©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

©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. An overarching concept that focuses attention on relationships (patient/family, colleague, and self) 2. A framework for transformation of the organizational culture 3. A care delivery model based on principles that shape behaviors (interdisciplinary and/or nursing) 4. A way of being present in the moment in relationships with a patient or colleague

©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 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. 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. Inspire a Shared Vision

©2010 Creative Health Care Management Appreciative Inquiry: An affirmative process in creating a Relationship-Based Care culture

Themes Present in a Relationship- Based Care Culture

©2010 Creative Health Care Management How: I 2 E 2 : Leading Lasting Change

©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