Johns J L
Tidewater Community College, Quinby, Virginia 23423, USA.
J Adv Nurs. 1996 Jul;24(1):76-83. doi: 10.1046/j.1365-2648.1996.16310.x.
Trust is an important and pervasive concept. In nursing, it has been considered primarily from two perspectives. Clinically, it is an important aspect of the nurse-patient relationship. Organizationally, trust is associated with various outcomes and levels of effectiveness. Much of the nursing literature that discusses trust relies upon vague conceptualizations or borrows from other disciplines. The absence of a clear conceptualization of trust has been cited. A core concept of trust is presented which is applicable to nursing in both clinical and organizational settings. Established methods for concept analysis are supplemented by a sequential step model developed by the author. The concept is developed as both process and outcome, and the relationships of the two states to measurement of the concept are identified. The utilization of the core concept in context-specific instances is discussed, and suggestions are made for further research.
信任是一个重要且普遍存在的概念。在护理领域，主要从两个角度对其进行考量。在临床方面，它是护患关系的一个重要方面。在组织层面，信任与各种结果及成效水平相关。许多探讨信任的护理文献依赖于模糊的概念界定或借鉴其他学科的内容。有人指出缺乏对信任的清晰概念界定。本文提出了一个适用于临床和组织环境下护理工作的信任核心概念。作者开发的一个循序渐进的模型对既定的概念分析方法进行了补充。该概念既被视为过程，也被视为结果，并确定了这两种状态与该概念衡量之间的关系。文中讨论了该核心概念在特定情境中的应用，并对进一步研究提出了建议。
