Concept analysis Essay

The purpose of this idea is to expand the understanding of the concept of boldness and its relation to the nursing affair as it functions as a whole. trustfulness is fundamental in either successful kinds from business to personal. Without believe thither is no federal agency to mean in what some champion is telling or doing for you. Thousands of articles result from googling the word charge. Countless way to establish trust in the workplace, with your loved ones, and in leadership be noted. Forbes magazine ac jockeyledges the importance of trust in leadership and builds strategies based on trust to bring companies to higher profit levels and increased productivity (Horsager, 2012). numerous polls on most trusted professions, place nursing in the top ten demonstrating the society patients feel with shelters and their trust in them to select their outperform interest at hand (Wilson, 2012). According to Kahn (2013) Nurses put one across ranked highest in honesty and ethics in America since G all(prenominal)up began including the profession in the poll in 1999 (pp.2). The word trust is continually referenced by means ofout the ANA Code of Ethics as a foundation g offsetent for effective communication in all working and patient relationships. Trust is the groundwork for not exactly all nursing cargon but in any overlord setting and without it relationships atomic number 18 compromised. So what is trust? Websters Dictionary defines trust the noun as the assured doctrine on the character, great power, strength, or legal philosophyfulness of someone or something a charge or duty imposed in faith or confidence or as a condition of some relationship something committed or entrusted to one to be determinationd or cared for in the interest of another (Trust, 2014). According to Changing Minds, (2013) trust is two and emotional and logical act. Emotionally, it is where you expose your vulnerabilities to plurality, but believing they go out n ot take advantage of your openness.Logically, it is where you have assessed the probabilities of gain and loss, calculating expected and concluded that the person in question will behave in a predictable manner(pp.1). Dinc & Gastmens, (2013) describe trust as a belief that our dear(p) will be taken care of or as an attitude bound to time and space in which one relies with confidence on someone or something, and as a willingness to engage oneself in a relationship with an acceptance that vulnerability may arise (p.502). When we trust others we accept that they will act aboveboard and that we can depend on them to behave in a predictable way, and that they wont execration our trust (Getting Comfy, 2013). Our dependence on those we trust leaves us vulnerable and we are essentially accepting that field of battle of vulnerability Dinc & Gastmans (2011) states, Where one depends on anothers good will, one is necessarily vulnerable to the limits of that good will, and gives others an o pportunity to harm when one trusts, and shows confidence that they will not take it (p. 224). Horsager, (2012) discussed the concept of trust in the following statement As a leader, you are trusted only to the degree that people believe in your ability. Be open and transparent. Keep people informed. People are often more bear on by what they do not know than what they do. Explain your decision making process and the rationale for your decisions. support when there are problems and make relevant information acquirable (pp.4). Studies revealed that patients have a pre-existing trust, repayable to previous go acrosss with health-care permitrs, and a confidence in the nursing profession due to their extensive education (Dinc & Gastmens, 2013). legitimacy in nursing leadership is often described as the glue needed to hold unitedly a healthy work environment (Pross & Sherman, 2010, pp. ). The general population has an initial trust in our law enforcement agencies due to trust in t he governments intense application and training process. As babys we insure basic trust or mistrust depending on how intumesce nurtured we are by our parents. Mcleod, (2013) explains, If the care the infant receives is consistent, predictable and reliable they will develop a sense of trust (pp.2.).Stockbrokers are trusted with breeding savings to invest and make sound judgments because they have proven their ability to produce large returns. Pastors are trusted that the sermon they preach is from the Bible, and we have faith, and hope that the Bible is true. Marriages thrive or fail all based on the trust of each other in the relationship. There are many facets to what trust actually means for each situation but all require certain factors to achieve that trust. The protect- patient relationshiprequires several conditions to establish trust. According to Dinc & Gastmans (2013) availability and accessibility of the adjudge, face emotionally and physically safe, feeling at home and valued as an individual, feeling adequately