Ontological coaching among nursing undergraduates: a pilot randomized controlled (OCEAN) trial

To develop and assess the preliminary effectiveness of Ontological Coaching Intervention for nursing undergraduates. Design: A pilot randomized controlled trial with a two-group pre-test and post-test followed by process-evaluation qualitative interviews. An Ontological Coaching Intervention was dev...

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Main Authors: Travis Lanz-Brian Pereira, Emily Ang, Aayisha, Kuhanesan N. C. Naidu, Yiong Huak Chan, Shefaly Shorey
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Medical Education Online
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Online Access:https://www.tandfonline.com/doi/10.1080/10872981.2024.2379109
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author Travis Lanz-Brian Pereira
Emily Ang
Aayisha
Kuhanesan N. C. Naidu
Yiong Huak Chan
Shefaly Shorey
author_facet Travis Lanz-Brian Pereira
Emily Ang
Aayisha
Kuhanesan N. C. Naidu
Yiong Huak Chan
Shefaly Shorey
author_sort Travis Lanz-Brian Pereira
collection DOAJ
description To develop and assess the preliminary effectiveness of Ontological Coaching Intervention for nursing undergraduates. Design: A pilot randomized controlled trial with a two-group pre-test and post-test followed by process-evaluation qualitative interviews. An Ontological Coaching Intervention was developed through an integration of prior literature and the collective the research team’s experience, consisting of 4-6 sessions over 6-months, each lasting 30-60 minutes. Sessions encompassed exploring ontological coaching concepts, empowering nursing undergraduates to choose topics, and tailoring sessions to individual needs. Sixty undergraduates were recruited; ten were excluded for not completing the baseline questionnaires. Twenty-one nursing undergraduates were randomly assigned to the intervention group and twenty-nine undergraduates to the control group (standard academic support only). Primary (psychological well-being) and secondary (social support quantity and satisfaction, goal-setting, resilience) outcomes were measured at baseline, 3-months, and 6-months. Semi-structured interviews captured post-intervention experiences. Between-group analyses revealed a significant difference in goal-setting scores at 3-months (U = 325.5, p = 0.013), favoring the intervention group (median = 70.50, IQR = 64.25, 76.75). At 6-months, a significant difference in social support satisfaction scores (U = 114.5, p = 0.028) was found between the intervention (median = 33.00, IQR = 29.50, 35.25) and control (median = 30.00, IQR = 30.00, 35.00) groups. However, no significant between-group differences were noted in other outcome measures. Significant within-group differences were found in goal-setting scores at 3- and 6-months in the intervention group and social support quantity scores at 3- and 6-months in the control group. However, no significant within-group differences were noted in other outcome measures. Three themes were identified: Enhanced Holistic Development, Keys to Successful Coaching, and Future Directions for Successful Coaching. There is urgent need to advance research on Ontological Coaching Intervention, particularly, enhancing study rigor, broadening examinations to diverse healthcare student populations and cultural contexts, and addressing identified limitations.
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spelling doaj-art-e6dd538c0e5749ab8e17758b3e07c2c52025-08-20T02:07:12ZengTaylor & Francis GroupMedical Education Online1087-29812024-12-0129110.1080/10872981.2024.2379109Ontological coaching among nursing undergraduates: a pilot randomized controlled (OCEAN) trialTravis Lanz-Brian Pereira0Emily Ang1Aayisha2Kuhanesan N. C. Naidu3Yiong Huak Chan4Shefaly Shorey5Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeAlice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeAlice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeDepartment of Psychological Medicine, National University Health System, Singapore, SingaporeBiostatistics Unit, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeAlice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeTo develop and assess the preliminary effectiveness of Ontological Coaching Intervention for nursing undergraduates. Design: A pilot randomized controlled trial with a two-group pre-test and post-test followed by process-evaluation qualitative interviews. An Ontological Coaching Intervention was developed through an integration of prior literature and the collective the research team’s experience, consisting of 4-6 sessions over 6-months, each lasting 30-60 minutes. Sessions encompassed exploring ontological coaching concepts, empowering nursing undergraduates to choose topics, and tailoring sessions to individual needs. Sixty undergraduates were recruited; ten were excluded for not completing the baseline questionnaires. Twenty-one nursing undergraduates were randomly assigned to the intervention group and twenty-nine undergraduates to the control group (standard academic support only). Primary (psychological well-being) and secondary (social support quantity and satisfaction, goal-setting, resilience) outcomes were measured at baseline, 3-months, and 6-months. Semi-structured interviews captured post-intervention experiences. Between-group analyses revealed a significant difference in goal-setting scores at 3-months (U = 325.5, p = 0.013), favoring the intervention group (median = 70.50, IQR = 64.25, 76.75). At 6-months, a significant difference in social support satisfaction scores (U = 114.5, p = 0.028) was found between the intervention (median = 33.00, IQR = 29.50, 35.25) and control (median = 30.00, IQR = 30.00, 35.00) groups. However, no significant between-group differences were noted in other outcome measures. Significant within-group differences were found in goal-setting scores at 3- and 6-months in the intervention group and social support quantity scores at 3- and 6-months in the control group. However, no significant within-group differences were noted in other outcome measures. Three themes were identified: Enhanced Holistic Development, Keys to Successful Coaching, and Future Directions for Successful Coaching. There is urgent need to advance research on Ontological Coaching Intervention, particularly, enhancing study rigor, broadening examinations to diverse healthcare student populations and cultural contexts, and addressing identified limitations.https://www.tandfonline.com/doi/10.1080/10872981.2024.2379109Educationcoachingnursingundergraduatesstudents
spellingShingle Travis Lanz-Brian Pereira
Emily Ang
Aayisha
Kuhanesan N. C. Naidu
Yiong Huak Chan
Shefaly Shorey
Ontological coaching among nursing undergraduates: a pilot randomized controlled (OCEAN) trial
Medical Education Online
Education
coaching
nursing
undergraduates
students
title Ontological coaching among nursing undergraduates: a pilot randomized controlled (OCEAN) trial
title_full Ontological coaching among nursing undergraduates: a pilot randomized controlled (OCEAN) trial
title_fullStr Ontological coaching among nursing undergraduates: a pilot randomized controlled (OCEAN) trial
title_full_unstemmed Ontological coaching among nursing undergraduates: a pilot randomized controlled (OCEAN) trial
title_short Ontological coaching among nursing undergraduates: a pilot randomized controlled (OCEAN) trial
title_sort ontological coaching among nursing undergraduates a pilot randomized controlled ocean trial
topic Education
coaching
nursing
undergraduates
students
url https://www.tandfonline.com/doi/10.1080/10872981.2024.2379109
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