📊 Evidence, Evaluation & Publication Status
Part of the Flourishing Nursing™ Evidence Library · Last reviewed November 7, 2026
This page keeps six kinds of material apart, so that evidence for one thing is never presented as evidence for another.
⚠️ Evidence for a specific diet, exercise programme or community intervention does not transfer to the integrated Flourishing Nursing framework. The framework itself has not yet been evaluated.
Evidence about particular interventions
Published research on specific approaches, such as whole-food plant-based eating patterns, physical activity, sleep, stress reduction, nurse coaching and culinary education. Each source applies only to the intervention, population and outcome it studied.
➡️ Browse the Evidence Library · Nursing reach and patient outcomes research brief
Ideas the framework builds on
Human flourishing scholarship, holistic nursing, nurse coaching, lifestyle medicine, caring science, and neighbourhood nursing models such as Buurtzorg. These shape the framework’s design; they are not evidence that it works.
➡️ Nathanael’s Flourishing Nursing Theory™ · Human flourishing in nursing · Framework development & transparency
Author-developed, not validated
| Tool | Status |
|---|---|
| Care Workflow | Draft v1.0 for review |
| Soil conversation guide / Garden Soil Assessment™ | Draft discussion aids; not validated; not the same instrument |
| Cup of Flourishing™ | Draft conversation aid; no scores; not validated |
| Nine Gardens of Flourishing™ | Conceptual organising domains |
| Shared-plan worksheet | Draft v1.0 |
Possible future work: expert review, content validity, acceptability, feasibility and, if appropriate, psychometric testing.
Planned, not operating
From Advice to Dinner: planning-stage educational pilot. No host, dates, participants or operating services yet.
None completed yet
When an evaluation is completed it will be listed here with: what was delivered; who participated; where and when; what was measured; what was found; and what limitations remain. No results, testimonials, recruitment figures, partnerships or impact estimates will be published without that record.
Listed by actual status
Labels used: Draft · Under author review · Submitted · Accepted · Published. “Submitted” is used only after a submission is verified.
| Work | Status | Notes |
|---|---|---|
| Before “Eat More Plants” | Draft | Status awaiting confirmation by the author; not submitted or published. |
| Nursing the Power of the Plate | Draft | Working title for an article Jill Edwards invited for the Plantrician Library. An invitation and editorial encouragement are not acceptance of the article or endorsement of the framework. |
| Flourishing Nursing conceptual manuscript (full) | Draft | Status awaiting confirmation by the author; not submitted or published. |
| Nutrition-feasibility manuscript (possible target: The Lancet) | Draft | Working draft. The journal’s article-format requirements and its policies on artificial intelligence use are still to be resolved. Not submitted. |
| Kitchen Monk / Flourishing Nursing Pilot Workbook | Draft | Operating resource for the proposed pilot. Not yet published on this site; web worksheets are available now. |
← Care Workflow stage 8 · Help study Flourishing Nursing · Corrections: rfjeep@gmail.com
🥷 Research Priority #1 · Every nurse coach deserves to flourish
Our top research goal is to develop and rigorously evaluate pathways that help every nurse coach become a highly successful, flourishing Nursing Ninja who is paid well. In this initiative, that means meaningful work, fair and sustainable compensation, professional capability, personal wellbeing, and safe, valuable care. “Every” expresses our aspiration for inclusive opportunity; it is not a claim that universal success or income has been achieved.
Success will be defined with nurse coaches and the people they serve. Financial success must coexist with manageable workloads, patient choice, accessibility, and clinical quality. “Flourishing Nursing Ninja” is our initiative’s encouraging identity, not a new license, board certification, or entitlement to reimbursement.
Qigong, mindfulness, and coaching in this research agenda
Qigong Nursing is our preferred optional mindful movement approach for stress reduction. Dr. Jon Kabat-Zinn’s Mindfulness for Beginners is a recommended companion resource. Formal MBSR remains a distinct structured program. Neither Qigong nor a religious practice is required for participation, recognition, employment, or compensation.
Study participation, dose, adaptations, acceptability, and adverse experiences separately. A future comparison could offer optional Qigong-informed support alongside the same coaching-development program, compared with that program alone. It should not attribute the effects of mentoring, pay changes, or staffing improvements to Qigong.
Define flourishing before measuring it
| Measure | Definition for a proposed evaluation |
|---|---|
| Pay and economic security | Actual annual compensation, benefits reported separately, all work hours, effective hourly compensation, income stability, and training costs. |
| Paid well | A prespecified local compensation benchmark appropriate to role and employment status, agreed with participating coaches; report the benchmark and the proportion meeting it. |
| Working conditions | Documentation, preparation, travel, supervision and outreach time; unpaid hours, caseload, protected breaks, autonomy, and intention to stay. |
| Wellbeing and capability | Suitable validated wellbeing and burnout measures, professional confidence, mentoring access, and demonstrated role-appropriate skills. |
| Patient benefit and safety | Patient-selected goals, experience, access, relevant clinical measures, harms, and continuity; no assumed cure or remission. |
| Sustainability and equity | Collected revenue, full delivery costs, operating result, retention, access barriers, and outcomes across relevant groups. |
A proposed evaluation—not completed research
First co-design the compensation benchmark and meaningful outcomes with coaches, patients, employers, and evaluation partners. Then assess feasibility in a defined setting before considering a larger comparative study. Prespecify a primary outcome, comparator, analysis, follow-up, and sample-size rationale; proposed measurement points are baseline, 3, 6, and 12 months.
Report who was eligible, who enrolled, who left, missing data, implementation costs, uncertainty, harms, and null findings. Use a credible concurrent comparison where feasible; before-and-after improvement alone cannot establish causation. Obtain the appropriate ethics and privacy review before recruitment or collecting identifiable research data.
This workforce agenda is now Priority #1. Existing patient-outcome pilot proposals remain separate, complementary questions; their proposed endpoints are not silently replaced by this update. No study has begun, no new participants or partners are announced, and no results or guaranteed earnings are claimed.
2027 policy context
CMS has announced a health and well-being coaching payment pathway under general supervision, effective January 1, 2027. This is a potential implementation context, not evidence that the Flourishing Nursing model works or that a particular coach will earn a given amount. Read CMS’s announcement. Verify each service’s current requirements; a Qigong class or initiative title alone does not establish billing eligibility.
Theory · Evidence & Mathematics · Financial model · Evidence status
Research agenda amendment · November 9, 2026. Founder-directed priority and proposed evaluation framework. Not a completed study, validated instrument, verified business forecast, or change to downloadable workbooks or manuscripts.
“Thy word is a lamp unto my feet, and a light unto my path.” 
