Building and Maintaining Trust

Building and Maintaining Trust

Assignment Prompt

Summary: A theory can be used to guide practice. This assignment is an exercise in supporting a clinical practice with theory and evidence.

Directions: Identify an outcome of nursing practice in your area of practice that can be improved. For example, if you work in home health, you may identify that throw rug use by fall risk patients is too prevalent. You may be able to use the problem that inspired the theory concepts that you developed in week two.

Briefly support why it is a problem with evidence from the literature. This is not the major focus of the assignment so do not elaborate.

Create a clinical nursing (not medical) theory in the form Concept A | Proposition | Concept B. Think of the structure like two nouns and a verb. While the term proposition is much more complex in the dictionary, in our use it is the connecting term between the two concepts. Examples include Concept A improves Concept B, Concept A is related to Concept B, when Concept A increases then Concept B also increases, etc. When you get to research, you will explore this further as you develop independent and dependent variables. How to use these statistically will come in research and statistics courses.

This clinical theory is identified as an empirical theory when you get to the C-T-E model later in this course. It is empirical in that they can be measured.

Identify and define your concepts. Identify how they could be measured in a research study. Be careful that you do not use compound concepts. If you find the words “and” or “or” in your theory, you are probably too complex.

If you research your question and seek funding, you will need a theoretical model to guide the research. In our assignment, we are using Watson. You will identify the concepts in Watson’s theories that are represented by the concepts you are using in your clinical theory. Match the proposition in her theory with your proposition. To help, the 10 Caritas Processes are Concept A. Choose the one that matches your concept. To clarify, let’s look at Caritas 1 Embrace and use it in middle-range theory. Sustaining humanistic-altruistic values by the practice of loving-kindness, compassion, and equanimity with self/others (Concept A – Very complex and abstract) improves (Proposition) subjective inner healing (Concept B).

Remember that the paper is not about the problem. It is about constructing a clinical theory and matching it to a middle-range theory and conceptual model your clinical theory represents.

Conclude the paper with your discoveries made in your readings and the impact on the nursing profession of your discoveries. Explore, briefly, discovered questions that require further research. Summarize the paper in the conclusion.

Present your outcome in an APA formatted paper that meets the University’s standards for a written assignment.


Length: 5 to 7 pages including title and reference pages
Just 4 pages and title and reference page needed
References: 3 to 10. There should be enough to support the links between the concepts of the problem and the concepts of Watson’s Theory of Caring.
Building and Maintaining Trust

