Grand James A, Lloyd James W, Ilgen Daniel R, Abood Sarah, Sonea Ioana M
Department of Psychology, College of Social Science, College of Veterinary Medicine, Michigan State University, East Lansing, MI 48824, USA.
J Am Vet Med Assoc. 2013 Feb 1;242(3):322-34. doi: 10.2460/javma.242.3.322.
To gain a better understanding of the role of interpersonal trust in veterinarian-client interactions during routine health-care visits, develop a measure of trust uniquely suited to the context of veterinary medicine, and interpret the actions, beliefs, and perceptions that capture client trust toward veterinarians.
Correlational study.
103 veterinary students and 19 standardized clients with pets from a college of veterinary medicine at a large public Midwestern university.
measure of trust specific to veterinarian-client interactions was constructed on the basis of preexisting conceptualizations of the construct and administered to veterinary students and standardized clients following interactions in 2 medical scenarios in a high-fidelity simulated animal health clinic. Exploratory and confirmatory factor analytic techniques were used to validate the measure of trust, and hierarchic linear modeling was used to explore indicators of standardized client trust perceptions in one of the scenarios.
Factor analysis revealed that the measure captured 2 perceptions indicative of trust in veterinary contexts: professionalism and technical candor. Students who had behaviors reflecting these factors as well as those who were perceived as more technically competent were seen as more trustworthy by standardized clients.
The development of trustworthy relationships between clients and veterinarians is important to the continued growth and success of the profession. By identifying characteristics of veterinarian trustworthiness and developing related measurement tools, proactive approaches to monitoring veterinarian-client relations can be implemented and incorporated into veterinary training and practice programs to identify areas for improvement.
为了更好地理解人际信任在常规医疗保健就诊期间兽医与客户互动中的作用,开发一种特别适用于兽医医学背景的信任度量方法,并解读体现客户对兽医信任的行为、信念和认知。
相关性研究。
来自中西部一所大型公立大学兽医学院的103名兽医学生和19名带着宠物的标准化客户。
基于该结构已有的概念化构建了一种专门针对兽医与客户互动的信任度量方法,并在高保真模拟动物健康诊所的2种医疗场景中,在互动后将其施用于兽医学生和标准化客户。采用探索性和验证性因素分析技术来验证信任度量方法,并使用层次线性模型在其中一种场景中探索标准化客户信任认知的指标。
因素分析表明,该度量方法捕捉到了在兽医背景下体现信任的2种认知:专业素养和技术坦诚度。标准化客户认为,那些有反映这些因素行为的学生以及那些被认为技术能力更强的学生更值得信赖。
客户与兽医之间建立可信赖的关系对于该行业的持续发展和成功至关重要。通过确定兽医可信赖性的特征并开发相关测量工具,可以实施积极主动的方法来监测兽医与客户的关系,并将其纳入兽医培训和实践项目中,以确定需要改进的领域。