informed, and respectful communication (p.507). In the professional context of a sop up it begins with a reliance on skills that then has the opportunity to evolve as a relationship is established through communication and actions. Raeve, (2014) states, Patients appear to trust in a restrains skills made manifest through her professional qualifications (p.157). When we meet someone out military position of this context we seldom have and immediate trust of them. Trust in the laymens definition is something that is earned, over time and experience of prior social interactions. Its a confidence and knowing that our closest friends will not do us harm. This is where the nursing profession is unique in that trust is presumption where no time has been available to earn that type of trust. Mathias, Pullen & Richard (2010) articulated a deeper understanding of fostering trust with patients A therapeutic nurse-patient relationship is define d as a helping relationship thats based on mutual trust and respect, the nurturing of faith and hope, being sensitive to self and others, and assisting with the gratification of your patients physical, emotional, and spiritual needs through your knowledge and skill (p.4) In the nurse-patient relationship, trust is built mainly through our ability as well as demonstration of benevolence by providing care with their better interest in mind as well as open communication. Mathias, Pullen. & Richard (2010) listed the following as guidelines for nurses to establish trust with their patients1. Introduce yourself to your patient and use her name firearm talking with her. A handshake at your initial meeting is often a good way to quickly establish trust and respect.2. Make sure your patient has privacy when you provide care. Be sure that her basic needs are met, including relieving trouble or other sources of discomfort.3. Actively bear in mind to your patient. Make sure you understand h er concerns by restating what she has verbalized. 4. Maintain eye concussion. Remember, too much eye contact can be intimidating. Smile at intervals and nod your head as you and your patient engage in conversation. Speak calmly and slowly in terms that she can understand. Your voice inflection should say I care about you.5. Maintain professionalboundaries. Some patients need more therapeutic touch, such as hand-holding and hugging, than others and some patients prefer no touching. Always respect different cultures (pp.2). Common phrases containing the concept trust includes trust and obey, in God we trust, trust is a two way street and trust your instincts. After analyzing all the uses of the concept of trust and what they have in common, I came up with the following critical attributes Belief in ability and effectiveness to do somethingGenuine care and consideration for the best interest of all parties Interests are considered and respectedIntegrity displayed through consistency of action.Model caseA patient is being admitted for an outpatient surgery, the nurse enters and introduces herself, tells her how persistent she has been a nurse and explains the process of what she will be doing. She then explains what will come passim the surgical process from admission to recovery (belief in ability and effectiveness to do something). As the medical specialty list is reviewed the nurse notices that the patient has a medication that is contraindicated with another she is taking and discusses this with the patient. The patient then expresses that she has been having side effects that she did not realize were from those the mix of medications. She thanks the nurse for noticing the mix up and states she feels so delicious to have her as her nurse today (genuine care and consideration). The nurse tell the patient she has to shave the groyne area for the procedure. The patient appears somewhat apprehensive, so as the nurse pulls the curtain she explains what she w ill be doing and uses a towel to cover exposed areas as she works (privacy and respect). The surgical bath is prepared as the nurse walks the patient through the process. The patient is a little more comfortable this time and as she is given a towel to cover exposed areas, she is more implemental as the nurse washes (consistency of action). Next the nurse must start the IV, the patient expressed her concern that the last time she was poked multiple times and that no one would listen to her when she told them the best view. The nurse acknowledges this information and thanks her. She proceeds to look at the placement the patient prefersand informs her that she will place the IV there. As she finishes up she explains to the patient that although sometimes we can go where you prefer , that its not always possible but to always speak up to the nurses because it is helpful (interests are considered and respected).Contrary CaseA patient is waiting in the ER bay, the nurse walks in offeri ng no introduction but hands the patient a gown stating, put this on only underwear on underneath. At