Trust Relationships Research Articles

Care professionals’ experiences within a multidisciplinary and cross-sectorial intervention for childbearing women and families in vulnerable positions: a focus group study

ABSTRACT Inequality in health persists in childbearing families in socially or mentally vulnerable positions. The FACAM project was developed as an intervention aiming to enhance health outcomes for childbearing families. Purpose The aim of this study was to gain a deeper understanding of the experiences and perspectives of care professionals in multidisciplinary and cross-sectorial collaboration, and their experiences of interactions with childbearing families within the context of the FACAM project. Methods Eight focus groups were conducted with 32 multidisciplinary care professionals working with childbearing families in vulnerable positions. A thematic analysis was conducted, with positioning theory as the theoretical framework focusing on storylines, positioning and speech-acts. Results Two overall themes were constructed. Theme one: Cross-sectorial collaboration and the influence on the care provided. Theme two: Interaction with and assessment of women and families’ care needs and their influence on the care provided, with three subthemes; a) Establishment of a trustful relationship, b) Assessments of vulnerable positions in relation to function in everyday life, c) Interactions with the woman or family depending on their needs. Conclusion Care professionals found needs-adapted and tailored care meaningful. Well-functioning multidisciplinary and cross-sectorial collaboration was important to support the families.

Collaging together-apart: building trust and hope in social innovation and design pedagogies

ABSTRACT This article explores how relationships of care, trust and hope might be fostered in a social innovation design course at a South African university of technology. Rather than shy away from the challenges of our uncertain world, the paper proposes feminist pedagogical strategies that seek to nurture students’ capacity for trust and hope, rather than overwhelm and despair, through carefully curated collaborative-collage-making processes. By interweaving Bracha Ettinger’s theory of matrixial trans-subjectivity and Karen Barad’s agential realism, the generative role that arts-based practices offer social innovation design pedagogies is made explicit. The paper will show how collaborative artworking activated a co-affective encounter in which students and myself, rather than drowning in overwhelm, discovered new educational imaginaries and Hope-full renewals.

Communicating with Deaf Patients in the Clinical Environment: Lessons Learned from a Virtual Patient Panel

Background Communication and cultural differences predispose Deaf patients to suboptimal healthcare. Despite this disparity, health professionals have historically received little to no training in caring for Deaf patients. Patient panels are an effective tool in medical education to model communication strategies. Objective In this paper, we describe the design, implementation, and results of a virtual patient panel focused on communicating with Deaf patients in clinical contexts. We offer practical suggestions for incorporating similar educational interventions in health professions education to prepare trainees to effectively navigate these conversations with their patients. Methods The panel consisted of a one-hour question and answer discussion facilitated by the authors with Deaf patients and Certified Deaf Interpreters (CDI). The panel was presented to 271 second-year medical students at our institution in November of 2023. Following this discussion, students were encouraged to share one or two key takeaways from the session through a survey link. These results were analyzed using pile-sorting qualitative analysis to identify main themes. Results There were 73 respondents, with a response rate of 27%. After the panel, the most popular takeaway points from student reflections included communication (n=56, 77%) and access to care (n=47, 64%), followed by autonomy (n=17, 23%), the doctor-patient relationship (n=15, 21%), and culture (n=11, 15%). Based on this initiative, we identified and offer twelve tips for developing similar exercises. These tips are thematically presented under three groupings: Planning Considerations, Patient Panelist Considerations, In-Session Considerations, and Post-Session Considerations. Conclusion This patient panel was the first of its kind in our medical school curriculum. Important considerations in panel design and implementation should focus on delivery time constraints with live-interpreting and further exploring the role of trust and communication in the physician-patient relationship.

