Abstract：
BACKGROUND:Although trust has been investigated in the health context, limited research explores nurse and nurse manager perceptions of trust. OBJECTIVE:To explore the concept of trust amongst nurses and nurse managers at individual, interpersonal and organisational levels. DESIGN: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. SETTINGS:Large acute and small community organisation within the British National Health Service. PARTICIPANTS: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. METHODS: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. RESULTS:Key findings suggest that trust is formed within the immediate ward environment, and is significantly influenced by the role of line manager. Other positively influencing factors include professionalism and commitment to the nursing profession. These form the basis for the teamwork, delegation, support, open communication systems, confidentiality and discretion essential to delivering quality patient care. Negatively influencing factors include new management concepts, practices and styles overseen by managers recruited from the private sector. New management concepts were associated with reductions in the number of qualified nurses and increasing numbers of untrained nursing staff, reduced direct patient contact, less opportunities for professional training and development and deteriorating terms and conditions of employment. CONCLUSIONS:Our findings offer insight for managers, nurses and human resource practitioners to help build high trust relationships in a health care context. Of particular import is the need for managers to communicate more effectively organisational and financial constraints, in a manner that does not 'alienate' nurses and nurse managers, by highlighting their value and acknowledging their role in delivering high quality patient care.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
McCabe TJ,Sambrook Sdoi
10.1016/j.ijnurstu.2013.10.003subject
Has Abstractpub_date
2014-05-01 00:00:00pages
815-27issue
5eissn
0020-7489issn
1873-491Xpii
S0020-7489(13)00278-2journal_volume
51pub_type
杂志文章abstract：BACKGROUND:Patients can report positive effects of myocardial infarction. It is unknown whether these effects are sustained or what factors influence adaptation. OBJECTIVES:To explore primary care patients' perceptions of the effect of coronary heart disease and to identify possible modifiable predictors of adaptation...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2014.04.006
更新日期：2014-11-01 00:00:00
abstract：BACKGROUND:Nursing professionals and care assistants are often subject to a combination of negative physical and psychosocial work environment factors, but most disability pension studies on such occupations have focused on one or the other of these factors. As they often coexist, there are reasons to assume that simul...
journal_title：International journal of nursing studies
pub_type： 杂志文章
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journal_title：International journal of nursing studies
pub_type： 杂志文章
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更新日期：2019-03-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章
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更新日期：1988-01-01 00:00:00
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journal_title：International journal of nursing studies
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journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2004.10.006
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abstract：BACKGROUND:Multiple chronic conditions (MCC) are highly prevalent worldwide, especially among older populations. Patient self-care and care partner (or caregiver) contributions to self-care are recommended to reduce the impact of MCC and improve patients' outcomes. OBJECTIVES:To describe patient self-care and care par...
journal_title：International journal of nursing studies
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更新日期：2020-03-14 00:00:00
abstract：BACKGROUND:Collaboration among healthcare providers has been considered a promising strategy for improving care quality and patient outcomes. Despite mounting evidence demonstrating the impact of collaboration on outcomes of healthcare providers, there is little empirical evidence on the relationship between collaborat...
journal_title：International journal of nursing studies
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journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
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更新日期：2016-10-01 00:00:00
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journal_title：International journal of nursing studies
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journal_title：International journal of nursing studies
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journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
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更新日期：2010-08-01 00:00:00
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更新日期：2004-03-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2008.05.005
更新日期：2008-12-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章
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journal_title：International journal of nursing studies
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pub_type： 杂志文章,评审
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journal_title：International journal of nursing studies
pub_type： 杂志文章,多中心研究
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更新日期：1997-06-01 00:00:00
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更新日期：2020-01-01 00:00:00
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journal_title：International journal of nursing studies
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journal_title：International journal of nursing studies
pub_type： 杂志文章
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abstract：BACKGROUND:The increasing numbers of surgeries involving high risk, multi-morbid patients, coupled with inconsistencies in the practice of perioperative surgical wound care, increases patients' risk of surgical site infection and other wound complications. OBJECTIVES:To synthesise and evaluate the recommendations for ...
journal_title：International journal of nursing studies
pub_type： 杂志文章,meta分析
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更新日期：2020-02-01 00:00:00
