Date of Graduation

Fall 12-16-2016

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions



First Advisor

Mary Bittner, DNP, MPA, RN, CENP

Second Advisor

Robin Buccheri, PhD, NP, RN, FAACN


Assistant nurse managers and nurse managers, often referred to as middle managers, have a direct impact on daily hospital operations, clinical work environments, delivery of high quality safe patient care, and patient outcomes. The stressful demands of this role have caused turnover rates to soar above the national average on some of the inpatient hospital units. Instability of nursing management oversight negatively effects staff job satisfaction and delivery of high quality safe patient care. In reviewing the organizations initial orientation program for transitioning middle managers into their new role, it was missing the supportive guidance of a coach. A Caring Coach Leader program was developed based on the foundation of transformational and caring leadership attributes aligned to the organizations theory-based culture. Transformational caring leadership attributes positively influence followers’ engagement, builds trust relationships, and supports improvement of patient outcomes. Combined voluntary turnover rates of the assistant nurse managers and nurse managers, changes in caring attributes of program participants, and overall program appraisal were evaluated.