Development of trust in the nurse-patient relationship with hospitalized Mexican-American patients
Sharon M. Jones, PhD, RN
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- Indiana University, South Bend, Indiana, USA
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Session presented on: Wednesday, July 24, 2013: Trust is an important component of patient-centered care and culturally competent care and a major element (confianza) in the Hispanic culture throughout the world. Knowing how trust develops with the Mexican American patient is important, yet this process is not empirically known. Purpose: To conceptualize the process of the development of interpersonal trust between the nurse and the hospitalized Mexican American patient. Methods: The classical grounded theory method was used to generate a theory related to the development of interpersonal trust. There was no theoretical framework at the outset of this study. English-speaking Mexican American patients (n=22) hospitalized at least two days on an obstetric or medical-surgical unit were interviewed. Results: Making Me Feel Comfortable emerged as the core category. The process was conceptualized as having beginning, middle and final stages. In the beginning stage, hospitalized patients are Having Needs and Relying on the Nurse to meet those needs during a single work shift. In the middle stage, the nurse interacts with the patient in Coming Across to Me and Taking Care of Me and may establish a mutual connection with the patient (Connecting). In the final stage, the patient is Feeling Confianza (Trust) with the nurse which leads to the outcomes of Confiding in the Nurse and Taking Away the Negative. Anytime there was a negative element while interacting with the nurse during the middle stage, this element halted any further development of trust. The establishment of trust was a cyclical process, beginning again with the next shift and a different nurse. Conclusion: Hispanic cultural values of personalismo (friendly relations) and familism impacted the development of trust and contributed to the unique findings in this study. The findings have implications for nursing care with Mexican American patients that may impact patient safety and quality care.
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
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Jones, Sharon M. (2017-07-17)Trust is an important factor in the nurse-patient relationship and is part of collaboration in patient-centered care. Interpersonal trust between two people incorporates five key factors: risk, vulnerability, power imbalance, ...
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