Introduktion to Coaching 2 Selfcare

Name: Britta Hørdam 

 Head of Research Britta Hørdam, PH.D(medicin)

  Nurse, Cand.Cur.

Diploma education as a nursing teacher.

 Authorization as a nurse.

Slide from certifikat engelsk.
”To identify a sepcifically targeted, needs-oriented nursing approach to the individual patient/citizen based on systematic data collection and observations, and, apply a nursing model and implement an intervention grounded in clinical decision-making” © Britta Hørdam.

Coaching2selfcare PP 24.10.19 final version[1110].pdf

International prise for "Best Practice Certificate" from "European Public Service Award (EPSA) 2019".

By sharing our own solutions with others, we can use their experiences to improve the original solution and possibly achieve a greater reach and impact. COI aims to ease the path to share and reuse innovation in the public sector. Field studies in Danish municipalities, tests with leaders and employees on all levels of government and in various fields and insights from national and international research shows that networks and relations between innovators are important for innovation to spread.

In order to establish and enhance the relations between Danish public sector innovators COI has undertaken two national initiatives:

  1. National Innovation Internship
  2. Networks for innovative leaders and employees.

The first national innovation internship was organized by COI in September of 2015 and the third took place in September 2017. Aside from matchmaking innovators across the public sector, COI’s focus has been on creating the best circumstances for the actual spreading of innovation by organizing preparatory and follow-up workshops. Yearly evaluations show that participants have an incredibly high satisfaction with the internship and that many of the relations become lasting.



The purpose is to identify a specifically targeted, needs-oriented nursing approach to the individual
patient/citizen based on systematic data collection and observations, apply a nursing model and implement an
an intervention grounded in clinical decision-making.

© Britta Hørdam, 2017

Head of surgery Ole Maagaard, Head of Research Britta Hørdam & Head of Department Lotte Christensen

Coaching to self-care to patients with new hip  


Nobody wants to take too many painkillers. Nobody wants to stay in the hospital longer than strictly necessary even after orthopaedic surgery in your hips. No hospital wants patients to stay a minute longer than needed. Beds are expensive. Patients prefer the familiarity of their home to a hospital bed and hospital food. Since 1969 hip replacement has gone from being a rare surgery that involved hospitalization for 6-8 weeks followed with rehabilitation - to being pretty close to “hip today home tomorrow”. A number of 10.000 patients have a new hip in Denmark every year, and in Europe the number is more than 190.000 patients.

However, this advancement in “technology” puts a different responsibility and tasks on to the patients. The challenge becomes: How can we coach patients to self-care? How can we empower and support them to feel safe recouping and rehabilitating at home? How can we ensure that they don’t drop their medication too soon? How can we enable them to keep their health on track? How can we meet their needs?


Coaching to self-care is a structured process of doing just this. Our ”Coaching to self-care” concept - based on three randomised clinical trials in orthopaedic departments. Research shows that caring to elderly patients 65+ after hip-replacement and early discharge were spread with use of an innovation tool. Ortopeadic Depart. in Holbek was first with full implementation and results of 100% participation and 94% patient-satisfaction.

Coaching to self-care is a four step systematic intervention and counselling concept, developed, tested and validated to support patients after early discharge. The most frequent symptoms as pain, reduced walking ability, and reduced ability to cope in activities of daily living were given individually specific counselling by health care providers.

Step 1: Before hip-replacement patients attend a multidisciplinary seminar conducted by a surgeon, an anaesthesiologist, a physiotherapist and nurses. Focus is on patients’ surgical treatment, anaesthesia, possible complications and risks, pain treatment, physical exercise  and early discharge.

Step 2: After surgery they stay for one or two days to be prepared for early discharge, after training in how to walk and continue their physical training at home, medication and activities of daily living. They are prepared to have phone-consultation follow-up by a nurse from hospital one week after discharge.

Step 3: One week after discharge patients have individual follow-up, interview and counselling meeting their needs.

Step 4: Evaluation of the concept, and update of the interview guide based on needs and answers and statistical significance. Follow-up and information to the providers.


Use the “Spreading innovation tool” ( if you wish to implement the concept in your organisation.

The concept “Coaching to self-care” does not require any investments in IT or licenses or recruitment of new competencies. However it requires a change in organisation and a continuous focus on improving the new way of working. Thus, the concept and the same human resources working in in a more structured manner to the benefit of both employees, managers and most importantly patients’ wellbeing.

Webside © Britta Hørdam, 2019