Родительская приверженность лечению детей с психическими расстройствами как клинико-психологическая проблема

<p style="text-align: justify;"><strong>Objectives. </strong>A child’s illness is a major challenge that imposes restrictions on all family members. Not all parents of sick children strictly follow medical prescriptions, which emphasizes the importance of developing recommendations to improve parental adherence to treatment. It is necessary to distinguish between the terms adherence and compliance, where the former emphasizes active participation, and the latter — the actual implementation of prescriptions without an emphasis on involvement. The purpose of the study is to systematize approaches to the problem of adherence to treatment to operationalize the concept of “parental adherence to treatment”.</p> <p style="text-align: justify;"><strong>Methods. </strong>The analysis of Russian and foreign studies of the concept of parental adherence was conducted. Russian works were selected based on relevance and availability of an evidence base for the study. Due to the low prevalence of the term in Russian studies, foreign sources had a great influence on the operationalization of the concept. Foreign sources were selected depending on the development depth of the problem and the representativeness of the sample to actualize the problematic of the phenomenon of parental treatment adherence in the field of clinical psychology. The following electronic resources were used for the analysis: eLIBRARY.ru, PubMed, ResearchGate, ConnectedPapers and others.</p> <p style="text-align: justify;"><strong>Results. </strong>The main components of the phenomenon of parental adherence to treatment are identified: following the recommendations of doctors and establishing trusting relationships between parents, medical personnel and the child. Such relationships contribute to more effective treatment and accompany the child in the rehabilitation process. Given the possible difficulties with accepting treatment, interpersonal interaction between parents and doctors helps to individualize the treatment plan taking into account the characteristics of each family. The authors provide a definition of the phenomenon of “parental adherernce to treatment”.</p> <p style="text-align: justify;"><strong>Conclusions. </strong>Currently, the problem of increasing the level of parental treatment adherence is emphasized by the parents’ lack of knowledge of child rehabilitation methods and their emotional rejection of the diagnosis. Therefore, operationalizing the concept of parental adherence to treatment will aid in formulating more useful recommendations on treating a child for parents.</p>

Persistent pain, long-term opioids, and restoring trust in the patient-clinician relationship

The erosion of trust in the patient-clinician relationship is an underappreciated, and vital, component of the prescription opioid crisis. Drawing from lived experience of patients and clinicians, and a narrative evidence review, this report discusses how opioid use for persistent pain can impact the patient-clinician relationship from the vantage points of the patient and the family physician. For patients, the stress of dealing with persistent pain, misalignment with clinicians regarding goals of care, experiences of disrespect and stigma, fear of abrupt tapers, and frustration with a fragmented health system, all combine to breed a lack of trust. Clinicians, for their part, experience challenges due to inadequate resources for pain management and opioid safety, pressure to deprescribe opioids rapidly, inconsistent prescribing practices of colleagues, ‘policing’ opioid prescriptions when concern arises for opioid use disorder and adversarial relationships with frustrated patients wary of clinician intentions. As a result, many clinicians struggle to maintain a therapeutic relationship with patients in great need of empathy and healing. To support implementation of evidence-based guidelines and achieve public health goals of safer prescribing and reducing harm from prescription opioids, we recommend steps health systems and clinicians can take to rebuild trust in the patient-clinician relationship, enable patient-centered pain care, and embed patient perspectives into opioid safety processes. PerspectiveErosion of patient-clinician trust is a barrier to implementing evidence-based guidelines that aim to improve opioid safety. This paper explores lived patient and clinician experiences and recommends steps for health systems and clinicians to rebuild this trust as a strategy to actualize the benefits of adherence to these guidelines.

Оподаткування і фіскальна соціологія: фінансова думка Заходу та уроки для України

