Relationship-based care model in paediatrics: A randomized controlled trial to implement the parents' perception of the quality of nursing care.
AIM
To evaluate whether the application of the Relationship-based care model as a new treatment, called "Take 5 min", affects the level of anxiety, depression, and perceived quality of nursing care of parents of paediatric patients and the work satisfaction of the nursing staff.


DESIGN
Single-blind randomized controlled trial.


METHODS
The trial was performed from February-July 2016. The trial was conducted with one intervention (N = 101) and one control group (N = 90). Nurses applied the treatment named "Take 5 Minutes", which consisted of dedicating some short time (from 5 to 10 min) 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.


RESULTS
In the experimental group, participants had a lower level of anxiety and depression and highlighted that the effect of the "Take 5 Minutes" was proportional to the initial seriousness of parents' anxiety and depression. Higher scores for the perception of the quality of care were given from the parents of the experimental group.


CONCLUSION
The "Take 5 Minutes" treatment offered to parents of paediatric patients demonstrated significant improvements in terms of their anxiety, depression, and perceived quality of nursing care.


IMPACT
Caregivers of paediatric patients are subject to psychological disorders such as depression and anxiety. The communication by the nursing community is of fundamental importance in the management of anxiety and depression in the caregivers of hospitalized patients. Caregivers who received the "Take 5 Minutes" treatment demonstrated a significant decrease in anxiety and depression compared with the control group caregivers. The perceived level of quality of nursing care showed a significant increase in the group of caregivers who received the T5M treatment. The RBC model does not require extra costs for health organizations and can be applied during the usual practice of care. Practices such as T5M could become part of paediatric patient care guidelines and nurses should be trained to apply them.


TRIAL REGISTRATION NUMBER
Padua Research: ID No. 10,034; ClinicalTrials.gov: ID No. NCT04199429.
['De Barbieri|Ilaria|I|https://orcid.org/0000-0002-7006-0733', 'Sisti|Davide|D|', 'Di Falco|Achille|A|', 'Galeazzo|Marilena|M|', 'Amatori|Stefano|S|https://orcid.org/0000-0001-7497-755X', 'Rocchi|Marco Bruno Luigi|MBL|', 'Perilongo|Giorgio|G|']
D001007:Anxiety D017028:Caregivers D002648:Child D006801:Humans D009732:Nursing Care D010290:Parents D010372:Pediatrics D010465:Perception D016037:Single-Blind Method
relationship-based care paediatric nurse caregiver anxiety nurse job satisfaction