Research ArticleResearchStaffing & WellbeingQuality Improvement

Structured coaching improved nurse wellbeing and intention to stay in a multicenter trial

International journal of nursing studies (PubMed)May 17, 2026

AI-summarized from the linked source. Educational brief, not medical advice.

Brief summary

A multicenter randomized trial of 400 nurses found that a group session plus four individual coaching sessions improved self-reported psychological wellbeing, job satisfaction, goal-setting proficiency, and intention to remain in nursing compared with standard support.

What NurseJet pulled from the source

After adjustment, the coaching group reported an 8.70-point greater psychological-wellbeing score and an 11.22-point greater job-satisfaction score after the intervention. Intention-to-leave scores also favored coaching, but the trial did not measure actual long-term retention and did not improve every occupational-stressor or social-support outcome.

Why this matters for nurses

Nursing leaders need tested workforce supports that go beyond one-time wellness messaging. This trial suggests that a structured coaching program can improve several nurse-reported outcomes while leaving open whether it changes actual turnover or underlying workplace stressors.

Bedside takeaway

Structured coaching may support nurse wellbeing and retention intentions, but it should complement action on organizational working conditions.

How This Applies in Practice

Use this when: Designing or evaluating an organizational coaching program intended to support nurse wellbeing, job satisfaction, and retention.

On your shift

Define coach qualifications, confidentiality boundaries, protected participation time, referral pathways, and equitable access before enrollment begins.
Track program reach, session completion, wellbeing, job satisfaction, intention to leave, and objective retention over a prespecified follow-up period.
Review coaching findings alongside staffing, workload, psychological safety, leadership responsiveness, and other modifiable organizational conditions.

Keep in mind: Coaching is not evidence that workplace hazards can be shifted onto individual nurses. Follow organizational policy, local workforce protocols, and escalation processes.

Key takeaways

The trial randomized 400 nurses from tertiary hospitals and public outpatient clinics in one Singapore health-system cluster.
The intervention combined one group coaching session with four individual sessions in addition to existing workplace support.
Adjusted post-intervention differences favored coaching for psychological wellbeing, goal-setting proficiency, job satisfaction, and intention to leave nursing.
The authors call for objective retention measures, longer follow-up, and cluster randomization in future studies.

Practice implications

For a coaching program, protect participation time, define coach preparation and confidentiality, monitor reach and completion, and measure wellbeing and job outcomes over time. Pair individual support with review of staffing, workload, psychological safety, and organizational barriers.

Limitations & cautions

Outcomes were self-reported and measured shortly after the intervention; actual retention and long-term durability were not established. Participants came from one Singapore public health-system cluster, individual randomization may permit contamination, and coaching did not resolve all occupational stressor or social-support measures.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations

Exact source links

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International journal of nursing studies (PubMed)

International journal of nursing studies (PubMed). Impact of ontological coaching on well-being, job outcomes, and retention intentions in nurses: A multi-centre randomised controlled trial.

Open original source

https://pubmed.ncbi.nlm.nih.gov/42143828/

Professional education only

This summary does not replace clinical judgment, facility policy, provider orders, or official guidelines. Verify practice changes against the original source and local protocol.

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A systematic review found preliminary support for virtual-reality assessment and treatment during psychiatric hospitalization.

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The review included 37 studies with 1,004 participants. Findings suggested feasibility and acceptability, with more consistent improvements in clinical symptoms such as anxiety than in psychosocial, cognitive, or physiological outcomes.

Key takeaways

Staff training and supervision were implementation facilitators.
Technical problems and limited resources were common barriers.
The authors call for higher-quality trials and better implementation reporting.

Why this matters on shift

Nursing input can help teams evaluate whether a VR program is workable on an inpatient unit.

Bedside takeaway

Treat inpatient VR as an intervention requiring supervised implementation and evaluation.

Nursing implications

For an approved program, document patient experience, symptom response, supervision needs, and technical barriers.

Limitations & cautions

Abstract-only summary. This narrative synthesis does not establish a pooled treatment effect or definitive safety across diagnoses and VR applications.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations · exact source links

Psychological medicine (PubMed). Applications and outcomes of virtual reality in inpatient psychiatry: A systematic review.