Introduction. In the process of fair interaction between authorities and taxpayers, a relationship of trust is created. This trust ensures support for government fiscal initiatives from the business sector. Conversely, if the relationship is not transparent and equitable, it can lead to a passive or even negative attitude towards taxes, thereby reducing the efficiency of the tax system. Problem Statement. There is a gap in Ukrainian fiscal theory, which is still underdeveloped in terms of fiscal sociology. Compared to Western countries, where fiscal sociology has already become an integral part of economic analysis, in Ukraine this issue has been studied only by a narrow circle of scholars. This limitation necessitates a deeper study and integration of sociological approaches into financial science, because without it, Ukrainian researchers and policy makers lose the opportunity to gain a more complete understanding of the interaction between economic and social processes. The purpose is to substantiate the directions of integration of fiscal sociology into Ukrainian financial theory and to develop recommendations for its inclusion into Ukrainian financial practice. Methods. The methods used are systematic, structural-functional, comparative analysis, analogy, grouping, description, comparison and generalization. Results. It is proved that by integrating fiscal sociology, Ukrainian fiscal theory can benefit from a more nuanced understanding of the socio-economic factors influencing fiscal policy. Such integration could lead to more effective policy making and a deeper understanding of the economic challenges facing Ukraine. Conclusions. Ukrainian academics and policymakers should prioritize the interdisciplinary study of fiscal policy, taking into consideration the rich tradition of fiscal sociology in the West. Joint efforts should be made to develop tax policies that strengthen state legitimacy by addressing issues of fairness, transparency, and trust. Strategies for managing public debt and improving tax morale should be a central element of fiscal policy to ensure that Ukraine's financial system can withstand socioeconomic pressures and contribute to long-term stability and development.

How to meet coping strategies and preferences of children during invasive medical procedures: perspectives of healthcare professionals

Children with negative procedural experiences have an increased risk of fear and distress, with psychological consequences for subsequent procedures and future healthcare behaviors. Gaining control and feeling trust are important aspects for children to decrease fear. To enable professionals providing personal care during medical procedures, a systematic, evidence-based approach that supports children in expressing their preferences is needed. This study will gain insight into the experiences and needs of professionals involved in small invasive medical procedures to meet the coping strategies and preferences of children undergoing these procedures. A qualitative design was used to gain insight into professionals’ perspectives. Data were collected through online focus groups with various professionals involved in medical procedures, such as anesthetists, laboratory staff, nurses, and pediatricians. Five interdisciplinary focus groups, with a total of 32 participants, were held. One overarching theme was revealed: “Balancing between different actors within the context of the hospital.” Professionals reported they had to deal with different actors during a medical procedure: the child, the parent, the colleague, and themselves. Each actor had its own interests. They were aware of the child and parents’ priority to gain control and feel trust. Nevertheless, they perceive organizational and personal aspects that hinder addressing these needs. Conclusion: To provide personalized care, professionals experience balancing between the needs and interests of diverse actors during medical procedures. The findings underscore the importance of a policy supporting HCPs in integrating patient-centered care into practice through practical tools and training initiatives such as scenario training.What is Known:• Unresolved pain and stress arising from medical procedures can have significant short- and long-term impacts on children. Empowering children to gain control and fostering a sense of trust are crucial factors in reducing fear associated with medical procedures.• Children and parents expect to receive child-tailored care from professionals including respect for their own, unique needs, and boundaries. Professionals should build trustful relationships and provide appropriately tailored autonomy around medical procedures.What is New:• Healthcare professionals vary in their awareness of children’s needs during a medical procedure. Beside this, the organizational dynamics of the hospital, along with the presence of actors such as the child, parent, colleague, and oneself, collectively influence the conduct of medical procedures.• Providing person-centered care during medical procedures can present challenges. The results highlight the significance of a policy to assist healthcare professionals in incorporating patient-centered care into their practice through practical tools and a culture of self-reflections regarding patient-centered values.

The Influence of Environmental, Social, and Governance (ESG) Perception on Investor Trust and Brand Relationship Quality: A Study Among Retail Investors in Hong Kong

Background/Introduction: Investor trust and brand relationship quality, along with initiatives for environmental, social, and governance (ESG), have become highly important. Despite their relevance, limited research has been conducted on how ESG initiatives influence investors’ perceptions in financial markets. Objectives/Aims: This work conducts a cross-sectional analysis to examine the relationship between perceived ESG initiatives and investor trust and brand relationship quality among retail investors in Hong Kong, one of one of the world’s leading financial markets. Methods: This study involved 479 retail investors. Three instruments were administered in the questionnaires: (1) the perceived environmental, social, and governance scale, (2) the investor trust scale, and (3) the brand relationship quality scale. Results: The analysis demonstrates that PESG and various aspects of investor trust and brand relationship quality had strong positive correlations. Notably, the environmental and social concerns of PESG were found to be strong predictors of investor trust and brand relationship quality, whereas governance awareness had the least effect. Conclusions: Improving a firm’s ESG image can boost investors’ confidence and the quality of brand relationships, thus aligning with sustainability and business strategies.