Student’s Name
Institutional Affiliation
Course Code and Name
Professor’s Name

Building and Maintaining Trust
Throughout nursing practice, both the patient and the nurse may experience anxiety because sometimes these facilities may act as sources of stress. Researchers have proven that most people associate healthcare facilities and hospitals with all sorts of negative experiences. Aside from service providers at these facilities, other people never wish to stop there. The patients who report experiencing anxiety at these facilities have mentioned various reasons usually associated with treatment and diagnosis. one of the most repeated reasons for lack of trust is the healthcare providers’ failure to do a proper introduction. The anxiety in other patients has led to a syndrome psychiatrist’s term as white coat where at the instance of seeing a healthcare provider or the hospital building, it triggers one’s anxiety. This essay discusses how the healthcare practitioner’s lack of introduction and explanation of the treatment process to the patient may make a patient develop anxiety due to a lack of trust.
In any healthcare practice, trust is essential because there are uncertainties involved in the process. The uncertainties include risks to the patient’s vulnerability since they rely on the intentions and competence of the healthcare providers. According to the Oxford English Dictionary, trust is a firm belief grounded on the ability of something or someone (Ward, 2018). Researchers associate high levels of trust in the healthcare system with several benefits like great acceptance of treatment, better care, low anxiety, and devotion to treatment. According to the concept of trust, patients are most likely to feel safe and open up to their healthcare providers if they trust (Lee et al., 2019). They also improve their quality of interaction, leading to greater autonomy and joint decision-making.
The chances of a patient opening up to the medical practitioner and believing in the whole process increase if the concept of trust is present (Ward, 2018). In such instances, the patient grows confidence and discloses their information to their healthcare professional, increasing interaction quality. The research was done on behalf of the General Pharmaceutical Council. About 80% of the public admits to trusting pharmacists a fair amount. Still, many reported weaker trust, with only 30% trusting pharmacists at a great deal. The research was supported by the Which research of 2013, which found that anonymous buyers receive unsatisfactory proposals (5 ways to help anxious patients, 2018, 18). the sore purpose for such results is due to lack of proper introduction. Other studies have confirmed some factors that influence trust in the healthcare setup originating from the improper introduction of the healthcare provider to the patient and their kin. They include honesty, respect, competence in communication, care, and knowledge (5 ways to help anxious patients, 2018, 18). All these aspects are affected by a patient’s first impression of their nurse or healthcare practitioner.
Researchers have proven that introduction to the field of medicine creates trust, respect, interest, and warmth between the patient, their family, and the healthcare provider (5 ways to help anxious patients, 2018, 18). First impressions like the manner in which the healthcare provider communicates with the patient’s kin and the patient could potentially impact the outcome of the whole treatment. Healthcare provider needs to listen to their patient by exhibiting active listening strategies actively. These methods include paraphrasing or summarizing the concerns while reflecting on them. There are reports suggesting that acute care begins from introduction as it affects the quality of a patient’s experience (Ward, 2018). Such research also bases its nomenclature on the patient’s gender, age and culture. Here, the healthcare practitioner ensures to remain sensitive of the patient’s age, gender and culture.
The patient and their family should receive an immediate explanation of the treatment in order to boost trust. In instances where something goes wrong during treatment, both the patient and their kin require a chronological explanation to consider their needs. The information delivered should maintain ambiguity and not conflict with information from other members. While delivering information, the healthcare practitioners need to avoid medical jargon as not everyone understands them (5 ways to help anxious patients, 2018, 18). During the introduction phase, the kin of the patient and the patient should receive a point to ask their questions or express their concern (How you introduce yourself matters — Especially now, 2018, May 7)l. The nurse should deliver support appropriate to the patient’s needs, which involves considering special needs or extra support such as a patient translator. The patient and their family should stay assured of their complete confidentiality from the healthcare facility (How to build and maintain trust with patients, 2021, February 12). The patient should also receive assurance from the healthcare facility that the whole discussion concerning their treatment will remain hidden from the public even if they die.
Healthcare practitioners should ensure that all procedures and policies will remain respectful and private (Lee et al., 2019). Every patient is also entitled to receive an assurance that they continue treatment with compassion, dignity, and respect. In cases where the patient shows a preference for their healthcare needs to get overseen by another healthcare team, necessary arrangements should be underway to cater for the same. According to researchers, healthcare providers need to show integrity and honesty for the patient to maintain trust. Researchers have proven that if a patient senses dishonesty from the medical practitioner, it may lower the credibility and respect levels for the healthcare provider (Ward, 2018).
In conclusion, healthcare practitioners should create a long-lasting relationship with their patients, which begins from the introduction phase. Focusing on big problems should not undermine first impressions as they can determine the outcome of the treatment process. Researchers suggest that healthcare providers handle the introduction phase wisely, thoughtfully, and with great respect (How you introduce yourself matters — Especially now, 2018, May 7)l. The healthcare provider should attentively listen to the patient’s concerns through active listening. More data shows that adjusting minor aspects yields a great deal of impact at this phase. During this fort stage of patient care, the patient should get an assurance of confidentiality, respect, and honesty. The healthcare provider should show their competence by explaining the entire process to their patient.

5 ways to help anxious patients. (2018, 18). nsc.
How you introduce yourself really matters — Especially now. (2018, May 7). The Aspen Institute.
Ward, P. (2018). Trust and communication in a doctor-patient relationship: a literature review. Arch Med, 3(3), 36. Retrieved from
Lee, T. H., McGlynn, E. A., & Safran, D. G. (2019). A framework for increasing trust between patients and the organizations that care for them. Jama, 321(6), 539-540. Retrieved from
How to build and maintain trust with patients. (2021, February 12). The Pharmaceutical Journal.

Building and Maintaining Trust

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