Leslie Jamie Lynn, Lonneman William
Jamie Lynn Leslie, PhD, RN, is an Assistant Professor, Department of Nursing, Mount St. Joseph University, Cincinnati, Ohio. William Lonneman, DNP, RN, is an Assistant Professor, Department of Nursing, Mount St. Joseph University, Cincinnati, Ohio.
Home Healthc Now. 2016 Jan;34(1):38-42. doi: 10.1097/NHH.0000000000000322.
The establishment of trust in the registered nurse (RN)-patient relationship promotes patient engagement and improves the likelihood that the patient will be an active member of the patient care team. The purpose of this article is to examine nursing literature to identify the antecedents, attributes, and outcomes of trusting relationships between RNs and patients in home healthcare. Antecedents of trust for the RN-patient relationship included 1) meeting a need, 2) respect, 3) attention to time, 4) continuity of care, and 5) the initial visit. Attributes of trust between RN and patient in the home healthcare setting were identified as communication, connection, and reciprocity. For the RN and patient who established mutual trust, patients demonstrated better adaptation and collaboration for improvement of health, expressed a sense of security, and indicated a willingness to engage in additional trusting relationships. Barriers to a trusting relationship included a lack of respect and incompetent and/or unethical care.
在注册护士与患者的关系中建立信任可促进患者参与，并提高患者成为患者护理团队积极成员的可能性。本文的目的是查阅护理文献，以确定家庭医疗保健中注册护士与患者之间信任关系的前因、属性和结果。注册护士与患者关系中信任的前因包括：1）满足需求；2）尊重；3）关注时间；4）护理连续性；5）首次就诊。家庭医疗保健环境中注册护士与患者之间信任的属性被确定为沟通、联系和互惠。对于建立了相互信任的注册护士和患者来说，患者在改善健康方面表现出更好的适应能力和协作能力，表达了安全感，并表示愿意建立更多的信任关系。信任关系的障碍包括缺乏尊重以及护理不称职和/或不道德。