Engagement strategies in the context of the Itabira mine closure: impacts and stakeholder participation

Purpose: This article aims to propose and apply a set of analytical categories for evaluating engagement in mine closure processes. Design/methodology/approach: The qualitative research adopts a case study strategy considering the singularity of the phenomenon studied. The mine project analyzed is the country's first large-scale closure, scheduled for 2041, with the potential to influence future processes. Data collection involved observation, documentary analysis, and interviews. Sixteen interviews were conducted with representatives from the public power, community, organizations, and the company. The research strategy chosen was content analysis using the analytical categories raised in the literature review and triangulation of data collection sources. Findings: The results highlight the importance of the mining company's active role in constructing the city's post-mining future, collaborating to reconvert socio-economic dynamics, and fostering a trusting relationship with the community. However, the company remains distant from the debate. Interviews revealed a paternalistic relationship between the mining company that guides engagement in a predominantly unilateral flow, with communication directed to meet its interests. Originality/value: This research fills a gap in the existing literature by focusing on engagement in a vulnerable context. It contributes to the theoretical advancement of the main characteristics of engagement in mine closure processes and for dialogue practices with communities to favor sustainable territory development in the post-mining period.

Home Bias: Debiasing Techniques From Financial Planners’ Perspectives

Financial planning literature has called for further efforts into understanding investor psychology. Financial planners have the capacity to enhance investor welfare through mitigation of behavioral biases. Thus, the perspectives of financial planners are an important voice in behavioral finance research. Research suggests that home bias remains prevalent and problematic. This research applies a qualitative, thematic analysis approach to understand how home bias has been practically managed by professional financial advisors, with data collected from financial planners in South Africa. Results suggest that strategies such as investing time in educating the client and using probing questions to nudge the client in the right direction were effective. Irrespective of the bias mitigation approach adopted, a strong relationship of trust is foundational to any debiasing activity.

Adoption of e-wallets: trust and perceived risk in Generation Z in Colombia

Purpose This study aims to explore the development of trust in relation to security and privacy concerns, as well as the influence of perceived risk on the intention to use e-wallets. The research focused on the Colombian context because of its characterization as an underdeveloped financial system that has experienced considerable security and privacy violations in recent years. Additionally, this geographical area is relatively under-researched, and the target demographic for this investigation was Generation Z, given their pivotal role in driving the adoption of e-wallets. Design/methodology/approach Based on measurement scales that had already been tested in the academic literature on mobile payment systems, a questionnaire was developed and distributed electronically. A total of 424 responses were obtained from young Colombians. Structural equation modeling (SEM), specifically the PLS-SEM method, was used to process the data to study the explanatory and predictive power of the proposed model. Findings The findings revealed that security and privacy have a positive and significant effect on perceived trust, and that this at the same time has a positive and significant effect on attitude, perceived usefulness, perceived ease and intention to use, as well as a significant but negative effect on perceived risk. On the other hand, perceived risk showed an inverse, but not significant, relationship with intention to use. Originality/value This research explored the adoption of e-wallets by young people in Colombia, which has been widely claimed in the academic literature. In a turbulent context with a high distrust of financial institutions, as well as a change in digital money consumption patterns, it is critical to understand the factors that contribute to the adoption of mobile payment services. The findings, in addition to contributing to the academic debate, have important implications for e-wallet providers, as they offer information that allows designing strategies to attract and keep current and potential users. At the same time, the recommendations by the authors allow the design of tools, especially related to security and privacy, to improve their trust and build loyalty, thus contributing to the consolidation and development of the mobile payment system.

