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Current Gerontology and Geriatrics Research
Volume 2014 (2014), Article ID 949180, 8 pages
Research Article

Relationship-Based Care and Behaviours of Residents in Long-Term Care Facilities

1School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, 3001 12th Avenue North Sherbrooke, Sherbrooke, QC, Canada J1H 5N4
2Research Centre on Aging, CSSS-IUGS, Sherbrooke, QC, Canada
3Département d’études sur l’Enseignement et l’Apprentissage, Université Laval, QC, Canada
4Centre de Recherche et d’Intervention sur la Réussite Scolaire (CRIRES), QC, Canada
5Département des Relations Industrielles, Université Laval, QC, Canada
6Chaire de Recherche en Gestion de la Santé et de la sécurité du travail, Université Laval, QC, Canada
7Département de Réadaptation, Université Laval, QC, Canada

Received 29 April 2013; Revised 4 December 2013; Accepted 10 December 2013; Published 12 January 2014

Academic Editor: Jacek Witkowski

Copyright © 2014 Johanne Desrosiers et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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 ( 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.