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June 2011, Volume 41 Number 6 , p 23 - 24


  • JoAnn Maklebust MSN, RN, ACNS-BC, AOCN, NP, FAAN


THE CNO at Karmanos Cancer Center in Detroit, Mich., challenged the oncology nurse practice committee to explore new models of nursing practice. We chose the -relationship-based care (RBC) -delivery model, an updated version of primary nursing that emphasizes the RN's relationship with the -patient and family, and the multidisciplinary team.1-3 After attending an inspiring workshop, our committee implemented a new RBC model that we named Partners in Practice.4We wanted the opportunity to spend more time at the bedside putting the care back into our nursing practice. We communicate our caring through our words, actions, and presence, and partner with team members and other disciplines-but most of all, with our patients and families.Our RBC model incorporates six concepts or principles. Our staff nurses created videos/DVDs and posters demonstrating each of the six concepts using their own committee members as models. In this article, we discuss these six principles and share our results.1. The RN (primary nurse) is responsible for establishing a therapeutic relationship and an individualized plan of care with the patient and family. RNs introduce themselves and other healthcare team members, including LPNs and unlicensed assistive personnel (UAP), and inform patients about each team member's role in their care.Relationships are patient-focused and compassionate. Active listening is imperative for understanding and creating a supportive environment. Our human resources department helped us rewrite all the nursing job descriptions to embed primary nursing concepts into everyday practice. They include expectations and -responsibilities of the primary nurse and each team member.5In primary nursing, one RN -assumes accountability for planning and delegating care throughout a patient's hospital stay. On the patient's admission, the primary RN negotiates the plan of care with the patient and family and clearly documents how to carry out the plan. The primary RN cares for this

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