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Reflection on creating a coaching approach to student nurse clinical leadership development

26 September 2019
Volume 28 · Issue 17

Abstract

Coaching is an intervention that facilitates another person's learning, development and performance. Applied to student nurse practice placement learning, coaching has the potential to boost leadership learning that is student led, less focused on following the directions of a mentor and more focused on students taking responsibility for identifying their learning goals and objectives. This article gives personal perspectives about how a collaboration between four Greater Manchester (GM) universities and their partner practice organisations developed, implemented and evaluated a coaching approach to student nurse clinical leadership development and peer learning, while increasing practice placement capacity—the GM Synergy model. Perspectives are given on setting up a project team, testing the model before implementation and developing a robust evaluation framework. Coaching as a model for student support and clinical leadership development is in line with the Nursing and Midwifery Council's Future Nurse: Standards of Proficiency for Registered Nurses document, with the practice supervisor role complementing the role of the coach in clinical practice.

Greater Manchester (GM) has signed a devolution agreement with the Government in 2015 to take charge of health and social care spending and decisions in the city region. The Greater Manchester Health and Social Care Partnership is overseeing this devolution and has taken charge of the £6 billion health and social care budget. The rationale for this is to deliver the greatest and fastest possible improvement to the health and wellbeing of the 2.8 million people of GM (Greater Manchester Combined Authority (GMCA, 2018). This would be achieved through building a clinical and financial sustainable model of health and social care. Since the agreement was signed in 2015, GM has seen changes in how care is delivered, which has included amalgamating large hospitals and NHS trusts into even larger organisations.

Four universities in GM (Box 1) provide undergraduate nursing programmes. Equipping GM nursing students with exemplary clinical leadership skills requires the practical component of their educational programme to take place in a supportive clinical environment in which these new nurse leaders can flourish. Firmly embedding clinical leadership development within undergraduate nursing programmes ensures that the GM nursing workforce has the right leadership knowledge, skills and behaviours required to make sound clinical and non-clinical decisions and will empower nurses and strengthen nursing in decades to come. This in turn will provide the optimum conditions for delivering exemplary patient care.

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