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12 Dimensions of bidirectional trust: relationships in nurses’ caring for adolescents and emerging adults

BMJ open, 2021-03, Vol.11 (Suppl 1), p.A5-A5 [Peer Reviewed Journal]

Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. ;2021 Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;ISSN: 2044-6055 ;EISSN: 2044-6055 ;DOI: 10.1136/bmjopen-2021-QHRN.12

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  • Title:
    12 Dimensions of bidirectional trust: relationships in nurses’ caring for adolescents and emerging adults
  • Author: Evered, J
  • Subjects: Dimensional analysis ; Nurses ; Nursing care ; Teenagers
  • Is Part Of: BMJ open, 2021-03, Vol.11 (Suppl 1), p.A5-A5
  • Description: BackgroundMany social actors participate in the health and social care of adolescents and emerging adults with life-limiting illnesses or injuries. Though nurses bear intimate witness to the experiences of young people and their loved ones, dimensions of social relationships between nurses, young people, and members of young peoples’ social circles lack description and interpretation in extant literature.AimThe purpose of this inquiry was to develop a situation-specific theory to explain the nature of social relationships in nurses’ caring for adolescents and emerging adults with life-limiting illnesses or injuries. This paper focuses on dimensions of trust, offering insight into how bidirectional trust between a nurse and the social actors of a young person’s circle determines the nature of nurses’ caring.MethodIn alignment with dimensional analysis method, theoretical sampling, data collection, and data analysis occurred iteratively and concurrently. Twenty-one nurses who provide care in pediatric or adult inpatient, outpatient, and home care settings in the United States participated in in-depth semi-structured interviews. Inductive coding, dimensionalization, and constant comparison technique helped surface and relate dimensions of social relationships in nurses’ caring for adolescents and emerging adults.FindingsTrust is both a dimension of relational closeness and a driver of nurses’ care for adolescents and emerging adults. Bidirectional trust evolves as nurses assess, diagnose, and re-evaluate the young person, the social circle, and themselves. Nurses’ trust in other social actors determines how nurses conceptualize and perform relational care.ConclusionsWhen and how nurses involve social actors in the health and social care of a young person depends on nurses’ feelings of trust. Understanding the dynamic bidirectional nature of trust holds implications for nurses’ enactment of relationship-centered care in the context of young peoples’ life-limiting illnesses and injuries.
  • Publisher: London: BMJ Publishing Group LTD
  • Language: English
  • Identifier: ISSN: 2044-6055
    EISSN: 2044-6055
    DOI: 10.1136/bmjopen-2021-QHRN.12
  • Source: ProQuest One Psychology
    BMJ Open Access Journals
    GFMER Free Medical Journals
    PubMed Central
    Coronavirus Research Database
    ROAD: Directory of Open Access Scholarly Resources
    ProQuest Central
    DOAJ Directory of Open Access Journals
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