Relationship-Based Care Research Literature Sources


Read the latest research on the science of caring in these helpful resources:

Carabetta, M., Lombardo, K., & Kline, N. E. (2013, February).  Implementing primary care in the perianesthesia setting using a Relationship-Based Care Model. Journal of PeriAnesthesia Nursing, 28(1), 16-20.

Abstract: As surgical patients pass through the perianesthesia continuum, the nurses they encounter rarely have time to develop a nurse-patient relationship, or identify patient needs and concerns and pass this information along to other providers. In the preprocedural period of the care continuum, however, patients and their families often express information that is important to the patient and should be included in the patient’s perioperative plan of care. Three questions were developed and added to the existing preoperative nursing assessment to ascertain the needs and concerns of patients and their families in the presurgical setting. Responses were communicated to the postanesthesia care unit nurse. Through implementation of this simple process, patient needs were better recognized and communicated during recovery from anesthesia. Results suggest that this primary care nursing model, adapted for a perioperative setting, has been overwhelmingly successful in communicating and responding to patients’ needs during their surgical experience.

Cropley, S. (2012). The Relationship-Based Care Model: Evaluation of the impact on patient satisfaction, length of stay, and readmission rates. The Journal of Nursing Administration, 42(6), 333-339.

Abstract: Objective: The objective of this study was to assess the impact of the implementation of the relationship-based care (RBC) model on patient satisfaction, length of stay, and readmission rates in hospitalized patients. Background: RBC model promotes organizational viability in critical areas that measure success, inclusive of clinical quality, patient satisfaction, and robust financial standing.

Methods: A retrospective secondary analysis of aggregate patient satisfaction data, length of stay, and readmission rates at a rural Texas hospital was reviewed for the years 2009 and 2010. This study compared pre-implementation data for year 2009 with post-implementation data for year 2010.

Results: Data support the positive influential impact of RBC model. A negative correlation was noted with readmission rates and a concomitant positive correlation with length of stay. Overall satisfaction with nursing did not reveal a significant correlation to the new care model. Conclusions: RBC model supports a patient-centered, collaborative care environment, maximizing potential reimbursement.

Faber, K. (2013, November). Relationship-Based Care in the neonatal intensive care unit. Creative Nursing Journal, 19(4), 214-218.

Abstract: At St. Joseph’s Regional Medical Center in Paterson, New Jersey, implementation of the Relationship-Based Care (RBC) model of care delivery and enculturation of the philosophy of care embodied in Jean Watson’s Theory of Human Caring (Watson, 2007) improved patient outcomes and supported quality nursing care across the continuum of care in our organization. The ability of staff nurses to create an atmosphere of professional inquiry that places patients and families at the center of practice supported implementation of RBC in our neonatal intensive care unit (NICU).

Wessel, S. (2012, November). Impact of Unit Practice Councils on Culture and Outcomes. Creative Nursing Journal, 18(4), 187-192.

Abstract: This article describes positive outcomes in culture, Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores, employee engagement, and clinical quality as a result of using shared governance, specifically unit practice councils (UPC) or staff councils, to implement Relationship-Based Care (RBC).

Winsett, R. P. &  Hauck, S. (2011, June). Implementing Relationship-Based Care. The Journal of Nursing Administration, 41(6), 285-290.

Abstract:  Objective: The authors describe verbal and nonverbal caring behaviors of nurses before and after implementation of a model of Relationship-Based Care (RBC). Nurse turnover and patient satisfaction were evaluated to support the organizational commitment to RBC.

Background: To become foundational for all interactions, caring behaviors must be enculturated among nurses, colleagues (professionals and nonprofessionals), and organizational leaders.

Methods: An observational design describing verbal and nonverbal caring behaviors prior to implementation of RBC and at 3 and 12 months after implementation.

Results: Findings suggest that verbal and nonverbal caring behaviors increased. Behaviors were sustained at 1 year. Nurse turnover rates decreased from 9.4% to 1.9%.

Conclusion: Observable caring behaviors and nurse turnover rates improved with the implementation of RBC.

Woolley, J., Perkins, R., Laird, P., Palmer, J., Schitter, M. B., Tarter, K., George, M., Atkinson, G., McKinney, K., & Woolsey, M. (2012, May-June).  Relationship-Based Care: Implementing a caring, healing environment. MEDSURG Nursing, 21(3), 179-184.

Abstract: Relationship-based care is focused on a caring and healing environment which is vital to the quality of patient care. By using the six key dimensions of the model, health care organizations are able to focus their relationships with those they encounter and thus create a caring, healing environment. The Relationship-Based Care Model is patient- and family-centered, surrounded by a framework of leadership, teamwork, professional nursing practice, patient care delivery, resource-driven practice, and outcomes measurement (Koloroutis, 2004). This model comprises three crucial relationships: the relationship with the patient and family, the relationship with self, and the relationship with co-workers. This framework is essential for a successful implementation of relationship-based care. Koloroutis encouraged organizations to inspire staff, establish practices and processes, educate all members of the organization, and examine practice results after implementing this transformation to relationship-based care. The Surgical Medical Care Center (SMCC), located in a mid-western hospital, houses 61 beds with a patient population consisting largely of postoperative patients. In April 2008, SMCC was invited to participate in a Voluntary Hospitals of America (VHA) initiative based on the Relationship-Based Care Model. This initiative, RetuRN to CareTM, focused on involving staff nurses in decision making, improving work environment, implementing evidence-based changes to improve patient care, and improving job satisfaction (Kirsch, 2008a, 2008b).