Abstract
Investigations show that distrust towards head figures has a particularly negative effect on organizational dynamics. Because of this, the main types of behavior associated with distrust in nursing professionals with leadership duties have been identified, examining which aspect of reliability is most frequently related to distrust. Based on an analysis of 61 critical incidents, selected from 90 hospital employees, the most frequently mentioned behavior types related to distrust were "Public Abuse", "Not giving permission for time off for a special occasion" and especially an erosion of trustworthiness in the leader's integrity dimension. The implications of these findings are discussed, so that nursing professionals can avoid the development of distrust in interpersonal relationships and damage to the appropriate functioning of health services.
Highlights
Popular wisdom says that destroying is easier than constructing
This research departs from the premise that this is the case for the relation between head nurses and other health workers in the complex and high-pressure context of health service work
Sixty-one critical incidents of distrust towards head nurses were obtained from the interviews with 90 professionals
Summary
Popular wisdom says that destroying is easier than constructing. This can apply to the theme trust. Building trust demands multiple positive interactions over time among the stakeholders. Only one rupture in a relation is sufficient for distrust to establish(1). It is widely acknowledged that it usually demands more work to eliminate distrust than to try and enhance trust. This research departs from the premise that this is the case for the relation between head nurses and other health workers in the complex and high-pressure context of health service work
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