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Abstract
Aims and Objectives: To report a synthesis of the literature on the meaning of trust in the context of patients’ experiences of nursing. The review question was “How do patients describe the meaning of trust in the nursing relationship?” Background: Trust is essential in nursing as it has the potential to create opportunities for the human being to gain faith, hope and meaning in life as well as open up for new experiences. Trust is an interpersonal and essential element of all patient-nurse relationships and requires nurses to create a trusting relationship with the patients. Design: Systematic qualitative literature review. Methods: Systematic searches were conducted for the period January 2002 to December 2012, updated in January 2014. 20 papers were included. Results: Four categories emerged: Attitudes related to trust, indicating that trust is fundamental and existential; Experiences of trust, concerning how trust can be sensed; The patient-nurse relationship, revealing the qualities of the person who creates trust; and Where trust occurs, illuminating the contextual relevancies of trust. Conclusions: Patients’ experiences of trust in nursing are dependent on the nurses’ knowledge, level of commitment in the dialogue to creating and developing the relationship and contextual issues. Implications for nursing practice: Reflection on a trusting relationship with the patient is necessary for a deeper conceptual understanding of trust in nursing. Clinical nurse researchers nurse supervisors, managers and nurse educatorsshould discuss different areas of trust during nursing supervision and focus-group meetings as well as with nursing graduates to ensure that nurses develop knowledge of how to create a trusting patient-nurse relationship.
Highlights
Trust is essential in the relationship between the healthcare professional and patient [1]-[3]
The importance of trust in the caring relationship in a home care setting was described [27]. This was demonstrated in a logical way in the context of palliative care; when the nurse responded to the patient in a trustworthy manner, a trusting relationship developed [28]
The aim of this study was to report a synthesis of the literature on the meaning of trust in the context of patients’ experiences of nursing, and the review question was: How do patients describe the meaning of trust in nursing? This review illuminates the meaning of trust described from the patients’ personal experiences which vary across the clinical setting as demonstrated in the different studies
Summary
Trust is essential in the relationship between the healthcare professional and patient [1]-[3]. Trust as an interpersonal and essential element of all patient-nurse relationships was the clearest result in a literature review of trust and trustworthiness. Trust between patient and nurse is essential for reducing patients’ anxiety, and enabling them to regain a sense of control [5]. By her/his actions and practical competence, the nurse demonstrates a standard for care that allows the patient to trust her/him [6]. The phenomenon of trust is related to power and present in all caring contexts; it has an impact on whether the patients’ directions expands or restricts [7]. When vulnerable patients are unable to meet their own needs, they must trust in the good will of nurses, who often interact intimately in their lives [8]
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