This paper is a literature review of the results of three empirical studies on trust within the nurse–patient relationship. Studies implemented a descriptive qualitative design, and studies used quantitative research, and phenomenological approach method. The context of most quantitative studies was nurse caring behaviors, whereas most qualitative studies focused on trust in the nurse–patient relationship. The quantitative studies used a descriptive design, while qualitative methods included the phenomenological approach, 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; however, various factors may hinder the trusting relationship. Trust in nursing Trust is identified with a variety of settings and applications. Trust is regarded as the foundation of any therapeutic relationship, and an essential element of nurse–patient relationships. The concept applies to nurses in professional settings as it is considered inherent in the relationship between a nurse and their patient, (Britcher, 1999) and the patients’ family. A clear definition of what constitutes trust is difficult to find in the literature, and various concepts are viewed from the perspectives of the nurse-patient relationship, the nurse's work environment, and contexts from other disciplines. The dual perspectives of trust as process and outcome are adopted, and their relationship to measurement of the construct is identified. The concept is examined to determine if differences in its ... ... middle of paper ... ... be trustworthy, then this diminishes the general perceptions of the trustworthiness of nurses across the board. By being trustworthy, nurses contribute to a general climate of trust and this is essential to the profession, and to the health and wellbeing of patients. References Belcher , M., & Jones, L. (1999). Graduate nurses’ experiences of developing trust in the nurse–patient relationship. Contemporary Nurse, 42–152. Benner , P., Tanner, C., & Chesla, C. (1996). Expertise in Nursing Practice, Caring, Clinical Judgement and Ethics. New York, New York: Springer. Berg, L., & Danielson, E. (2007). Patients’ and nurses’ experiences of the caring relationship in hospital: an aware striving for trust. Scandinavian Journal of Caring Sciences, 501-506. Britcher, G. (1999). Paediatric nurses, children and the development of trust. Journal of Clinical Nursing, 451-458.
Still, the previous advantages discussed should influence the nurse to improve in identifying patient vulnerability. This is evident by this patient where I utilized my interpersonal skills to communicate to this patient so that he/she is aware that he/she is not alone in this journey. Nurses need to utilize models and theories to guide nursing practice. For instance, McCormack’s framework focuses on patient-centered care which influences nurses to understand the patient as a whole and their values (Abley, 2012, p. 42). Being able to identify values will give nurses and myself a better comprehension about the patients resulting in worthiness and belonging expressed. As a result, informing nurses about patient’s subjective vulnerability because a trust and understanding relationship is established. This is supported in a clinical experience where a patient “felt understood and opened up for further interactions based on trust” through an honest, supportive relationship with a nurse (Gjengedal, 2013, p. 134). Nurses should provide patient-focused provision of service, and assist this patient in overcoming his/her obstacle as a way of encouragement. Furthermore, Sellman (2005) explains how encouragement may compromise human flourish (p. 7), it is dependent on the situation and it cannot be assumed all encouragement will lead to harm. This informs nurses to be aware of the consequences that prevent the
The application of the therapeutic nurse-client relationship is absolutely essential to providing the appropriate care to clients (College of Nurses of Ontario, 1999, p. 3). The therapeutic nurse client relationship consists of four components; respect, trust, professional intimacy and empathy (College of Nurses of Ontario, 1999, p. 3). Though, I have not been able to establish a nurse-client relationship yet, I have established customer-client relationships. Customers react similarly to clients when respect is established. One experience in particular really helped me make this comparison.
Burkhardt, M. A., & Nathaniel, A. K. (2014). Ethics & issues in contemporary nursing (4th ed.). Stephan Helbra.
A therapeutic nurse-patient relationship is outlined as a helping relationship grounded on shared respect, trust, the encouragement of having faith and hope in oneself and others, and emotional support (Pullen et al., 2010). In doing so, the nurse can establish complete satisfaction of the patients needs, whether it be physical, emotional or spiritual. This relationship produces when the patient and the nurse come together in harmony and peace (Pullen et al., 2010). Efficient verbal and nonverbal communication is an essential aspect of interaction between nurse and patient – in doing this, the patient feels on par with the nurse, as an equal, rather than having no indication of what procedures are taking place (Pullen et al., 2010).
One of the nursing interventions that a nurse could use to address Brian’s inability to trust others is to build a therapeutic relationship with him. According to Stein-Parbury (2009, pp. 25-16), therapeutic relationship is when the nurse is able to maintain and establish a relationship with the patient. The nurse should be able to listen, explore and understand his reality. It allows him to share his thoughts and feelings freely without judgements, as he is highly suspicious to others and even to his wife.
The nurse must develop a trusting therapeutic relationship with the patient in order to act in the many roles of nursing.