Strategic behavior in multi-criteria sorting with trust relationships-based consensus mechanism: Application in supply chain risk management

Strategic behavior is common in multi-criteria sorting, where manipulated alternatives are allocated to the target category to achieve the intended goal. Engaging in such strategic behavior in sorting consensus often comes at a cost, which is closely tied to the degree of preference adjustments and the level of trust relationships among decision makers. This study investigates strategic behavior using piecewise cost-based consensus mechanism in social trust network. Firstly, the trust relationship dependent piecewise cost is formally defined and formulated by considering the impact of trust relationship on the preference adjustments willingness to achieve sorting consensus. Then, based on the trust relationship dependent piecewise cost, a preference strategic manipulation model is proposed to achieve strategic behavior in sorting consensus, which is implemented by minimizing the cost of strategically guiding decision makers in adjusting their preferences. Considering that social trust network affects strategic manipulation, a preference-network collaborative strategic manipulation model is further proposed, which is designed to strategically guide decision makers in adjusting both their preferences and social trust networks. Moreover, the practicality of proposed strategic manipulation models is exemplified through a case study on supply chain risk management and their performance is validated via simulation analysis.

TrustGNN: Graph Neural Network-Based Trust Evaluation via Learnable Propagative and Composable Nature.

Trust evaluation is critical for many applications such as cyber security, social communication, and recommender systems. Users and trust relationships among them can be seen as a graph. Graph neural networks (GNNs) show their powerful ability for analyzing graph-structural data. Very recently, existing work attempted to introduce the attributes and asymmetry of edges into GNNs for trust evaluation, while failed to capture some essential properties (e.g., the propagative and composable nature) of trust graphs. In this work, we propose a new GNN-based trust evaluation method named TrustGNN, which integrates smartly the propagative and composable nature of trust graphs into a GNN framework for better trust evaluation. Specifically, TrustGNN designs specific propagative patterns for different propagative processes of trust, and distinguishes the contribution of different propagative processes to create new trust. Thus, TrustGNN can learn comprehensive node embeddings and predict trust relationships based on these embeddings. Experiments on some widely-used real-world datasets indicate that TrustGNN significantly outperforms the state-of-the-art methods. We further perform analytical experiments to demonstrate the effectiveness of the key designs in TrustGNN.

Building Trust and Loyalty in the Workplace

This article explores practical strategies for managers and executives to increase trust and loyalty in employee relationships. The article outlines how trust is built over time through consistency, integrity, and care. Specific guidance is provided around communicating expectations, pay transparency, work-life balance, career development, culture, and recognition. Fulfilling implicit and explicit psychological contracts through these approaches deepens employee loyalty and commitment. Case studies then demonstrate how appreciation, recognition, and social/fun activities further strengthen bonds. Real-world industry examples show the concepts applied successfully in technology, healthcare, and retail contexts. The article argues that prioritizing relationships through integrity and compassion lays the groundwork for resilient, high-performing organizational cultures where leaders leave a lasting positive legacy.

Facilitating Health-Promoting Self-Care in Older Adults: A Theory Synthesis.

The authors describe the development of a model that focuses on how primary care providers can facilitate health promotion in older adults. The health-promoting self-care in older adults (HPSOA) model was developed through a synthesis of key concepts from the Health Promotion model and the Modeling Role Modeling Theory. Walker and Avant's strategy for theory synthesis was used in its development. The model prioritizes rapport building to foster a trusting patient-provider relationship and focuses on long-term solutions to health promotion. Further model use through testing, research, and application in practice is recommended.

The nurse consultant in remote medical monitoring: an innovative, patient-centered approach

Telemedical monitoring of heart failure patients is revolutionizing the traditional approach to care, thanks to the crucial role played by nurse consultants. Based on two years' experience in a telemonitoring unit, where the practice model is outside the conventional nursing context, we aim to highlight this innovative method, which is helping to improve the care and benefits of patients with chronic pathologies. This patient-centered approach offers holistic, individualized care through personalized remote monitoring, fostering a relationship of trust and encouraging patient autonomy.

Suitability of smoking cessation support from social and community service organizations: perspectives of Dutch clients.

