Establishing and maintaining trust during acute care hospitalizations...including commentary by Robinson CA

The concept of trust is significant in nursing; however, it remains inadequately defined and operationalized. The purpose of this study was to advance the development of the concept of trust by exploring patients' perspectives of processes of establishing and maintaining trust in health care provide...

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Publicado en:Scholarly Inquiry for Nursing Practice Vol. 14; no. 3; pp. 227 - 249
Autores principales: Hupcey JE, Penrod J, Morse JM
Formato: commentary research tables/charts Journal Article
Publicado: Springer Publishing Company, Inc. 2000 Fall
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Publishing Company, Inc.
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        atl: Establishing and maintaining trust during acute care hospitalizations...including commentary by Robinson CA
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        au:
          Hupcey JE
          Penrod J
          Morse JM
        affil: School of Nursing, Pennsylvania State University, PO Box 851, Hershey, PA 17033
      sug:
        subj:
          Trust
          Patient Attitudes
          Professional-Patient Relations
          Acute Care
          Inpatients Psychosocial Factors
          Patient Attitudes Evaluation
          Grounded Theory
          Theoretical Sample
          Constant Comparative Method
          Qualitative Studies
          Semi-Structured Interview
          Audiorecording
          Rural Areas
          United States
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Inpatients
          Male
          Female
          Funding Source
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: The concept of trust is significant in nursing; however, it remains inadequately defined and operationalized. The purpose of this study was to advance the development of the concept of trust by exploring patients' perspectives of processes of establishing and maintaining trust in health care providers during acute care hospitalizations. Grounded theory methods, including theoretical sampling and the constant comparative processes, were used. The sample included 50 adult inpatients with a wide variety of medical-surgical diagnoses who discussed their experiences while hospitalized. The core variable linking the process of developing and maintaining trust was meeting expectations. Through a series of interactions with health care providers and other hospital personnel, patients used monitoring behaviors to evaluate congruency between their expectations of care and the actual behaviors of providers. From this evaluation, three trajectories were identified based on whether expectations were met, exceeded, or unmet. Trust was shown to be dynamic and thus permits opportunities for interventions to redirect the trajectory.
      pubtype: Periodical
      doctype:
        commentary
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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