The health care system of today will be invaluable without the help of well-trained registered professional nurses. According to Wilkinson, Treas, Barnett, Smith (2016) registered nurses in today’s health care have the training required to develop a care plan with other health care workers that is specific for each patient in their care, instead of the same general approach for every patient. This is known as patient centered care because each patient is different from the other and the registered nurse role includes developing a good plan for every patient they care for. In performing such duties, registered nurses tend to create a strong bond with their patients by caring for their patients by all means possible. By caring for their patients, they tend to gain their patients and their families trust. According to Wilkinson et al. (2016) There are many support systems for patients in our communities that have good intentions of assisting sick people and those in need. Most of them are not known by the patient or their families. The registered nurse is the one who is in the position to inform the patient or family about such resources that may be very helpful for them if they are interested. By doing so, the patient knows that the nurse really cares about him/her and that feels very comforting and may help the patient get well
As health care providers, nurses strive to instill confidence in their patients and their loved ones. A nurse is respectful to their colleagues as well as their patients. Nurses promote patients’ independence, patients can be confident in the knowledge that a nurse will do what is best for them, respecting their privacy and dignity. This means that a nurse does not share the patient information for personal reasons nor does the nurse get involved in a patients personal relationship if it is not medically relevant (NCSBN, 2011).
This may be affected more in some fields of nursing than in others due to the amount of time each nurse can be spent with each patient, but should always be incorporated as much as possible. Potter et al. mentions that "by establishing a caring relationship, the understanding that develops helps the nurse to better know the patient as a unique individual and choose the most appropriate and efficacious nursing therapies" (2013, p. 85). By getting to know your patient, it makes your routine slightly easier as you can engage in practice knowing how that patient reacts, thinks and copes with different situations. It also allows that bond of comfort and trust to exist that will have the patient open up to personal feelings and other necessary subjective data needed to fully care for the individual as well as develops credibility when patient education is initiated. This is something that may develop over time but in the acute setting can be established by simply remembering the name of the patient, sometimes that may be all that is necessary for the patient to feel known by the nurse. Just reciprocating conversation about life, their experiences, their fears, and their thoughts on health is substantial for developing a caring moment and incorporating the fourth caritas process between the patient and
In the nurse-patient relationship, there are three phases that help the relationship develop. Craven and Hirnle (2009) describe the first phase, orientation, “consists of introductions and agreement between nurse and client about their mutual roles and responsibilities” (p. 329). It is in this orientation phase that first impressions are made a...
Nursing in this theory is described as an art that helps individuals who are in need of health care, and goals are attained threw following a series of steps in a pattern. The nurse and the patient have to work together threw this process to achieve said goals. The Theory of Interpersonal Relations is a process that starts with the roles of the nurse, and those roles began with the nurse as a stranger, teacher, resource person, counselor, surrogate and leader (Nursing Theories, 2012). The theory begins with the role of the stranger, which is defined as the introductory phase and is an environment where about the patient is meeting the nurse and developing a trusting relationship. The nurse as a teacher allows the nurse to provide knowledge and information on a particular interest while the resource person provides specific information to a problem or situation. As counselors the nurses help to make life decisions and provides guidance. The surrogate role acts as an advocate on the patients’ behalf, while the role of the leader has the nurse assuming most of the responsibility to help patients meet treatment
One of the most poignant statements that I have heard during my tenure in nursing school is that “Nurses are often the first person that an infant sees at birth and the last person that a patient sees upon death.” Nurses have contact with patients recurrently along this continuum of life, now more than ever. This is due to the world’s aging population and the correlating factor of higher patient acuity (Larson, 2013). This frequent and close contact with nurses has fostered a sense of trustworthiness in the minds of U.S. citizens. This is evidenced by a recent Gallup Poll which listed nurses as the most honest and ethical professionals in America (www.galluppoll.com, 2015). Nurses have the challenging task of providing this trust-worthy,
219). Perry also mentioned that self-confidence can have a direct impact on the amount of trust a patient may have in the care provided by a nurse (Perry, 2011, p. 218). The author did not clearly express the implications of her literature review findings.
Nursing is a field that requires constant review and transformation of its original scope of practice as the world also evolves into a more technological and interconnected society. Along history there had been astonishing breakthroughs and discoveries that have changed the course of action in the health care field. However, among all these changes the unique values that make up the essence of nursing continue to thrive. Some of these characteristics are empathy, establishment a holistic view of the patient, critical thinking and care through a trust relationship. This last aspect plays a crucial role in a successfully executed nursing process. Therefore, the present work aims to describe and explain the principles of Hildegard Peplau’s Interpersonal Theory and its implications in the nurse-client relationship through different nursing roles.
Trustworthiness. Qualitative studies use trustworthiness as a way to measure the reliability and validity of data (Houser, 2015, p. 393). Trustworthiness has four components: credibility, dependability, confirmability, and transferability (Houser, 2015, p. 393). First, credibility is defined as the participant’s reality being accurately represented (Houser, 2015, p. 393). Credibility was represented when the researcher encouraged the participants to share their experiences openly. Once the researcher gathered the new nurses’ experiences and the information was transcribed, the new nurses’ were encouraged to verify the information for accuracy and were allowed to add any additional information to support the experiences if they felt it wasn’t