Relationship-Based Care

Question 1

What is relationship based care?

Answer 1

It is a philosophy of care that puts the patient and family experience as the core value

The primary focus is on the nurse patient relationship

Question 2

**What are the 2 essential elements of Relationship-Based Care?

Answer 2

1. Continuity of care throughout the hospital experience
2. Clarity of the RN’s acceptance of responsibility for decision making regarding nursing care the patient receives during assigned hours of care

Question 3

What are the 4 crucial concepts in nursing?

Answer 3

Caring, Client, Health, and Environment

Question 4

What is Jean Watson’s theory called?

Answer 4

Theory of Human Caring or the Caring Model

Question 5

What is the basic premise of Watson’s theory?

Answer 5

It emphasizes the humanistic aspects of nursing in combination with scientific knowledge

She’s all about relationships-relationships between the nurse, patient, patient’s family, and other members of the healthcare team

Question 6

Marie Manthey is the originator of what?

Answer 6

Primary Nursing

Question 7

What is Primary Nursing?

Answer 7

It is health care delivery which emphasizes continuity of care and responsibility acceptance by having ONE RN often teamed with a LPN and a NA who together provide complete care for a group of pts throughout their hospital stay

Question 8

What are the benefits of Primary Nursing?

Answer 8

Typically, it decreases cost and increases patient satisfaction and safety

Question 9

What are the 4 core elements of Primary Nursing?

Answer 9

1. Decision-making
2. Work allocation
3. Communication
4. Management

All focus on the patient experience during their hospital stay

Question 10

What is Katharine Kolcaba’s theory?

*Kahler’s favorite theorist!

Answer 10

The Comfort Theory

Question 11

What is so special about the Comfort Theory?

Answer 11

It allows for comfort to be measured

Question 12

What are the 3 states that the human need for comfort is experienced in according to Kolcaba?

Answer 12

1. Relief: the state of having a discomfort alleviated
2. Ease: the absence of specific discomfort
3. Transcendence: the ability to rise above discomforts when they cannot be eradicated or avoided

Question 13

What are the 4 contexts that the human need for comfort is experienced in according to Kolcaba?

Answer 13

1. Physical
2. Psychospiritual
3. Sociocultural
4. Environmental

Question 14

What are the Physical aspects of comfort?

Answer 14

Pertaining to bodily sensations and homeostasis such as:

• pain relief
• regular bowel function
• fluid/electrolyte balance
• adequate oxygen saturation
• turning
• positioning

Question 15

What are the Psychospiritual aspects of comfort?

Answer 15

Pertaining to internal awareness of self, esteem, sexuality, meaning of one’s life

• Increasing relaxation
• Enhancing independence
• Maintaining or improving self-esteem
• Accommodating religious practices

Question 16

What are the Sociocultural aspects of comfort?

Answer 16

Pertaining to family, interpersonal, and societal relationships, family traditions, and rituals such as:

• Caring attitude
• Continuity of care
• Information and education
• Enhancing family and friend support
• Cultural customs

Question 17

What are the Environmental aspects of comfort?

Answer 17

Pertaining to the external background of human experience such as:

• Temperature
• Noise
• Color
• Light
• Views from the window
• Access to nature and outdoors

Environment is absolutely essential to healing!