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Goal-focused Coaching
This book offers a comprehensive, practical guide to goal-focused coaching. Addressing a significant gap in the literature, Ives and Cox contextualize goal-focused coaching within the broader coaching framework and explain the efficacy of this approach across a number of contexts and applications.
The book draws on behavioral science, rather than humanistic psychology, to provide a well-researched, evidence-based guide that includes:
A detailed examination of the theoretical underpinnings of this approach
A discussion of the skills, models and formats for goal-focused coaching
Cutting edge insights into barriers to coaching and managing the coaching relationship
Summaries, vignettes, references, and diagrams to aid learning
Goal-focused Coaching will be of interest to students taking classes in coaching, as well as professional executive coaches.
eBook
System-Wide Implementation of the Use of an Extended-Infusion Piperacillin/Tazobactam Dosing Strategy: Feasibility of Utilization From a Children's Hospital Perspective
Use of extended infusions of piperacillin/tazobactam (PT) in adult patients has been described, but data in children are limited.
The goal of this study was to determine the feasibility of using an extended-infusion PT dosing strategy as the standard of care in a children's hospital.
This was a prospective observational study of patients aged >30 days who received PT after admission to a freestanding, tertiary care children's hospital. After institution of an extended-infusion PT dosing protocol as the standard dosing option, patients receiving PT were prospectively assessed for presence of and reasons for changes in dosing regimen.
A total of 332 patients, with a median age of 5 years (interquartile range, 1.9–12 years) and median weight of 19.9 kg (interquartile range, 11.7 – 37.6 kg) received PT (100 mg/kg based on piperacillin component). Extended-infusion PT was used for the duration of PT therapy in 92% (n = 304) of patients. Twenty-eight patients (8%) received a traditional infusion over 30 minutes, with 19 of 28 being changed from extended infusion and 9 of 28 being empirically prescribed traditional infusion PT. The most commonly encountered reason for not using extended infusions was coadministration of vancomycin (17 of 28 [61%]) and lack of compatibility data with PT. Dosing errors, which were voluntarily reported, were infrequent (1.8% [n = 6]). The few observed dosing errors were likely attributable to the overall ordering process at our institution, which requires ordering as the milligram per kilogram dose as total PT rather than based on piperacillin component as is commonly documented in pediatric dosing references.
Results of this study suggest that extended-infusion PT dosing was feasible in this specific children's hospital. Ninety-two percent of patients received our institution's preferred dosing regimen; a small percentage of patients still needed to receive traditional infusion times.
Journal Article
Optimized Antimicrobial Dosing Strategies: A Survey of Pediatric Hospitals
Background
Extended-interval aminoglycoside (EIAG) and extended- and continuous-infusion β-lactam (EIBL and CIBL) dosing strategies are increasingly used in adults, but pediatric literature is limited.
Objective
The objective of this study was to describe the use of EIAG, EIBL, and CIBL dosing in pediatric hospitals in the USA.
Study Design, Setting, and Participants
A national survey of children’s hospitals was conducted. A single practitioner from each target hospital was identified through the Children’s Hospital Association. Practice-based survey questions identified whether hospitals utilize EIAG, EIBL, and CIBL dosing.
Main Outcome Measure
The main outcome measure was the percentage utilization of the dosing strategies, with secondary outcomes being the reasons for not using these dosing strategies.
Results
Seventy-seven of 215 identified practitioners (36 %) participated in the survey. EIAG, EIBL, and CIBL dosing were utilized in 63 %, 24 %, and 13 % of responding hospitals, respectively. The most common reasons for not using EIAG were concern regarding lack of efficacy data (56 %) and concern regarding the duration of the drug-free period (41 %). Respondents who did not utilize EIBL cited concern due to lack of pediatric EIBL efficacy data (54 %), the need for more intravenous access (54 %), intravenous medication compatibility issues (39 %), and the time during which the patient is attached to an intravenous infusion (31 %).
Conclusion
This survey of children’s hospitals indicates that EIAG is used in over 50 % of hospitals, but there is some lag in adoption of EIBL and CIBL dosing, both of which are used in fewer than 25 % of hospitals. Additional studies may provide much-needed evidence to increase the utilization of these strategies.
