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  1. Delaney, Colleen PhD, RN, AHN-BC, HWNC-BC
  2. Barrere, Cynthia PhD, RN, CNS, AHN-BC, FAAN
  3. Bark, Linda PhD, RN, MCC, NC-BC, NBC-HWC


The purpose of this study was to examine metaphors used by patients with chronic conditions to describe their experience with holistic nurse coaching. A secondary analysis was conducted using Metaphor Identification Procedure to analyze the corpus of 112 pages of typed transcription. Five metaphors emerged: (1) taking personal power back like acquiring a new toolbox; (2) seeing health challenges from different angles like a duck pond race; (3) shifting perception of a chronic condition like a spider turned into a friend; (4) engaging in self-care like caring for a favorite plant; and (5) choosing to focus on the positive like a collage that changed from dark to light. Specific interventions can be developed to address each of these metaphors to help patients live well with chronic conditions.