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Time to care: a patient‐centered quality improvement strategy

Cheryl Brunoro‐Kadash (College of Nursing, University of Saskatchewan, Saskatchewan, Canada)
Nick Kadash (Department of Neurosciences, Royal University Hospital, Saskatchewan, Canada)

Leadership in Health Services

ISSN: 1751-1879

Article publication date: 19 July 2013




The purpose of this paper is to describe the processes and results of implementing and evaluating the Releasing Time to Care™ (RTC™) model in a 45‐bed Neurosciences unit in a tertiary care hospital in Saskatchewan province of western Canada.


Organizational restructuring in healthcare systems has impacted the ability of clinical registered nurses (CRNs) in participation and in influencing the decision making that affect the delivery and outcomes of patient‐centered care. At the same time, CRNs' work has intensified because of increases in patient acuity, technological advances, complexity of care provided to patient families and communities, in addition to the intensifying demands put on by an aging population and dwindling resources. The work reported in this paper shows that significant improvements have been made based on the current needs and the change is forever imminent. Establishing solid people connections and networking opportunities proved valuable for current and future exchange of information and knowledge translation.


Model implementation resulted in positive narrative and empirical data including: improved patient safety, staff engagement, leadership opportunities and an affirmative shift in organizational culture. Improved patient safety was evidenced by a reduction in falls and decreased medication errors.


The paper focuses on including the clinical nurse in organizational and system change towards improving patient‐centered quality care. Neurosciences 6300 at Royal University Hospital (RUH) in Saskatoon, was viewed as an RTC™ champion and one of the first to implement and complete the 11‐module toolkit.



Brunoro‐Kadash, C. and Kadash, N. (2013), "Time to care: a patient‐centered quality improvement strategy", Leadership in Health Services, Vol. 26 No. 3, pp. 220-231.



Emerald Group Publishing Limited

Copyright © 2013, Emerald Group Publishing Limited

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