Social and community service organizations (SCSOs) may be a promising new environment to more successfully reach people with a lower socioeconomic position (SEP) for smoking cessation support. However, studies that investigate clients' perspectives of the suitability of SCSOs as a setting to discuss smoking are scarce. This study aimed to (i) investigate the suitability of smoking cessation support provided by SCSOs, according to people with a low SEP, and (ii) explore their reasons for considering it suitable or unsuitable. Semi-structured interviews were conducted with 19 individuals with a low SEP who smoked regularly (N = 14) or had smoked regularly (N = 5). They have been in contact with SCSOs in a specific neighborhood in Amsterdam. Data were analyzed using a thematic approach. Participants generally considered SCSOs as suitable for providing smoking cessation support, as professionals are involved, build a relationship of trust, and offer personalized and holistic support. SCSOs are located nearby and familiar, they provide support in both group and individual settings and might offer additional supportive (group)activities. A number of participants expressed doubts about the waiting time for support, the fact that the needed support might exceed professionals' expertise, and the lack of aftercare. SCSOs can be an additional opportunity for providing smoking cessation support that aligns with the circumstances of lower SEP people. To harness the potential, smoking cessation could be integrated into education programs and training among professionalscould be promoted. Policy changes within and outside SCSOs would be needed.

L’annonce en oncologie pédiatrique – retour d’expérience sur les formations par méthode de simulation dans le GOCE (Grand Ouest cancer de l’enfant)

The announcement of a cancer diagnosis is a crucial moment in the management of the disease, as it is the starting point for a relationship of trust between patient and caregiver. In 2005, this issue led to the creation of an announcement system as part of the 2003-2007 cancer plan, but its implementation in practice remains uncertain. Pediatric oncology has its own specificities, with a triangular relationship and the need for doctors to adapt to the child's age. These skills require special training, and training opportunities vary from one area to another. To this end, the Angers and Caen centers have developed simulation exercises for training in pediatric oncology announcement. These consist of a theoretical part, followed by an announcement interview with actors, then a debriefing. Evaluation questionnaires are completed by learners before and after the session, and have highlighted the usefulness of this training, particularly in helping them to feel better prepared to face this stressful moment. As simulation has proved its educational value in the healthcare field, GOCE has developed simulation-based training courses for interns/CCAs/assistants in the territory. These courses are much appreciated and are proving extremely useful in clinical practice. This has led the SFCE to extend these courses to all CCAs and young PHs in pediatric oncology in France.

Consensus methods with Nash and Kalai-Smorodinsky bargaining game for large-scale group decision-making

With the significant advancements in communication technology, group decision-making (GDM) can now be implemented online, allowing a large number of decision-makers (DMs) to participate concurrently. However, current methods for large-scale group decision-making (LSGDM) are primarily suitable for 20 to 50 DMs, and their effectiveness in scenarios involving thousands or even tens of thousands of participants has yet to be fully validated. Furthermore, as the number of participants increases, the evaluation information becomes increasingly diverse and complex. At the same time, the social networks associated with the DMs typically become sparse, making information sharing and consensus building more challenging. In light of these challenges, we develop two new methods based on cooperative games to effectively address the challenges in super LSGDM. First, we propose a two-stage semi-supervised fuzzy C-means (FCM) clustering method with trust constraints, which aims to address the issue of sparsity in relationships within large-scale social networks. This method utilizes trust relationships as reliable resources and prior knowledge to guide and supervise the clustering process. On this basis, we discuss three scenarios from the perspective of cooperative games: (i) subgroup optimal consensus adjustments in non-cooperative situations, (ii) group optimal consensus adjustments in cooperative situations, and (iii) subgroup optimal consensus adjustments in cooperative situations. Subsequently, we view the consensus adjustment allocation as a cost cooperative game problem and propose two new LSGDM consensus methods based on Nash Bargaining (NB) and Kalai-Smorodinsky Bargaining (KSB). Finally, experiments on real datasets demonstrate the superiority and reliability of our proposed LSGDM methods.

Consensus Reaching with Dynamic Trust Relationships and Cost-Learning in Group Decision Making

Consensus Reaching with Dynamic Trust Relationships and Cost-Learning in Group Decision Making