Trust In Healthcare Professionals Research Articles

Leading the Flock: Organ Donation Feelings, Beliefs, and Intentions among African American Clergy and Community Residents

Despite a considerable potential role in organ donation for African American clergy, there has been little investigation to date of the beliefs, attitudes, and personal intentions of such clergy regarding donation. To compare the beliefs, attitudes, and behavioral intentions regarding organ donation among African American clergy to those of African American residents of the same large US city. Focus groups and 3 cross-sectional surveys. Greater Houston, Tex, metropolitan area. A total of 761 randomly selected African American community residents and 311 African American clergy. Beliefs about the importance of organ donation; how comfortable one is in thinking about donation; whether one believes that organ donation is against one's religion; trust in healthcare professionals regarding death declaration; concerns that donation leads to body mutilation; and the likelihood that one will donate one's own organs upon death. Compared to general African American residents, African American clergy in the Houston area were found more often to believe in the importance of donation; to be more comfortable with thinking about donation; to feel more certain that donation was not against their religion; to believe that they could trust healthcare professionals regarding death declaration; to feel less often that donation leads to mutilation of the body; and to indicate a greater likelihood of donating their own organs upon death. The same was found to be true among clergy and congregants of the largest religious denomination in Houston, the Baptists.

Rebuilding Trust in Healthcare Harrison Jamie Innes Rob Zwanenberg Tim van Rebuilding Trust in Healthcare 198pp Radcliffe Medical Press 9781857759389 1857759389.

A number of scandals in recent years have seriously damaged public trust in healthcare professionals. This unique book examines three cases: the retention of body parts at the Alder Hey Children's Hospital, the Bristol inquiry into children's heart surgery and Harold Shipman.

Benefit and risk perceptions in transfusion medicine: blood and blood substitutes.

Blood transfusion is a remarkably safe, routine procedure in clinical medicine. However, little attention has focused on the perceptions of risk associated with the receipt of blood, blood products or 'blood substitutes'. It is pertinent to ask (i) what key stakeholder groups know about transfusion, (ii) how safe they perceive blood/blood products to be, (iii) how the latter information might influence their own and others' perceptions of risk linked to transfusion, and (iv) the extent to which approved blood substitutes might be preferred over autologous or donor blood. An appreciation of what stakeholders perceive to be the benefits and risks of the receipt of blood and blood substitutes will inform future transfusion strategies. To obtain such information, a programme of research has been initiated at Nottingham. Surveys have targeted key stakeholder groups, namely, UK adult blood donors and nondonors, anaesthetists, general practitioners and health care journalists. Experimental studies examining message framing and cueing have also been conducted with undergraduate students. Such research will improve misunderstandings about current issues associated with blood donation and transfusion against the backdrop of changing public trust of health care professionals and attitudes and expectations on blood safety and benefits of blood substitutes.

Patient-sensitive treatment decision- making? Preferences and perceptions in a sample of renal patients

Patient participation in various aspects of healthcare is rapidly expanding. However, patients' preferences with regard to participation in treatment decision-making remain relatively under-explored, as does the congruence between such preferences and patients' perceptions of their actual role in decision-making. The aims of this study were to identify and to compare treatment decision-making role preferences and perceptions of the actual decisional role in a sample of renal patients. A cross-sectional survey was conducted at a single regional renal unit in the North of England. A convenience sample of 405 patients was obtained (pre-dialysis N=155; dialysis N=103; transplant N=147). Preferred and perceived role were identified using a card sort technique (choice of five options, active to passive). Rationales for role preference were recorded verbatim. Most patients were found to prefer passive (N=186, 45.9%; 95% Cl 41.2- 50.9) or collaborative (N=147; 36.3%; 95% Cl 31.3-40.7) decisional roles; perceived role was typically passive (N=319; 78.8%; 95% Cl 74.8-82.8). Trust in health professionals, perceived lack of knowledge and severity of condition were the most frequently cited determinants of role preference. Patients' decisional role preferences were often at variance with their perceived roles. Taking a highly active role in treatment decision-making was undesirable to most patients. Trust in healthcare professionals was an important contributor to desire to defer or retain control over treatment decisions.

Trust: an essentialcomponent of nursing practice — implications for nurse education

This paper offers a philosophical analysisof trust and its influence upon nursing practice. The paper begins by examining the meaning of trust, its influence upon health care and upon patients ability to place their trust in health care professionals. Influences upon individuals' capacity for trust are considered, and expectations within relationships are examined. Particular attention is given to that which patients entrust to their nurse, and to expectations where social or contractual trust exists. Obstacles to trust within health care are also considered. The United Kingdom Central Council for Nursing, Midwifery and Health Visiting is shown to be an example of institutional distrust, rather than a statement about the trustworthiness of nurses. Nurse education is one potential influence upon the formation of trust and distrust relationships within health care. Suggestion is therefore made as to how nurse education might seek to overcome distrust and promote trust between all those who are involved in health care.