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AI-summarized from the linked source. Review the original article before applying to practice.

International journal of older people nursing (PubMed)Sep 1, 2026Systematic ReviewPractice applicable

A review of 15 randomized trials found very uncertain evidence for whether nurse-led case management changes institutionalization, hospital admission, or mortality among community-dwelling older adults.

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The review included 7,995 older adults with frailty or risk of functional impairment. Pooled estimates suggested little to no difference in institutionalization, hospital admissions, or mortality, all with very low-certainty evidence; physical quality of life improved slightly (SMD 0.08, 95% CI 0.00-0.15) with moderate-certainty evidence, but the clinical importance was uncertain.

Key takeaways

Fifteen randomized trials with 7,995 community-dwelling older adults were included.
Evidence for institutionalization, hospital admissions, and mortality was very low certainty.
Nurse-led case management probably produced a slight improvement in physical quality of life.
The authors recommend evaluating patient-reported outcomes alongside healthcare utilization.

Why this matters on shift

Care coordination is often judged only by admissions or placement. This review suggests nurses and leaders should also measure outcomes older adults feel directly, while remaining honest that major utilization and survival benefits are not established.

Bedside takeaway

Track patient-reported quality of life and continuity alongside admissions; major outcome benefits remain uncertain.

Nursing implications

When participating in community case management, document the patient's own goals, function, quality of life, access barriers, and continuity needs in addition to emergency visits and admissions. Do not promise that coordination alone will prevent hospitalization or institutionalization.

Limitations & cautions

Certainty was very low for the major utilization and mortality outcomes, and the physical quality-of-life improvement was small with uncertain clinical importance. Programs and populations varied, so the review does not identify one case-management model that should be adopted universally.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations · exact source links

International journal of older people nursing (PubMed). Effectiveness of Nurse-Led Case Management in Community Settings Among Older Adults: A Systematic Review and Meta-Analysis.

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BMC public health (PubMed)Aug 29, 2026Systematic ReviewPractice applicable

A systematic review of school-based programs in Africa found modest improvements in some weight-related outcomes, but the pooled effect on BMI-for-age was not statistically significant.

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Eleven studies met inclusion criteria, and nine intervention comparisons contributed to the BMI-for-age meta-analysis. Most programs combined physical activity with nutrition or other behavioral components. The pooled mean difference was 0.03 (95% CI -0.24 to 0.29; p = .813; I² = 69%), so the review did not establish an overall BMI-for-age benefit.

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The review included 11 studies, mostly from South Africa and mostly using quasi-experimental designs.
Most interventions were multicomponent and delivered in primary-school group settings.
Some studies reported modest adiposity improvements or maintenance of normal weight status.
Across nine comparisons, the pooled effect on BMI-for-age was not statistically significant and heterogeneity was substantial.

Why this matters on shift

School and pediatric nurses often reinforce nutrition and activity programs and help families interpret growth trends. The review supports cautious expectations: multicomponent programs may help selected outcomes, but current African evidence does not show a consistent pooled change in BMI-for-age.

Bedside takeaway

Set realistic expectations: school diet-and-activity programs may help some outcomes, but pooled BMI-for-age did not significantly change.

Nursing implications

Use the approved school or clinic health-promotion program, document participation and relevant growth measures, and explain that healthy routines have value even when a short-term BMI change is not guaranteed. Escalate individual growth or health concerns through the pediatric care pathway.

Limitations & cautions

Only 11 studies were included; 72.7% were conducted in South Africa and 70% were quasi-experimental. The pooled analysis was heterogeneous, and the findings may not generalize across African regions, school systems, or individual children.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations · exact source links

BMC public health (PubMed). School-based diet and physical activity interventions and weight-related outcomes among children and adolescents in Africa: a systematic review and meta-analysis.

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AI-summarized from the linked source. Review the original article before applying to practice.

How This Applies in Practice

Key takeaways

Practice implications

Limitations & cautions

Exact source links

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