The Envision Conference
Nursing: The Art and Science of Caring
Caring in Clinical Practice: The State of the Art
Relationship-Based Care
Kathleen Van Wagoner, Chief Nursing Officer, Crittenton Hospital Medical Center
Colleen Person, BSN, RN, MMA, Creative Health Care Management
www.chcm.com
©2010 Creative Health Care Management
What Is RBC?
RBC is a model for transforming
practice…a culture change.
©2010 Creative Health Care Management
Relationship-Based Care
1.
2.
3.
4.
An overarching concept that focuses
attention on relationships
(patient/family, colleague, and self)
A framework for transformation of the
organizational culture
A care delivery model based on
principles that shape behaviors
(interdisciplinary and/or nursing)
A way of being present in the moment
in relationships with a patient or
colleague
©2010 Creative Health Care Management
©2010 Creative Health Care Management
Fundamental Assumptions of
Relationship-Based Care

The essence of caring is
human connections.

Connection results in
harmony and healing,
whereas isolation
destroys spirit.

Everyone has a
valuable contribution
to make.
©2010 Creative Health Care Management
Relationship-Based Care
 Three
Vital Relationships

Relationship with patients

Relationship with colleagues

Relationship with self
©2010 Creative Health Care Management
Relationship-Based Care
“We experience the essence of care in
the moment when one human being
connects to another.”
- Mary Koloroutis, CHCM
©2010 Creative Health Care Management
Patients and Families at the center…

Humane, compassionate, and expert care and
service to patients and their families is a sacred,
privileged trust
©2010 Creative Health Care Management
Knowledge of
Self and Self Care :
Vital to Caring for Others
©2010 Creative Health Care Management
Inspire a Shared Vision
When a critical number of people change
how they think and behave,
the culture does also … and a new ERA begins.
- Jean Shinoda Bolen, M.D.
©2010 Creative Health Care Management
Appreciative Inquiry: An affirmative process in
creating a Relationship-Based Care culture
www.chcm.com
©2010 Creative Health Care Management
Themes
Present in a
RelationshipBased Care
Culture
www.chcm.com
How: I2E2: Leading Lasting Change
Vision
Inspiration
Infrastructure
Education
Evidence
©2010 Creative Health Care Management
I Will: A Commitment….
“I am only one;
but I am still one.
I cannot do everything,
but still I can do something.
I will not refuse to do
the something I can do.”
- Helen Keller
©2010 Creative Health Care Management
The Envision Conference
Nursing: The Art and Science of Caring
Caring in Clinical Practice: The State of the Art
Relationship-Based Care
Kathleen Van Wagoner, Chief Nursing Officer, Crittenton Hospital Medical Center
Colleen Person, BSN, RN, MMA, Creative Health Care Management
www.chcm.com
©2010 Creative Health Care Management