concept analysis

Topics: Nursing, Trust, Patient Pages: 12 (2512 words) Published: April 21, 2014

Trust: A Concept Analysis Jaymee Penrose
Purdue University Calumet

Trust: A Concept Analysis
The purpose of this paper is to expand the understanding of the concept of trust and its relation to the nursing profession as it functions as a whole. Trust is fundamental in all successful relationships from business to personal. Without trust there is no confidence to believe in what someone is telling or doing for you. Thousands of articles result from googling the word trust. Countless way to build trust in the workplace, with your loved ones, and in leadership are noted. Forbes magazine acknowledges the importance of trust in leadership and builds strategies based on trust to bring companies to higher profit levels and increased productivity (Horsager, 2012). Numerous polls on most trusted professions, place nursing in the top ten demonstrating the connection patients feel with nurses and their trust in them to have their best interest at hand (Wilson, 2012). According to Kahn (2013) “Nurses have ranked highest in honesty and ethics in America since Gallup began including the profession in the poll in 1999” (pp.2). The word trust is continually referenced throughout the ANA Code of Ethics as a basis for effective communication in all working and patient relationships. Trust is the groundwork for not only all nursing care but in any professional setting and without it relationships are compromised. So what is trust? Webster’s Dictionary defines trust the noun as the assured reliance on the character, ability, strength, or truth of someone or something; a charge or duty imposed in faith or confidence or as a condition of some relationship something committed or entrusted to one to be used or cared for in the interest of another (Trust, 2014). According to Changing Minds, (2013) “trust is both and emotional and logical act. Emotionally, it is where you expose your vulnerabilities to people, but believing they will not take advantage of your openness. Logically, it is where you have assessed the probabilities of gain and loss, calculating expected and concluded that the person in question will behave in a predictable manner (pp.1). Dinc & Gastmens, (2013) describe trust as “a belief that our good will be taken care of or as an attitude bound to time and space in which one relies with confidence on someone or something, and as a willingness to engage oneself in a relationship with an acceptance that vulnerability may arise” (p.502). “When we trust others we accept that they will act honestly and that we can depend on them to behave in a predictable way, and that they won’t abuse our trust (Getting Comfy, 2013). Our dependence on those we trust leaves us vulnerable and we are essentially accepting that area of vulnerability: Dinc & Gastmans (2011) states, “Where one depends on another’s good will, one is necessarily vulnerable to the limits of that good will, and gives others an opportunity to harm when one trusts, and shows confidence that they will not take it” (p. 224). Horsager, (2012) discussed the concept of trust in the following statement: As a leader, you are trusted only to the degree that people believe in your ability. Be open and transparent. Keep people informed. People are often more concerned by what they do not know than what they do. Explain your decision making process and the rationale for your decisions. Admit when there are problems and make relevant information available” (pp.4). Studies revealed that patients have a pre-existing trust, due to previous experiences with health-care providers, and a confidence in the nursing profession due to their extensive education (Dinc & Gastmens, 2013). “Authenticity in nursing leadership is often described as the glue needed to hold together a healthy work environment” (Pross & Sherman, 2010, pp. ). The general population has an initial trust in our law enforcement...

References: Changing Minds. (2013). What is Trust? Retrieved March 8, 2014 from:
Dinc, L., & Gastmans, C
Dinç, L., & Gastmans, C. (2013). Trust in nurse–patient relationships: A literature review, 20 (5), 501-516. doi:
Getting Comfy
Horsager, D. (2012). You Can 't Be a Great Leader Without Trust. Here 's How You Build It. Retrieved March 3, 2014 from:
Kahn, J
Mathias, T., & Pullen, R. (2010). Fostering therapeutic nurse-patient relationships. Nursing Made Incredibly Easy, 8(3), 4.doi: 10.1097/01.NME.0000371036.87494.11
Mcleod, S., (2013)
Pross, E., & Sherman, R. (2010). Growing Future Nurse Leaders to Build and Sustain Healthy Work Environments at the Unit Level. Online Journal of Issues in Nursing, 15(1), 1-9.
Raeve, L. (2012). Trust and trustworthiness in nurse–patient relationships. Retrieved March1, 2014 from:
Wilson, P. (2012). Nurses Voted Most Trusted Profession Again. Retrieved March 8, 2014 from:
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