Thorne S E, Robinson C A
University of British Columbia School of Nursing, Vancouver, Canada.
J Adv Nurs. 1988 Nov;13(6):782-9. doi: 10.1111/j.1365-2648.1988.tb00570.x.
This paper examines the phenomenon of trust in health care relationships from a new perspective, that of the recipients of care for chronic illness. The authors argue that reciprocal trust is a necessary component of satisfying, effective health care relationships when the illness is of an ongoing nature. From the patient's perspective, reciprocal trust has a significant impact on the experience of being a receiver of health care and on the development of competency with illness management. Because of this, the authors claim that it is imperative for health care professionals to alter their traditional beliefs with regard to sick role and trust. With a new perspective, they may then develop the specific skills necessary to enact the caring aspect of the service they offer. The authors offer a number of suggestions for actualizing this reciprocal trust in clinical practice.
本文从一个新的视角审视了医疗保健关系中的信任现象，即慢性病患者的视角。作者认为，当疾病具有持续性时，相互信任是令人满意且有效的医疗保健关系的必要组成部分。从患者的角度来看，相互信任对作为医疗保健接受者的体验以及疾病管理能力的发展有着重大影响。因此，作者声称医疗保健专业人员必须改变他们关于患病角色和信任的传统观念。有了新的视角，他们或许就能培养出开展所提供服务的关怀方面所需的具体技能。作者针对在临床实践中实现这种相互信任提出了一些建议。
