Trust between nursing management and staff in critical care: a literature review (original) (raw)
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Nursing Ethics
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International journal of nursing studies, 2014
Although trust has been investigated in the health context, limited research explores nurse and nurse manager perceptions of trust. To explore the concept of trust amongst nurses and nurse managers at individual, interpersonal and organisational levels. Our paper reports the findings from an interpretivist study conducted within the British National Health Service, involving thirty-nine semi-structured interviews with nurses and nurse managers. Large acute and small community organisation within the British National Health Service. 28 nurses and 11 nurse managers working within an Acute and a Community sector organisation - 20 and 19 in each organisation. Participants were selected through a process of purposive sampling, reflecting variations in terms of age, grade, ward and tenure. We utilise a concept analysis framework in exploring the antecedents, attributes and consequences of trust amongst nurses and nurse managers at individual, interpersonal and organisational levels. Key f...
Trust in nurse–patient relationships
Nursing Ethics, 2013
The aim of this study was to report the results of a literature review of empirical studies on trust within the nurse–patient relationship. A search of electronic databases yielded 34 articles published between 1980 and 2011. Twenty-two studies used a qualitative design, and 12 studies used quantitative research methods. The context of most quantitative studies was nurse caring behaviours, whereas most qualitative studies focused on trust in the nurse–patient relationship. Most of the quantitative studies used a descriptive design, while qualitative methods included the phenomenological approach, grounded theory, ethnography and interpretive interactionism. Data collection was mainly by questionnaires or interviews. Evidence from this review suggests that the development of trust is a relational phenomenon, and a process, during which trust could be broken and re-established. Nurses’ professional competencies and interpersonal caring attributes were important in developing trust; ho...
Nurse-Patient Trust Relationship
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Healthcare
Intensive care patients experience anxiety, pain, uncertainty, and total dependency. In general, it is important to develop trust between the healthcare professionals (HCPs), patients, and their family. Trust building in the ICU setting is challenging because of the time sensitivity of decision making and the dependency of patients on health care professionals. The objectives of this study are the development of a trust framework and then to use this framework in a case study in the intensive care. In three steps we developed a comprehensive trust framework from the literature concerning trust. First, we identified the elements of trust. Second, we adapted and integrated the dimensions to six concepts to construct the trust framework. Third, these concepts are incorporated into a comprehensive trust framework. In a case study we explored the facilitators and barriers within this framework in eight semi-open interviews with healthcare professionals and eight patients or partners. Tru...
Trust and trustworthiness in nursing: an argument-based literature review
Nursing Inquiry, 2012
Trust and trustworthiness in nursing: an argument-based literature review Caring requires nurses to establish trusting relationships with patients and to be trustworthy professionals. This article provides insight into the conceptual understanding of trust and trustworthiness in nursing through an argument-based literature review of 17 articles published between 1980 and 2010. Trust is characterized as an attitude relying with confidence on someone. The importance of trust relationships is considered by addressing the imbalances of power in nurse-patient relationships as they increase the vulnerability and dependency of the truster. Trust is considered as a process, and time, reliance on others, risk and fragility are identified as basic attributes of trust. However, trustworthiness is inadequately explored in the nursing ethics literature. Nurse educators have a responsibility to ensure that nurses are equipped with the attitudes and knowledge that are needed to establish trusting nurse-patient relationships.
