Ontological Coaching Among Nurses (OCN) (OCN)

March 13, 2025 updated by: Shefaly Shorey, National University of Singapore

Ontological Coaching Among Novice Nurses (OCN): a Mixed Methods Study

This study aims to develop and evaluate ontological coaching among novice nurses in Singapore. The specific aims of this project are: (1) to develop theory based Ontological Coaching among Nurses (OCN) intervention for novice nurses; (2) examine its effectiveness on nurses' psychological wellbeing (primary outcome), help-seeking behavior (social support), goal setting, resilience, intention to leave and job satisfaction (Secondary outcomes); and (3) examine the perceptions of nurses in receiving this intervention.

The specific research questions we plan to answer in this project are:

  • How the OCN will influence psychological wellbeing of the new nurses?
  • How the OCN will enhance the new nurses social support and goal setting for their reality and future?
  • How the OCN will influence new nurses' resilience, intention to leave and job satisfaction?
  • What are the changes in psychological well-being, social support, goal setting, resilience, intention to leave and job satisfaction after receiving OCN over time (pre-test and post-test)?
  • Are there any strengths, weaknesses and area of improvements (overall experience) for the use of OCN among new nurses?

Study Overview

Status

Active, not recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

400

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Singapore
      • Singapore, Singapore
        • National University Hospital
      • Singapore, Singapore
        • Ng Teng Fong General Hospital
      • Singapore, Singapore
        • Alexandra Hospital
      • Singapore, Singapore
        • National University Polyclinics

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

Nurses:

  • 21 years old and above
  • are able to read and speak English,
  • have 0-10 years of working experience after the registration with Singapore Nursing Board (SNB)
  • currently working at the study venues with the valid registered nurse license with the SNB
  • who are willing to be audio-recorded if invited for an interview

Facilitators:

- who hold an Ontological Coaching certification and a minimum of 50 hours of Coaching experience

Exclusion Criteria:

Nurses:

  • have physical or mental disorders which would interfere with their ability to participate in the study
  • have refused to participate in this study

Facilitators:

- who does not hold an Ontological Coaching certification or who do not have a minimum of 50 hours of Coaching experience

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Coaching
In the form of small groups (3-6 participants), the nurses will receive a knowledge based session (maximum 1 hour long) to share about ontological coaching. After the group session, each nurse will receive 4 individual sessions (30-60 minutes) on monthly basis.
Behavioral: ontological coaching
Group session: This session will provide an overview of coaching and the following topics will be covered: 1) Experience coaching in teams, 2) The Ideal Life, 3) The Coaching Distinction, 4) Introduction to Body, Emotions, Language (BEL), 5) Deeper understanding of BEL, 6) Applying BEL to clinical scenarios, 7) The coaching perspective in Nursing, 8) Re-visit the Ideal Life, 9) Explore mental/emotional/physical challenges in practicing nursing, 10) Time and stress management, work-life balance; Individual Session: This individualized session will cover the discussions on the topic brought up by novice nurses. The aim of this session is to: 1) Help novice nurses design the steps in their journey towards what they care about, 2) Explore the nurses' world by asking encouraging and evoking questions, 3) Collaborate with nurses in a stimulating and imaginative manner that help them to optimize their potential, 4) Co-create with nurses the professional and personal identity they strive for
No Intervention: Conotrol
Participants do not undergo any ontological coaching.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Effectiveness on nurses' psychological wellbeing
Time Frame: baseline, 2-3 months (intervention), 4-6 months (post intervention)
Ryff Scales of Psychological Well-Being: a 42-item instrument Psychological Wellbeing (PWB) Scale measures six aspects of wellbeing and happiness: autonomy, environmental mastery, personal growth, positive relations with others, purpose in life, and self-acceptance. Respondents rate how strongly they agree or disagree with 42 statements using a 7-point scale (1 = strongly agree; 7 = strongly disagree).
baseline, 2-3 months (intervention), 4-6 months (post intervention)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Stress
Time Frame: baseline, 2-3 months (intervention), 4-6 months (post intervention)
Nursing Stress Scale: a 34-item instrument that describe situations that have been identified as causing stress for nurses in the performance of their duties. Respondents how strongly they agree or disagree with 34 statements using a 4-point scale (1 = never; 4 = very frequently).
baseline, 2-3 months (intervention), 4-6 months (post intervention)
Help-seeking behavior (social support)
Time Frame: baseline, 2-3 months (intervention), 4-6 months (post intervention)
Sarason's social support questionnaire - short form (SSQSR): a 6-item instrument to evaluate the availability and satisfaction associated with an individual's social support systems. Respondents indicate the number of people available to provide support in 6 areas and then rate the overall level of satisfaction with the support given in each of the areas using a 6-point scale (1 = very dissatisfied; 6 = very satisfied).
baseline, 2-3 months (intervention), 4-6 months (post intervention)
Goal Setting
Time Frame: baseline, 2-3 months (intervention), 4-6 months (post intervention)
Goal Setting Questionnaire (GSQ): an 18-item instrument to evaluate individuals' competencies in three areas: setting meaningful goals, focusing on personal improvement, and incorporating prior experiences, interests, skills, and feedback from family, peers, or a trusted individual. Respondents rate how strongly they agree or disagree with 18 statements using a 5-point scale (1 = not very like me; 5 = very like me)
baseline, 2-3 months (intervention), 4-6 months (post intervention)
Intention to Leave
Time Frame: baseline, 2-3 months (intervention), 4-6 months (post intervention)
Roodt's turnover scale (TIS-6): a 6-item instrument to measure turnover intention. Respondents rate how strongly they agree or disagree with 6 statements using a 5-point scale (1 = never; 5 = always)
baseline, 2-3 months (intervention), 4-6 months (post intervention)
Job Satisfaction
Time Frame: baseline, 2-3 months (intervention), 4-6 months (post intervention)
Bowling Green State University's The Job Satisfaction Scale: measures employee attitudes such as job satisfaction. Respondents indicate their satisfaction in 5 areas (Y = Yes; N = No; ? = Cannot Decide).
baseline, 2-3 months (intervention), 4-6 months (post intervention)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

National University of Singapore

Investigators

  • Principal Investigator: Shefaly Shorey, PhD, National University of Singapore

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

August 1, 2023

Primary Completion (Estimated)

March 31, 2025

Study Completion (Estimated)

June 25, 2025

Study Registration Dates

First Submitted

March 10, 2025

First Submitted That Met QC Criteria

March 10, 2025

First Posted (Actual)

March 25, 2025

Study Record Updates

Last Update Posted (Actual)

March 25, 2025

Last Update Submitted That Met QC Criteria

March 13, 2025

Last Verified

March 1, 2025

More Information

Terms related to this study

Other Study ID Numbers

  • NHG DSRB 2022/00676

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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