Assistant nurse managers and nurse managers, often referred to as middle managers, have a direct impact on daily hospital operations, clinical work environments, delivery of high quality safe patient care, and patient outcomes. The stressful demands of this role have caused turnover rates to soar above the national average on some of the inpatient hospital units. Instability of nursing management oversight negatively effects staff job satisfaction and delivery of high quality safe patient care. In reviewing the organizations initial orientation program for transitioning middle managers into their new role, it was missing the supportive guidance of a coach. A Caring Coach Leader program was developed based on the foundation of transformational and caring leadership attributes aligned to the organizations theory-based culture. Transformational caring leadership attributes positively influence followers’ engagement, builds trust relationships, and supports improvement of patient outcomes. Combined voluntary turnover rates of the assistant nurse managers and nurse managers, changes in caring attributes of program participants, and overall program appraisal were evaluated.
","abstract_html":"<p>Assistant nurse managers and nurse managers, often referred to as middle managers, have a direct impact on daily hospital operations, clinical work environments, delivery of high quality safe patient care, and patient outcomes. The stressful demands of this role have caused turnover rates to soar above the national average on some of the inpatient hospital units. Instability of nursing management oversight negatively effects staff job satisfaction and delivery of high quality safe patient care. In reviewing the organizations initial orientation program for transitioning middle managers into their new role, it was missing the supportive guidance of a coach. A Caring Coach Leader program was developed based on the foundation of transformational and caring leadership attributes aligned to the organizations theory-based culture. Transformational caring leadership attributes positively influence followers’ engagement, builds trust relationships, and supports improvement of patient outcomes. Combined voluntary turnover rates of the assistant nurse managers and nurse managers, changes in caring attributes of program participants, and overall program appraisal were evaluated. </p>","abstract_has_math":false,"creators":["Javed, Priscilla"],"institution":null,"degree_name":"Doctor of Nursing Practice (DNP)","degree_level":"Project","degree_discipline":"Nursing","degree_department":null,"school":null,"contributors":["Mary Bittner, DNP, MPA, RN, CENP","Robin Buccheri, PhD, NP, RN, FAACN"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2016,"date_issued":"2016-12-16T08:00:00Z","date_published":"2016-12-16T08:00:00Z","updated_at":"2026-07-24T05:43:46Z","subjects":["nurse manager orientation","nurse manager turnover","preceptor programs for nurse managers","transformational leadership","quality and patient care outcomes","Nursing","Nursing Administration"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://repository.usfca.edu/dnp/85","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Mary Bittner, DNP, MPA, RN, CENP","Robin Buccheri, PhD, NP, RN, FAACN"]},{"key":"dc:creator","label":"Author","values":["Javed, Priscilla"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2016-12-16T08:00:00Z"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Nursing"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Project"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Nursing Practice (DNP)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["nurse manager orientation","nurse manager turnover","preceptor programs for nurse managers","transformational leadership","quality and patient care outcomes","Nursing","Nursing Administration"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://repository.usfca.edu/dnp/85"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Assistant nurse managers and nurse managers, often referred to as middle managers, have a direct impact on daily hospital operations, clinical work environments, delivery of high quality safe patient care, and patient outcomes. The stressful demands of this role have caused turnover rates to soar above the national average on some of the inpatient hospital units. Instability of nursing management oversight negatively effects staff job satisfaction and delivery of high quality safe patient care. In reviewing the organizations initial orientation program for transitioning middle managers into their new role, it was missing the supportive guidance of a coach. A Caring Coach Leader program was developed based on the foundation of transformational and caring leadership attributes aligned to the organizations theory-based culture. Transformational caring leadership attributes positively influence followers’ engagement, builds trust relationships, and supports improvement of patient outcomes. Combined voluntary turnover rates of the assistant nurse managers and nurse managers, changes in caring attributes of program participants, and overall program appraisal were evaluated.
"]},{"key":"dc:title","label":"Title","values":["Transforming Self and Systems through Implementation of a Caring Coach Leader Program"]}]}],"canonical_facts":{"dc:contributor":["Mary Bittner, DNP, MPA, RN, CENP","Robin Buccheri, PhD, NP, RN, FAACN"],"dc:creator":["Javed, Priscilla"],"dc:date.available":["2016-12-16T08:00:00Z"],"dc:description.abstract":["Assistant nurse managers and nurse managers, often referred to as middle managers, have a direct impact on daily hospital operations, clinical work environments, delivery of high quality safe patient care, and patient outcomes. The stressful demands of this role have caused turnover rates to soar above the national average on some of the inpatient hospital units. Instability of nursing management oversight negatively effects staff job satisfaction and delivery of high quality safe patient care. In reviewing the organizations initial orientation program for transitioning middle managers into their new role, it was missing the supportive guidance of a coach. A Caring Coach Leader program was developed based on the foundation of transformational and caring leadership attributes aligned to the organizations theory-based culture. Transformational caring leadership attributes positively influence followers’ engagement, builds trust relationships, and supports improvement of patient outcomes. Combined voluntary turnover rates of the assistant nurse managers and nurse managers, changes in caring attributes of program participants, and overall program appraisal were evaluated.
"],"dc:identifier":["https://repository.usfca.edu/dnp/85"],"dc:subject":["nurse manager orientation","nurse manager turnover","preceptor programs for nurse managers","transformational leadership","quality and patient care outcomes","Nursing","Nursing Administration"],"dc:title":["Transforming Self and Systems through Implementation of a Caring Coach Leader Program"],"thesis:degree_discipline":["Nursing"],"thesis:degree_level":["Project"],"thesis:degree_name":["Doctor of Nursing Practice (DNP)"]},"updated_at":"2026-07-24T05:43:46Z"}