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Related Experiment Videos

Impersonal trust and professional authority: exploring the dynamics.

Tony P Gilbert1

  • 1School of Social Work and Primary Care, Faculty of Health and Social Work, University of Plymouth, Portland Square Building, Drake Circus, Plymouth PL4 8AA, Devon, UK. anthony.gilbert@plymouth.ac.uk

Journal of Advanced Nursing
|March 2, 2005
PubMed
Summary

This study explores how impersonal trust and governmentality shape professional activity. Professionals manage trust dynamically, sometimes using distrust, impacting patient hope and organizational systems.

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Area of Science:

  • Social Sciences
  • Health Services Research
  • Organizational Studies

Background:

  • Builds on Luhmann's complexity reduction model of trust.
  • Integrates Foucauldian governmentality to examine professional authority.
  • Focuses on health and welfare professionals' practices.

Purpose of the Study:

  • Explore the relationship between impersonal trust, governmentality, and professional activity.
  • Analyze professional discourse to understand trust dynamics.
  • Investigate how trust is constituted and managed within organizations.

Main Methods:

  • Employed discourse analysis on academic literature and interviews (n=17).
  • Examined professional texts within community residential services for people with learning disabilities.

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  • Utilized a four-dimensional model of impersonal trust (trust, mistrust, abuse, hope).

    • Main Results:

    • Impersonal systems produce trust, which is dynamically contested with gains and losses.
    • Professionals actively promote trust, often employing systems of distrust.
    • Re-conceptualized the trust-hope dimension, suggesting trust can frustrate hope.

    Conclusions:

    • Theoretical links exist between governmentality and trust.
    • Nurses must understand dynamic systems to comprehend trust.
    • The finding that trust may frustrate hope introduces controversy in nursing literature.