Work Relationships Scale (WRS)

1. This clinic encourages nursing staff (ie‚ RN‚ LVN‚ MA‚ CMA) input for making changes.     
2. Most people in this clinic are willing to change how they do things in response to feedback from others.
3. Most people in this clinic actively seek new ways to improve how we do things.
4. Most people in this clinic are comfortable voicing their opinion even though it may be unpopular.
5. Most people in this clinic pay attention to how their actions affect others in the clinic.
6. After making a change‚ we usually discuss what worked and what didn’t.
7. Most people in this clinic get together to talk about their work.
8. This clinic values people who have different points of view.
9. Difficult problems in this clinic are usually solved through face-to-face discussion.
10. We regularly take time to consider ways to improve how we do things.
11. When there is a conflict in this clinic‚ the people involved are encouraged to talk about it.
12. Most people in this clinic understand how their job fits into the rest of the clinic.
13. This clinic usually encourages everybody’s input for making changes.
14. My opinion is valued by others in this clinic.
15. The leadership in this clinic usually makes sure that we have the time and space necessary to discuss changes to improve care.
CMA = certified medical assistant; LVN = licensed vocational nurse; MA = medical assistant; RN = registered nurse.
Reliability Internal consistency: Cronbach’s α = 0.95.
Inter-item correlations range 0.29 to 0.80.
Cognitive Domain
Sense-making (n=2) 10‚ 12
Continuous learning (n=6) 1‚ 2‚ 3‚ 6‚ 10‚ 13
Shared explicit goals and
accountability (n=1) 12
Evolving mental models of roles
Affective/Relational Domain
Trust (n=1) 4
Respectful interaction (n=4) 1‚ 8‚ 13‚ 14
Heedful inter-relating (n=1) 5
Commitment (n=0)
Behavioral Domain
Communication (n=4) 4‚ 6‚ 7‚ 9
Adaptable to context and needs‚
improvisation (n=1) 2
Conflict resolution (n=2) 9‚ 11
Leadership Domain
Leadership (n=1) 15
1=Disagree Strongly‚ 2=Disagree‚ 3= Neutral‚ 4= Agree‚ 5= Strongly Agree

Finley‚ Erin P.‚ Pugh‚ Jacqueline A.‚ Lanham‚ Holly Jordan.‚ Leykum‚ Luci K.‚ Cornell‚ John.‚ Veerapaneni‚ Poornachand.‚ and Parchman‚ Michael L. (2013). Relationship Quality and Patient-Assessed Quality of Care in VA Primary Care Clinics: Development and Validation of the Work Relationships Scale. Annals Family Medicine; 11(6): 543–549.

Khodarahimi‚ Siamak.‚ Hashim‚ Intan H. M.‚ Mohd-Zaharim‚ Norzarina. (2012). Workplace Relationships‚ Stress‚ Depression and Anxiety in a Malaysian Sample. International Journal of Psychology and Behavioral Sciences‚ 2(2): 1-9