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使用不同学科开发的工具测量对医疗保健的信任——一项范围综述。

Measuring trust in healthcare with instruments developed in different disciplines - A scoping review.

作者信息

Karikumpu Venla, Häggman-Laitila Arja, Terkamo-Moisio Anja

机构信息

University of Eastern Finland.

University of Helsinki.

出版信息

Nurs Ethics. 2025 May;32(3):724-737. doi: 10.1177/09697330241272806. Epub 2024 Aug 10.

DOI:10.1177/09697330241272806
PMID:39126406
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11993817/
Abstract

BackgroundTrust is a key character at organizational level. Understanding the level of trust with timely relevant instrument is a significant process to capture the level of trust beyond organizational changes in healthcare.ObjectivesTo gather, assess, and synthesize the items of instruments evaluating trust in healthcare organizations.DesignScoping review methodology.MethodsThe literature search with deductive-inductive content analysis. The data were charted from articles that involved the use of trust instruments in healthcare organizations.Data SourcesSearch from eight databases was updated in January 2024 and included peer-reviewed articles published between 2010 and 2023.ResultsA total of 13 instruments were found measuring trust in the organization, trust in the leader, and trust among peers in healthcare. The items of instruments about trust in the organization included strategic and operational cultures. The trust in the leader consisted of competence, consistency, openness, appreciative acceptance, and loyalty and risk, while instruments about trust among peers included dimensions of moral partnership, common interest, and competent peers.ConclusionsComprehensively measuring trust in the leader, trust in the organization, and trust among peers is significant due to the multifaceted dimension of trust. Measuring trust offers a possibility to recognize the working relationships and cultures in healthcare organizations.

摘要

背景

信任是组织层面的一个关键特征。使用及时相关的工具了解信任水平是一个重要过程,有助于把握医疗保健领域组织变革之外的信任水平。

目的

收集、评估和综合评估医疗保健组织中信任的工具项目。

设计

范围综述方法。

方法

采用演绎-归纳内容分析法进行文献检索。数据来自涉及医疗保健组织中信任工具使用的文章。

数据来源

2024年1月更新了来自八个数据库的搜索,包括2010年至2023年发表的同行评审文章。

结果

共发现13种测量医疗保健领域组织信任、领导者信任和同事间信任的工具。关于组织信任的工具项目包括战略和运营文化。领导者信任包括能力、一致性、开放性、赞赏性接受、忠诚和风险,而同事间信任的工具包括道德伙伴关系、共同利益和有能力的同事等维度。

结论

由于信任具有多方面维度,全面测量领导者信任、组织信任和同事间信任具有重要意义。测量信任为认识医疗保健组织中的工作关系和文化提供了可能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83fc/11993817/c6a8f03109c0/10.1177_09697330241272806-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83fc/11993817/c6a8f03109c0/10.1177_09697330241272806-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83fc/11993817/c6a8f03109c0/10.1177_09697330241272806-fig1.jpg

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本文引用的文献

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Relationships between nursing leadership and organizational, staff and patient outcomes: A systematic review of reviews.护理领导力与组织、员工和患者结局之间的关系:系统评价综述。
Nurs Open. 2023 Sep;10(9):5920-5936. doi: 10.1002/nop2.1876. Epub 2023 Jun 12.
2
Fifty Years of Trust Research in Health Care: A Synthetic Review.五十年来医疗保健领域信任研究综述。
Milbank Q. 2023 Mar;101(1):126-178. doi: 10.1111/1468-0009.12598. Epub 2023 Jan 23.
3
Development and Validation of the Trust in My Doctor, Trust in Doctors in General, and Trust in the Health Care Team Scales.
信任我的医生、信任一般医生和信任医疗团队量表的编制与验证。
Soc Sci Med. 2022 Apr;298:114827. doi: 10.1016/j.socscimed.2022.114827. Epub 2022 Feb 16.
4
Where Trust Flourishes: Perceptions of Clinicians Who Trust Their Organizations and Are Trusted by Their Patients.信任繁荣之地:信任所在组织的临床医生和被患者信任的临床医生的看法。
Ann Fam Med. 2021 Nov-Dec;19(6):521-526. doi: 10.1370/afm.2732.
5
Towards remote leadership in health care: Lessons learned from an integrative review.迈向远程医疗领导力:一项综合回顾的经验教训。
J Adv Nurs. 2022 Mar;78(3):595-608. doi: 10.1111/jan.15028. Epub 2021 Aug 30.
6
Risk, trust and patients' strategic choices of healthcare practitioners.风险、信任与患者对医疗从业者的策略性选择。
Sociol Health Illn. 2021 Jan;43(1):82-98. doi: 10.1111/1467-9566.13198. Epub 2020 Oct 9.
7
How trust affects performance of interprofessional health-care teams.信任如何影响跨专业医疗团队的绩效。
J Interprof Care. 2020 Mar-Apr;34(2):218-224. doi: 10.1080/13561820.2019.1631763. Epub 2019 Aug 7.
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Registered Nurses (RNs)' knowledge sharing and decision-making: the mediating role of organizational trust.注册护士(RNs)的知识共享和决策:组织信任的中介作用。
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Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach.系统评价或范围综述?在选择系统评价或范围综述方法时,作者的指南。
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