitment to taking action that will actually bring about change.
3. The Facilitator

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 resolve conflict, establish collaboration and work together as a group.
4. The Investigator
The Investigator who finds the clients' , deeper understanding, define what
he or she wants, and decide what can be done to move these results closer to
reality.
5. The Master
The Master is the watchful and understands the needs of the client, when to
change roles to accommodate those demands and how to remain fully
present.
Important pediatric nursing ability for coaching
 Pediatric nurses should have deep knowledge and skills on
pediatric health care, are professionals about child care from the
birth till young adult.
 Pediatric nurses should provide counseling appropriate for the age
of the target population and their developmental expectations.
 Pediatric nurses should be able to assess developmental theories
and coping styles of the child by recognizing developmental states
and individual differences
 Pediatric nurses should have effective communication skills with
the child and his parents.
Critical steps to set the foundation of the coaching relationship:
1. The Coaching Agreement
A coaching agreement creates clarity on what the conversation is about,
what the client would like to achieve, and what the client would like to
talk about. This agreement creates positive and minimizes the potential
for future conflict and misunderstanding to arise.
2. Quality Conversations
Quality conversations embody 6 components.

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 a) Climate Building
b) Clarifying.
c) Setting Goals
d) Collaborating
e) Closing.
f) Coach feedback
a) Climate Building
Establishes a relaxed, in-formal, welcoming and supportive environment
conducive to dialogue and learning.
b) Clarifying
Occurs when the purpose of the coaching conversation is said and goals
are identified.
c) Setting Goals
Goals will keep the client looking to ward future possibilities rather than
focusing on what is not working according to SMART characteristic.
d) Collaborating
Effective communication will facilitate the client’s learning and the
ability to take action and achieve results.
e) Closing
At the end of each coaching conversation, the coach should summarize
the focus of the conversation, what the client has agreed to do before the
next session, and set a date for the next session.
g) Coach Feedback: After the relationship ends, you should also
consider asking for feedback from the client to help you continue
to grow and improve your coaching practice.

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 The most effective coaching methods
1- GROW
GROW is a coaching method that helps individuals and teams set and achieve
goals through clarity, self-awareness and exploration of options

GROW is simple. It guides people through a structured conversation.

1- The first step is to establish a clear goal or objective: look at the behavior that
want to change and establish SMART goals
 Specific,
 Measurable,
 Achievable, Relevant,
 and Time-Bound
2- The second step is to assess the current reality by looking at the
current situation and identifying any obstacles or challenges. What is
happening now?
3- The third step is to explore the available options for moving forward
and brainstorm possible solutions. Check with the team.
4- And finally, the fourth step is (way forward). Set accountability and
reporting. Check commitment level (1-10) and revisit earlier steps if lower
than eight.

2- ACHIEVE
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 ACHIEVE is a coaching and mentoring model building upon the foundations
of the GROW model, This model is intended to increase trust between client
and coach by increasing understanding of the methods involved in goal-
setting and problem-solving.
The seven stages of the ACHIEVE model outlined by the Coaching
Centre are:

• A ssess current situation

• C reative brainstorming
• H one goals
• I nitiate option generation
• E valuate options
• V alid action programme design
• E ncourage momentum
Applications of Coaching by using ACHIEVE model
1. Assess the Current Situation
 During the first stage of the process, the client is encouraged to
think deeply about their current situation.
 For example, here are questions that the coach can use to help
uncover the situation and issue
What’s the current situation? What challenges do you face?
Example Childhood obesity
2. Creative Brainstorming

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  This stage is designed to broaden the client perspectives and
develops the foundation for behavioral change and creative
solutions to current challenges.
 Sometimes, individuals’ perspectives can narrow when under stress
– resulting in “tunnel vision” – the goal of the brainstorming stage
is to open their mind and examine solutions that were not
previously visible to the client.
 Childhood obesity can also lead problems as diabetes, high blood
pressure, high cholesterol, depression and poor self-esteem, which
may impact on other aspects of their lives, such as the development
of friendships and competency at school.
3. Hone Goals
 In stage 3, the client develops specific goals from alternative
solutions and suggestions which evolved during stage 2.
SMART (specific, measurable, accurate, realistic, timely) goals
are developed and refined here by feedback between coach and
client.
 The child able to reach and stay at a healthy weight according to
his age with in appropriate time
4. Initiate Options Generation
 At this stage in the process, the immediate steps in order to
achieve the goals must be considered
 The client should be aided in developing an array of possible
options, rather than focusing on finding a single “right” way to act.
 A healthy eating plan, reduced sedentary activity (such as watching
television and videotapes, and playing computer games), getting
enough sleep and getting regular physical activity.
5. Evaluate Options

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  At step 5, the actions and options generated during the previous
stage will be assessed and prioritised.
 A healthy eating plan, getting regular physical activity, reduced
sedentary activity (such as watching television and videotapes, and
playing computer games), and getting enough sleep.
6. Valid Action Programme Design
 The aim of stage 6 is to put the options into action. The coach
will assist the coachee in formulating the plan.
 Replace highly processed foods with whole foods like fruits,
vegetables, whole grains, nuts, and seeds. Instead of sugary sodas,
serve water, low-fat or fat-free milk, or fortified nondairy
beverages. Place healthy foods and beverages where they are easy
to see and reach.
 Get active every day – find an activity they enjoy, such as sports,
playground activities or walking to school.
7. Encourage Momentum
 The final stage of ACHIEVE is to encourage momentum – both
towards goals – and between coaching sessions. Until goals have
been met, it is often difficult for individuals to remain motivated,
and it is, therefore, the role of the coach to maintain
encouragement and keep achievable goals within sight
Repeat This Process
The ACHIEVE process is flexible and repetitive, once goals have been
reached – or perhaps a little progress occurs – it may be suitable to begin
to reassess the current situation at stage 1 and plan new steps and
pathways as to how to rebuilt momentum towards the final goal.

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