Journal Article
Antimicrobial Prophylaxis for External Ventricular Drains in Pediatric Neurosurgical Patients
Background
Our goal was to describe the use of antibiotics for surgical prophylaxis of external ventricular drains (EVDs) in a pediatric neurosurgical population and determine the incidence of EVD-related infections among different antimicrobial prophylaxis strategies.
Main Outcome Measures
This retrospective chart review included patients up to 18 years old who underwent EVD insertion at either of two tertiary care academic hospitals in the same health system between August 1, 2008, and July 31, 2012. Patients were included if they received at least one dose of antibiotics before EVD insertion. Patients who received only perioperative antibiotics were compared with those who also received antibiotics after this period. The primary endpoint was incidence of EVD-related infection. Descriptive statistics were used to summarize baseline characteristics and compare antibiotic regimens between groups. Pearson’s chi square and Mann Whitney
U
tests compared nonparametric data.
Results
A total of 182 EVD insertions were documented, and 88 included in the study. Of these 88, 27 were associated only with perioperative doses of antibiotics, and 61 with prolonged antibiotic use. Baseline characteristics and antibiotic choices were similar between the groups. At least 55 (63 %) catheters were antibiotic-impregnated, but types of catheters couldn’t be compared between groups due to insufficient data. No central nervous system infections were identified in either group, so the primary objective could not be evaluated statistically.
Conclusion
No infections were identified in any study subjects during EVD treatment. An adequately powered, multi-center prospective study should be performed to determine if prolonged use of antibiotics beyond the perioperative period is of benefit.
Journal Article
The call to mentor
The article draws on theories of volunteer motivation, documentary evidence and interview data in an attempt to understand the impact of biographical and motivational factors on perceived success in mentoring relationships. The results presented are part of a wider exploration of the developmental needs of mentors, considering the voluntary nature of mentoring, the social character of action and analyses the incentives of 52 volunteers who were trained as mentors for lone parents between 1996 and 1998, as part of a government-funded Lone Parent Mentoring Project. The article summarises the recruitment and selection processes used to encourage volunteers to apply for mentor training, and presents results collected from application forms which describe the variety of reasons given by applicants for their decision to apply. It then considers the values and beliefs which underpin these motivations.
Journal Article
Goal-focused coaching
Foreword -- Introduction -- What is goal-focused coaching -- Goal-focused coaching theory -- Goal-focused methodology -- Relationship management in goal-focused coaching -- The GFC cycle -- Team, group and peer coaching with a goal focus -- Goal setting -- Action planning -- Commitment in goal-focused coaching -- Questioning and listening skills for gfc -- The complete gfc process --
Book
Coaching with emotion in organisations: investigation of personal theories
Purpose - The aim of this study is to investigate personal theories of emotion that coaches have and how these theories are translated into strategies of working with clients' emotions.Design methodology approach - The approach to the study is phenomenological. A questionnaire method based on specifically designed stem sentences was used in order to engender spontaneous responses from the 39 participants. Analysis of data was conducted through coordinated interpretation of categories and themes by the three different researchers.Findings - Three differing standpoints in relation to both the role of emotion in the coaching process and the role of the coach in relation to a client's emotions were identified and the correspondence between them was established. Potential explanations for the discovered inconsistencies in personal theories and strategies of dealing with emotion are suggested with implications for organisational coaches.Research limitations implications - Personal history and the dynamics of individual development were difficult to capture at this stage using only one method of data collection. The following stage of study will involve in-depth interviewing of a number of international coaches.Practical implications - The results of the study need to be considered by those providing training to organisational coaches. The spectrum of possible positions presented in relation to emotion in coaching may help coaches identify their personal stance and examine their strategies of dealing with emotion.Originality value - An original tool was developed that contributes to a qualitative analysis of coaches' personal experiences of dealing with emotion. The study sheds light from the first person perspective on the complex issue of working with emotion in organisations. It offers important clarifications of the current context of this issue thus contributing to the advancement of conventional discourse and research on working with emotions in organisations.
Journal Article