Open Journal of Nursing, 2015
Aims and Objectives: To report a synthesis of the literature on the meaning of trust in the context of patients' experiences of nursing. The review question was "How do patients describe the meaning of trust in the nursing relationship?" Background: Trust is essential in nursing as it has the potential to create opportunities for the human being to gain faith, hope and meaning in life as well as open up for new experiences. Trust is an interpersonal and essential element of all patient-nurse relationships and requires nurses to create a trusting relationship with the patients. Design: Systematic qualitative literature review. Methods: Systematic searches were conducted for the period January 2002 to December 2012, updated in January 2014. 20 papers were included. Results: Four categories emerged: Attitudes related to trust, indicating that trust is fundamental and existential; Experiences of trust, concerning how trust can be sensed; The patient-nurse relationship, revealing the qualities of the person who creates trust; and Where trust occurs, illuminating the contextual relevancies of trust. Conclusions: Patients' experiences of trust in nursing are dependent on the nurses' knowledge, level of commitment in the dialogue to creating and developing the relationship and contextual issues. Implications for nursing practice: Reflection on a trusting relationship with the patient is necessary for a deeper conceptual understanding of trust in nursing. Clinical nurse researchers nurse supervisors, managers and nurse educatorsshould discuss different areas of trust during nursing supervision and focus-group meetings as well as with nursing graduates to ensure that nurses develop knowledge of how to create a trusting patient-nurse relationship.
Generating Oncology Patient Trust in the Nurse: An Integrative Review
Western Journal of Nursing Research, 2020
Establishing trust is the foundation of all interpersonal relationships and is vitally important when developing therapeutic relationships in nursing (Halldorsdottir & Hamrin, 1997; Pask, 1995; Robinson, 2016). Although trust is not readily visible, it is important for the patient-nurse relationship to be successful (Johns, 1996; Murray & McCrone, 2015). Trust in the nurse is influenced by patients' experiences, expectations, and encounters with the health care system (Dinc & Gastmans, 2012; Sellman, 2007). The inclusion or exclusion of family members during encounters with nurses also influences trust in the nurse, as family members are often primary caregivers (Robinson, 2016). As identified by Dinc and Gastmans (2013), trust in the nurse is a process that develops over time during consistent interactions with the nurse and can be either strengthened or diminished. Trust in the nurse is fragile and once it is lost it is not easily regained; thus, patient trust in the nurse, once obtained, must be maintained (Bell & Duffy, 2009). Many definitions regarding trust have been identified. Trust can be categorized as institutional or interpersonal (Gilson, 2006; Radwin & Alster, 1999). Institutional trust is between a patient and health care organization such as a hospital (Gilson, 2006). Interpersonal trust is between two individuals such as a patient and nurse (Radwin & Alster, 1999). The focus of this integrative review is the interpersonal trust between the adult oncology patient and the nurse. Definitions of interpersonal trust share a common viewpoint in that there is reliance upon a person, with the intent of goodwill, during circumstances of uncertainty and risk. Bell and Duffy (2009) defined interpersonal trust as "the optimistic acceptance of a vulnerable situation, following careful assessment, in which the trustor believes that the trustee has his best interests as paramount" (p. 50). A specific definition of interpersonal patient-nurse trust has been conceptualized by Radwin and Alster (1999) as "the confidence that care would be appropriate, reliable and as successful as possible" (p. 332).When patients trust the nurse, they feel emotionally and physically safe, and valued as individuals (Benkert et al., 2008; Langley & Klopper, 2005). The absence of trust in the patient-nurse relationship can produce emotional anguish for the patient, leading to insecurity, vulnerability, and poor outcomes of health and wellness (
BMC Nursing, 2021
Background Organizational trust is one of the most important issues in human relations that its importance in organizations is well known. Effective communication and cooperation between individuals require trust. On the other hand, the quality of a nurse’s trust in his/ her manager affects the behavior and performance of the nurse. The purpose of this study was to determine nurses’trust in managers (head-nurses and supervisors) and its relationship with nurses’ performance behavior. Methods This descriptive-correlational study was performed with the participation of 431 nurses working in educational centers of Ardabil, Iran. The sampling method was stratified randomly. Questionnaires of the McAllister Trust and Paterson Job Performance were used. Data analysiswas performed using descriptive statistics (mean, standard deviation, frequency) and Chi-square testin SPSS v.22. Results The results showed that the majority of nurses trusted head-nurses (80.3%) and supervisors (61.9%). In a...