Date of Award


Document Type

Restricted Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)




Adults age 65 and older are challenged with conflicting medical advice, adverse drug reactions, and avoidable hospitalizations. The purpose of this Scholarly Project is to make recommendations to family nurse practitioners (FNPs) on what aspects of holistic nurse coaching (HNC) are useful to their practice while caring for adults age 65 and older with chronic illnesses. The project asks the clinical question of what aspects of HNC are important to the FNP who is working with an adult with chronic illness. A search of the literature reviled that more research was needed on the role of the advanced practice nurse in coaching. Margret Newman’s Theory of Health as Expanding Consciousness provides the theoretical foundation for this project. This project uses Research as Praxis to discover themes in coaching sessions. These themes were then used to create a coaching model for NPs to use in their practice. Five adults age 65 and older from the community participated in the project. Coaching took place in the home or by phone. Each participant experienced a 30 minute coaching session which included 5 minutes to instruction in what is HNC, followed by a 20 minute coaching session. At the conclusion of the session, the participant filled out a five question questionnaire that asked how they felt about their coaching session. Themes were derived from the questionnaires to help guide the formation of a concept model and make recommendations about the use of HNC by FNPs. The significance, challenges, and implications are discussed in detail in the final chapter. The paper concludes with describing how this project incorporates the eight Essentials of DNP Education.


SC 11.DNP.2019.Johnson.DM