Trust, trait theory, and collaboration in telemedicine: A circumplex perspective (original) (raw)
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Trust, trait theory, and collaboration in telemedicine: an empirical test
2004
Abstract This study investigates the effect of individual personality traits on trust in virtual collaboration in telemedicine. In most research there has been an emphasis on the immediate precursors of trust, such as institutional factors (eg, norms), prior reputation of the parties, and interactions among parties.
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2009
This paper reports on system trust and interpersonal trust issues revealed in an embedded-case study of two telemedicine services offered by a teaching hospital. Consistent with McKnight (2005) perceived system competence was an important dimension of system trustworthiness. Drawing on representation theory (Wand and Weber, 1995) we observed: 1. Some clinicians feel telemedicine provides a better representation than they can achieve in conventional practice. 2) The ability to control specific technical features leads to increased representational quality, perceived system trustworthiness and usage. 3) Some clinicians adapt the telemedicine system to improve it. 4) Some users do not distinguish between the technology artifact and a human helper when judging system trustworthiness. We conclude with two key findings: 1) judgments about system trustworthiness interact with users' technical and clinical skills and 2) system trust and interpersonal trust are reciprocal.
2017
Rapid developments in the field of information and communication technologies (ICT), in parallel with the steady coverage growth of mobile cellular networks, have shaped a digital meeting space for patients and healthcare experts. However, this space remains largely unexplored. There is a large body of telemedicine research, but it almost always reports technical pilots within institutional settings, overlooking the use of everyday technologies [designed for personal rather than medical communication] in the healthcare sector. Lack of knowledge about the role of trust in the context of remote communication via ICT between patients and healthcare experts reflects a significant research gap addressed in this thesis. I use original, in-depth qualitative evidence to explore the role of trust in the context of ICT-enabled remote communication in healthcare. Sixteen private practitioners based in Greece took part in the research. They were specialised in the fields of physical and mental ...
Trust in interprofessional collaboration
Canadian Pharmacists Journal, 2016
Background: trust is integral to effective interprofessional collaboration. there has been scant literature characterizing how trust between practitioners is formed, maintained or lost. the objective of this study was to characterize the cognitive model of trust that exists between pharmacists and family physicians working in collaborative primary care settings. Methods: Pharmacists and family physicians who work collaboratively in primary care were participants in this study. Family health teams were excluded from this study because of the distinct nature of these settings. through a snowball convenience sampling method, a total of 11 pharmacists and 8 family physicians were recruited. A semistructured interview guide was used to guide discussion around trust, relationships and collaboration. constant-comparative coding was used to identify themes emerging from these data. Results: Pharmacists and family physicians demonstrate different cognitive models of trust in primary care collaboration. For pharmacists, trust appears to be conferred on physicians based on title, degree, status and positional authority. For family physicians, trust appears to be earned based on competency and performance. these differences may lead to interprofessional tension when expectations of reciprocal trust are not met. Conclusions: Further work in characterizing how trust is developed in interprofessional relationships is needed to support effective team formation and functioning.
How trust affects performance of interprofessional health-care teams
Journal of Interprofessional Care, 2019
Interprofessional teamwork in health-care settings is considered a valuable means of enhancing patient management. Literature has highlighted the importance of trust in building effective health-care teams. The present study aimed to investigate and further understand the perceptions of health-care professionals regarding trust and performance within their working team, as well as to assess the association between them and team performance. "TRUST" questionnaire, a valid instrument for measuring the relationship of trust and team performance was distributed to the members of the perioperative teams located in two different hospitals (a University and a General Hospital) in Greece. Two multivariate linear regression models were developed to reveal the significant predictors of high performance per hospital. Among the major findings revealed were 1) trust and performance were closely related 2) slight yet significant variations were observed between the University and the General Hospital and 3) trust level, years of previous experience and number of team members were among the key predictors of effective team performance. This study conveys new knowledge on trust and performance within health-care settings with limited resources and is expected to guide future interventions aiming to enhance team performance.
Various dimensions of trust in the health care system
Emergency Medical Service, 2020
Trust is one of the most important factors in building effective and long-lasting relationships in the entire healthcare sector. Trust becomes a valuable ally in situations of high risk and uncertainty as well as the increasing complexity of tasks that accompany the daily work of all medical professionals, especially paramedics, due to the nature of their work in the medical rescue system. Mutual trust is the basis of social capital thanks to which it is possible to achieve mutual benefits, easier to coordinate activities, create new quality and solutions through cooperation or strong ties. It is a kind of glue that binds various organizational and system links, thanks to which it is easier to plan and introduce necessary improvements and changes within individual medical units or the entire health care system. The high degree of trust increases the quality of clinical communication with the patient and the effectiveness of medical care and strengthens the employees’ motivation and ...
2018
Experienced Practitioners' Views on Interpersonal Skills in Telehealth Delivery Background. As telehealth becomes a larger part of the health care landscape, clinicians are becoming prepared to operate technology-based systems for conducting routine care and exchanging information. Less defined are interpersonal skills for telehealth care delivery such as communication and therapeutic relationships that can influence clinical outcomes. Examples include clinician adaptability to the communication process via telehealth, clinician congeniality in communications, and striving to achieve telepresence. The purpose of this study was to describe interpersonal skills for telehealth delivery to assist in the preparation of health professionals. Methods. Aqualitative methods approached was used to build on results from our previously published systematic review. Semi-structured, in-depth interviews were conducted with experienced practitioners or educators (n=6) at multiple regional telehealth centers. Video/audio-recorded sessions were transcribed verbatim and researchers conducted thematic analysis of data until achieving saturation of data. Results. Participants provided their perspectives about interpersonal skills important for quality telehealth delivery based on professional experiences. Analysis of responses across interviews showed strong alignment with the six themes identified previously as non-technical clinician attributes: Preinteractional, Verbal Communication, Non-Verbal Communication, Relational, and Environmental. Also, an additional theme of Management/Operations emerged. Suggested training topics crossed clinical disciplines and ranged from telemedicine etiquette and verbal skills to equipment operation and billing and coding. Each study participant commented on benefits from preparation of telehealth clinicians related to the clinician-patient interaction such as: patient engagement, patient-centered care, patient satisfaction, patient implementation of care plans, effective communication with patients, and quality assessment of telehealth sessions. Conclusions. This study identified interpersonal skills that may be applied in professional education for telehealth delivery from the perspective of experienced practitioners. Further research could explore outcomes from professional preparation for interpersonal skills and patient perspectives.
QJM, 2000
A model to explain interpersonal trust development, a secure situational trust emerging from consultations, which is carried forward as learnt trust and and its consequences for cooperative behaviour in doctor/patient partnerships derived from the con-modified in each subsequent consultation. The model comprises three types of situational trust text of business relationships is applied to patient/ physician relationships. Threshold barriers exist (calculus-based, knowledge-based, and identification trust) and five cooperation criteria from which against all human behaviours or actions and trust is the process by which barriers to cooperation and to determine an individual's tendency for cooperative behaviour. These model components can compliance are overcome. Dispositional trust (a psychological trait to be trusting) is dominant in the be identified and mapped from a range of qualitative data, with the aim of enhancing cooperative behavi-early stages of a relationship and contributes to the weight of subsequent trust development. Co-oper-our and efficiently achieving optimal patient compliance.