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Using Appreciative Inquiry During Care Transitions: An Exploratory Study

Scala, Elizabeth MSN/MBA, RN; Costa, Linda L. PhD, RN, NEA-BC

doi: 10.1097/NCQ.0b013e31829a8416

The purpose of the study was to evaluate the effectiveness of a transitional care coaching intervention offered to chronically ill medical patients during the transition from hospital to home. This 2-arm randomized pilot study uses a coaching framework based on appreciative inquiry theory. This article reviews the appreciative inquiry literature and identifies the characteristics of patients who participated in appreciative inquiry coaching. Lessons learned are summarized, and suggestions for future research are offered.

Supplemental Digital Content is Available in the Text.

The Johns Hopkins Hospital (Ms Scala and Dr Costa), University of Maryland School of Nursing (Dr Costa), Baltimore.

Correspondence: Linda L. Costa, PhD, RN, NEA-BC, The Johns Hopkins Hospital, University of Maryland School of Nursing, 655 West Lombard St, Room 475A, Baltimore, MD 21201 (

The study was funded by a Dorothy Evans Lyne Research grant. The authors thank Steve Sawicki, BSN, BA, RN, for the conduct of the pilot study.

The authors declare no conflict of interest.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (

Accepted for publication: May 6, 2013

Published ahead of print: May 31, 2013

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins