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Updated: Aug 5, 2026

The Collective Trust Game: An Online Group Adaptation of the Trust Game Based on the HoneyComb Paradigm
Published on: October 20, 2022
Development of the Trust Pathway and Distrust Pathway Models
1About the Author Lynn Varagona, PhD, RN, is a professor of nursing, Wellstar School of Nursing, Kennesaw State University, Georgia. The author wishes to acknowledge Dr. Judith Hold for co-conducting the original study.
Student trust in nursing education impacts engagement and performance. This study developed models showing how instructor actions influence student trust, affecting learning behaviors and academic outcomes, offering strategies for trust-building.
Area of Science:
- Nursing Education
- Educational Psychology
- Organizational Behavior
Background:
- Student trust is crucial for academic success, influencing affect, engagement, and performance.
- Existing literature lacks a comprehensive process model detailing how specific events impact student trust and subsequent outcomes.
- Affective Events Theory provides a framework for understanding the link between workplace events and emotional/attitudinal responses.
Purpose of the Study:
- To develop process models illustrating the pathway from instructor actions to student trust, affect, behavior, and perceived performance in baccalaureate nursing students.
- To identify specific events that foster or erode student trust in nursing instructors.
- To explore the affective reactions, attitudes, and behaviors resulting from these trust-related events.
Main Methods:
- Qualitative study employing focus groups with 77 baccalaureate nursing students.
- Students described events related to trusting or distrusting an instructor.
- Analysis focused on affective reactions, attitudes, behaviors, and perceived performance impacts.
Main Results:
- Two distinct models emerged: the Trust Pathway Model and the Distrust Pathway Model.
- These models depict the temporal sequence of how instructor actions are appraised, leading to affective responses, attitudes, and affect-driven behaviors.
- The models highlight critical points where trust can be built or repaired, influencing learning-relevant behaviors and perceived performance.
Conclusions:
- Instructor actions significantly shape student trust through appraisal and affective responses, directly impacting learning behaviors and perceived performance.
- The developed Trust and Distrust Pathway Models offer a nuanced understanding of trust dynamics in nursing education.
- Identifying leverage points within these models can guide interventions to enhance student-instructor trust and improve educational outcomes.
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