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  1. Winsett, Rebecca P. PhD, RN
  2. Hauck, Sheila MSN, RN, NEA-BC


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%.


Conclusion: Observable caring behaviors and nurse turnover rates improved with the implementation of RBC.