title: Relationship-based care and behaviours of residents in long-term care facilities.
abstract: Introduction. In long-term care (LTC), person-centred approaches are encouraged. One such approach, relationship-based care (RBC), aims among other things to reduce residents' agitated behaviours. RBC has been used in numerous Quebec LTC facilities over the past decade but it has never been studied. Objective. Explore correlations between use of RBC by trained caregivers and the frequency of agitated and positive behaviours of residents with cognitive impairments. Methods. Two independent raters observed fourteen caregiver/resident dyads in two LTC facilities during assistance with hygiene and dressing. Checklists were used to quantify caregivers' RBC use and residents' agitated and positive behaviours. Results. Scores for RBC use were high, suggesting good application of the approach by caregivers. Correlation analyses showed that offering residents realistic choices and talking to them during care were associated with both positive and agitated behaviours (P from 0.03 to 0.003). However, many other components of RBC were not associated with residents' behaviours during care. Conclusions. There were only a few quantitative links between the RBC checklist items and the frequency of agitated or positive behaviours. Other studies with a more rigorous research design are needed to better understand the impact of relationship-based care on residents' behaviours.
authors: School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, 3001 12th Avenue North Sherbrooke, Sherbrooke, QC, Canada J1H 5N4 ; Research Centre on Aging, CSSS-IUGS, Sherbrooke, QC, Canada.
authors: Johanne
authors: J
authors: Desrosiers
authors: Département d'études sur l'Enseignement et l'Apprentissage, Université Laval, QC, Canada ; Centre de Recherche et d'Intervention sur la Réussite Scolaire (CRIRES), QC, Canada.
authors: Anabelle
authors: A
authors: Viau-Guay
authors: Département des Relations Industrielles, Université Laval, QC, Canada ; Chaire de Recherche en Gestion de la Santé et de la sécurité du travail, Université Laval, QC, Canada.
authors: Marie
authors: M
authors: Bellemare
authors: Chaire de Recherche en Gestion de la Santé et de la sécurité du travail, Université Laval, QC, Canada ; Département de Réadaptation, Université Laval, QC, Canada.
authors: Louis
authors: L
authors: Trudel
authors: Département des Relations Industrielles, Université Laval, QC, Canada.
authors: Isabelle
authors: I
authors: Feillou
authors: Département de Réadaptation, Université Laval, QC, Canada.
authors: Anne-Céline
authors: AC
authors: Guyon