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Trust, collaboration and learning in a hospital : nurses' perceptions of their team : effect of a learning intervention to improve the sense of trust during their collaboration

Jochems, J. (2016) Trust, collaboration and learning in a hospital : nurses' perceptions of their team : effect of a learning intervention to improve the sense of trust during their collaboration.

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Abstract:To provide high-quality patient care, nursing team members need to collaborate effectively. Trust and interaction are two relevant pillars to establish this effective collaboration. This explorative study aimed to design, implement, and evaluate a learning intervention based on the need of the team to enhance the positive interaction and trust between the nursing team members. The underlying aims were to achieve insight into the perception of trust and the factors that influenced this trust. A quasi-experimental design and a mixed method of data collection were used. Based on a relational and systematic approach a learning intervention was designed and implemented in the experimental group. This intervention, for learning to provide constructive feedback on positive professional behaviour (meaningful compliments), aimed to improve the feedback culture in a nursing team. Before and after the implementation of the learning intervention a survey was conducted to measure its effectiveness. As an effect of the learning intervention significantly more constructive feedback providing behavior on positive professional behaviour was found in the trained group (part of the experimental group), which positively influenced their perception of trust and interaction. No positive effect on trust and interaction was found for the other team members as other factors negatively influenced trust and interaction. The results with regard to the underlying aims confirmed previous findings that the two pillars of collaboration, namely interaction and trust, are strongly and positively related. Furthermore, the results validated the pivotal role of a high-quality relationship for trust, and identified the relevance of the affective (emotional) aspects of trust. The findings emphasized the role of respect, and stressed the relevance of an open interaction as a basis for establishing effective collaboration. This study also revealed that gossip appeared more often when team members perceived a less open and honest interaction and less opportunity to share their influence. Gossip appeared less when a high-quality relationship was established and showed a strong negative influence on trust in case of a high-quality relationship. Furthermore, this study confirmed earlier findings that feedback is relevant for interaction to enhance trust. Additionally, this study found reasons why nursing team members perceived difficulties with providing and receiving constructive feedback. The findings led to a revised conceptual model. Subjects for further research and practical implications are discussed.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:81 education, teaching
Programme:Educational Science and Technology MSc (60023)
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