title: Implementing relationship-based care.
abstract: OBJECTIVE
  The authors describe verbal and nonverbal caring behaviors of nurses before and after implementation of a model of Relationship-Based Care (RBC). Nurse turnover and patient satisfaction were evaluated to support the organizational commitment to RBC.
  
  
  BACKGROUND
  To become foundational for all interactions, caring behaviors must be enculturated among nurses, colleagues (professionals and nonprofessionals), and organizational leaders.
  
  
  METHODS
  An observational design describing verbal and nonverbal caring behaviors prior to implementation of RBC and at 3 and 12 months after implementation.
  
  
  RESULTS
  Findings suggest that verbal and nonverbal caring behaviors increased. Behaviors were sustained at 1 year. Nurse turnover rates decreased from 9.4% to 1.9%.
  
  
  CONCLUSIONS
  Observable caring behaviors and nurse turnover rates improved with the implementation of RBC.
authors: St Mary's Medical Center, Evansville, Indiana 47750, USA. rpwinsett@stmarys.org
authors: Rebecca P
authors: RP
authors: Winsett
authors: Sheila
authors: S
authors: Hauck