TY - JOUR
T1 - Building trustworthy relationships with critically ill patients and families
AU - Rushton, Cynda Hylton
AU - Reina, Michelle L.
AU - Reina, Dennis S.
PY - 2007
Y1 - 2007
N2 - A difficult case study involving repeated health crises and irreversible organ dysfunction illustrates the challenges critical care professionals face in caring for patients and their families. In such cases, trust is especially fragile, and coexists with its counterpart, betrayal. The Reina Trust & Betrayal Model defines 3 types of Transactional Trust. The first, Competence Trust, or the Trust of Capability, requires that clinicians practice humility, engage in inquiry, honor the patient's choices, and express compassion. The second, Contractual Trust, or the Trust of Character, demands that clinicians keep agreements, manage expectations, establish boundaries, and encourage mutually serving expectations. The third, Communication Trust, or the Trust of Disclosure, must be rooted in respect and based on truth-telling. Particularly in life-and-death situations, communication requires honesty and clarity. Each type of trust involves specific behaviors that build trust and can guide critical care professionals as they interact with patients and their families.
AB - A difficult case study involving repeated health crises and irreversible organ dysfunction illustrates the challenges critical care professionals face in caring for patients and their families. In such cases, trust is especially fragile, and coexists with its counterpart, betrayal. The Reina Trust & Betrayal Model defines 3 types of Transactional Trust. The first, Competence Trust, or the Trust of Capability, requires that clinicians practice humility, engage in inquiry, honor the patient's choices, and express compassion. The second, Contractual Trust, or the Trust of Character, demands that clinicians keep agreements, manage expectations, establish boundaries, and encourage mutually serving expectations. The third, Communication Trust, or the Trust of Disclosure, must be rooted in respect and based on truth-telling. Particularly in life-and-death situations, communication requires honesty and clarity. Each type of trust involves specific behaviors that build trust and can guide critical care professionals as they interact with patients and their families.
KW - Building trust
KW - Critical care
KW - Provider-patient relationships
KW - Trust models
UR - http://www.scopus.com/inward/record.url?scp=33846850065&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33846850065&partnerID=8YFLogxK
U2 - 10.4037/15597768-2007-1004
DO - 10.4037/15597768-2007-1004
M3 - Article
C2 - 17284945
AN - SCOPUS:33846850065
SN - 1559-7768
VL - 18
SP - 19
EP - 30
JO - AACN advanced critical care
JF - AACN advanced critical care
IS - 1
ER -