Abstract
Session presented on: Wednesday, July 24, 2013:
Trust is an important component of patient-centered care and culturally competent care and a major element (confianza) in the Hispanic culture throughout the world. Knowing how trust develops with the Mexican American patient is important, yet this process is not empirically known. Purpose: To conceptualize the process of the development of interpersonal trust between the nurse and the hospitalized Mexican American patient. Methods: The classical grounded theory method was used to generate a theory related to the development of interpersonal trust. There was no theoretical framework at the outset of this study. English-speaking Mexican American patients (n=22) hospitalized at least two days on an obstetric or medical-surgical unit were interviewed. Results: Making Me Feel Comfortable emerged as the core category. The process was conceptualized as having beginning, middle and final stages. In the beginning stage, hospitalized patients are Having Needs and Relying on the Nurse to meet those needs during a single work shift. In the middle stage, the nurse interacts with the patient in Coming Across to Me and Taking Care of Me and may establish a mutual connection with the patient (Connecting). In the final stage, the patient is Feeling Confianza (Trust) with the nurse which leads to the outcomes of Confiding in the Nurse and Taking Away the Negative. Anytime there was a negative element while interacting with the nurse during the middle stage, this element halted any further development of trust. The establishment of trust was a cyclical process, beginning again with the next shift and a different nurse. Conclusion: Hispanic cultural values of personalismo (friendly relations) and familism impacted the development of trust and contributed to the unique findings in this study. The findings have implications for nursing care with Mexican American patients that may impact patient safety and quality care.
Sigma Membership
Alpha
Lead Author Affiliation
Indiana University South Bend, South Bend, Indiana, USA
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Grounded Theory, Trust, Hispanics
Recommended Citation
Jones, Sharon M., "Development of trust in the nurse-patient relationship with hospitalized Mexican-American patients" (2013). INRC (Congress). 120.
https://www.sigmarepository.org/inrc/2013/presentations_2013/120
Conference Name
24th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Prague, Czech Republic
Conference Year
2013
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Acquisition
Proxy-submission
Development of trust in the nurse-patient relationship with hospitalized Mexican-American patients
Prague, Czech Republic
Session presented on: Wednesday, July 24, 2013:
Trust is an important component of patient-centered care and culturally competent care and a major element (confianza) in the Hispanic culture throughout the world. Knowing how trust develops with the Mexican American patient is important, yet this process is not empirically known. Purpose: To conceptualize the process of the development of interpersonal trust between the nurse and the hospitalized Mexican American patient. Methods: The classical grounded theory method was used to generate a theory related to the development of interpersonal trust. There was no theoretical framework at the outset of this study. English-speaking Mexican American patients (n=22) hospitalized at least two days on an obstetric or medical-surgical unit were interviewed. Results: Making Me Feel Comfortable emerged as the core category. The process was conceptualized as having beginning, middle and final stages. In the beginning stage, hospitalized patients are Having Needs and Relying on the Nurse to meet those needs during a single work shift. In the middle stage, the nurse interacts with the patient in Coming Across to Me and Taking Care of Me and may establish a mutual connection with the patient (Connecting). In the final stage, the patient is Feeling Confianza (Trust) with the nurse which leads to the outcomes of Confiding in the Nurse and Taking Away the Negative. Anytime there was a negative element while interacting with the nurse during the middle stage, this element halted any further development of trust. The establishment of trust was a cyclical process, beginning again with the next shift and a different nurse. Conclusion: Hispanic cultural values of personalismo (friendly relations) and familism impacted the development of trust and contributed to the unique findings in this study. The findings have implications for nursing care with Mexican American patients that may impact patient safety and quality care.