the same time the nurse starts with a rush of oppugn while the patient gets up to pull the curtain herself (no privacy or respect). The patient tries to describe her symptoms and the pain she is in but the nurse cuts her off mid-sentence and tells her to just tell the doctor when he arrives, she is only here to get a history, vitals and start fluids (no genuine care or consideration). The patient inquires as to how long the nurse has been practicing to which the nurse replies, awhile (No belief in ability). The nurse then begins to look at patients arm to look for IV placement, the patient tells the nurse easiest placement usually is from past experiences. The nurse tells the patient she hates when people try to tell her how to do her job (interests are not considered or respected). The nurse then walks absent and tells the patient she will be back to which a different nurse retu rns to continue the admission (no consistency of action).Borderline CaseA patient is waiting for nurse to give her medications. The nurse comes in on time as always with the medications (consistency of action). The nurse remembers to bring in the patients favorite juice to take the pills bulge out with (interests are considered). The patient tells the nurse she needs to use the bedside commode first so the nurse closes the gateway and tells the patient to push the call light once she has finished (privacy and respect). The nurse returns prepares to give the patient an dead reckoning but when the patient asks exactly what the injection is for the nurse does not know and simply responds, its just something the doctor wants you to have. The nurse then calls another nurse to verify where the shot should be given, all the while the patient is now concerned that the nurse should not beadministering the medication (no belief in ability or effectiveness to do something). Concepts related to trustIntegrityBenevolenceCredibilityConfidence realityInvented CaseA boy s fecal matters a rainbow in the sky and is filled with excitement because if he finds the end he knows a pot of gold is waiting for him. The boy tells his best friend who has a special map that he drew just for this occasion and gives it to him to follow (belief in ability and effectiveness). The best friends tells him he wants to go to, that he has always dreamed of this day and so the boy invites him to come along (interests are considered). The two set off on their way to find the end of the rainbow and encounter a fork in the road. The boy admits he has no sense of direction and that every time his best friend chooses which way to go they end up in the right place (consistency of action). Together they see to go right and before they know it they are at the end of the rainbow. As they approach a leprechaun appears and asks the boys to turn around so they wont see where he hides the gold, the boys obli ge and the leprechaun returns with a pot of gold (privacy and respect).Illegitimate CaseAn illegitimate use of the term trustDefinition Firm reliance on the integrity, ability, or character of a person or thing. Use Trust me, I know what Im doing.AntecedentsConsistencyIntegrityCommunicationCompetenceConsequences of TrustCommitmentCooperationTherapeutic relationships pryConflict ResolutionIn conclusion, the concept of trust remains a broad concept as a whole however it is better defined as it relates to each circumstance. Trust is continually evolving in the nurse patient relationship and as we become more educated and socially and emotionally aware, we are better able to assess the context of and redefine the way trust is established for that moment. Knowing the rudiments of building trust is just a stepping stone to becoming better leaders within our profession as we apply the skills across the continuum from patients to co-workers and other health professionals.ReferencesChanging Minds. (2013). What is Trust? Retrieved marching 8, 2014 from http//changingminds.org/explanations/trust/what_is_trust.htm Dinc, L., & Gastmans, C. (2011). Trust and trustworthiness in nursing an argument-based literature review. Academic Journal, 19 (3), 223-237.doi10.1111/j.1440-1800.2011.00582.x Din, L., & Gastmans, C. (2013). Trust in nursepatient relationships A literature review, 20 (5), 501-516. doi http//dx.doi.org/10.1177/0969733012468463 Getting Comfy. (2013). Why Trust is the Foundation of Leadership. Retrieved March 5, 2014 from http//gettingcomfy.com/2013/12/21/ Horsager, D. (2012). You Cant Be a Great Leader Without Trust. Heres How You Build It. Retrieved March 3, 2014 from http//www.forbes.com/sites/forbesleadershipforum/2012/10/24/you-cant-be-a-great-leader-without-trust-heres-how-you-build-it/ Kahn, J. (2013). Nurses Are the Most Trusted Professionals in America. Retrieved March 5, 2014 from//healthpopuli.com/2013/12/16/nurses-are-the-most-trusted-professionals-i n-america/ Mathias, T., & Pullen, R. (2010). Fostering therapeutic nurse-patient relationships. Nursing Made Incredibly Easy, 8(3), 4.doi