Relationship-based Care Model in Pediatrics

University of Urbino "Carlo Bo"

Status: Completed

Conditions: Depression, Anxiety; Nurse-Patient Relations

Treatments: Behavioral: Relationship-Based Care

Study type: Interventional

Funder types: Other

Identifiers

NCT04199429

UniUrb

Details and patient eligibility

About

Aim: To evaluate whether the application of the Relationship-based Care (RBC) model as a treatment called "Take 5 minutes" (T5M) affects the level of anxiety and depression of the parent, the level of the parent perceived quality of nursing care and the work satisfaction of the nursing staff.

Design: Single-blind randomized controlled trial.

Methods: The trial was performed from February to July 2016. The trial was conducted with one intervention (N=101) and one control group (N=90). Nurses applied the RBC model as a treatment, named "Take 5 Minutes", that consisted of dedicating some short time (from 5 to 10 minutes) to the relationship with the parents, using specifically designed communication strategies. The primary outcome was the evaluation of anxiety and depression of parents, the secondary was the parent perceived quality of nursing care.

Enrollment: 180 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• the parents of the children admitted to two Pediatric Units in a nationally renowned university hospital in the North-East of Italy
• had knowledge of the Italian language spoken and written
• were available for participation in the study by signing the informed consent

Exclusion criteria

• Parents of hospitalized patients for a duration of less than 4 days

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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180 participants in 2 patient groups

Experimental

Experimental group

Description:

Each nurse applied the RBC model through the treatment "Take 5 minutes" (T5M), to parents allocated to the experimental group. This consisted in devoting some time (from 5 to 10 minutes) to improving the relationship with the parent. This treatment can be considered as the practical development of the core principles of the RBC model by the study team. During the T5M the nurse applied the strategies of empathic communication and active listening, learned during the education and training phase. The treatment lasted from 5 to 10 minutes and was delivered once per day during the admission of the patient. The T5M time was considered as additional or supplementary, but not substitutive, of the standard nursing time dedicated daily to patients and parents.

Treatment:

Behavioral: Relationship-Based Care

Control

Active Comparator group

Description:

Standard nursing time dedicated daily to patients and parents.

Treatment:

Behavioral: Relationship-Based Care