Gilbert Tony P
School of Social Work and Primary Care, Faculty of Health and Social Work, University of Plymouth, Portland Square Building, Drake Circus, Plymouth PL4 8AA, Devon, UK.
J Adv Nurs. 2005 Mar;49(6):568-77. doi: 10.1111/j.1365-2648.2004.03332.x.
The aim of the study was to explore the relationship between impersonal trust, governmentality and professional activity through an analysis of professional discourse.
This study emerged from an earlier paper that described a four-dimensional model based on Luhmann's definition of trust as "reducing complexity and managing expectations". Linking trust with the Foucauldian notion of governmentality develops this further. Governmentality raises the question of how professional authority is constituted through the practice of nurses and other health and welfare professionals.
Discourse analysis was used to explore the text from two genres--academic literature and interview material (n = 17)--in the context of community residential services for people with learning disabilities. Findings. The study provided evidence to support claims that trust is produced through impersonal systems. Trust is contested in a dynamic process where there are gains and losses. Professionals in organisations actively promote trust, often through systems of distrust. The study also built on the four-dimensional model of impersonal trust--trust, mistrust, abuse and hope--and re-conceptualized the trust-hope dimension.
There are theoretical links between governmentality and trust. Similarly, in order to understand trust nurses need to understand the dynamic nature of the systems in which they operate. The proposition that trust could frustrate hope adds an element of controversy to the discussion of hope in the nursing literature.
本研究旨在通过对专业话语的分析，探讨非个人信任、治理与专业活动之间的关系。
本研究源于一篇早期论文，该论文描述了一个基于卢曼对信任的定义（即“降低复杂性和管理期望”）的四维模型。将信任与福柯的治理概念联系起来进一步发展了这一模型。治理提出了专业权威如何通过护士及其他健康和福利专业人员的实践得以构成的问题。
运用话语分析方法，在为学习障碍者提供社区住宿服务的背景下，探讨学术文献和访谈材料（n = 17）这两种体裁的文本。研究结果。该研究提供了证据支持以下观点：信任是通过非个人系统产生的。在一个有得有失的动态过程中，信任受到质疑。组织中的专业人员经常通过不信任系统积极促进信任。该研究还基于非个人信任的四维模型——信任、不信任、滥用和希望——并对信任 - 希望维度进行了重新概念化。
治理与信任之间存在理论联系。同样，为了理解信任，护士需要了解他们所处系统的动态性质。信任可能会挫败希望这一观点给护理文献中关于希望的讨论增添了争议元素。
