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Published on: February 16, 2011
Trust-Building Across Levels of Care: A Conceptual Framework for Nursing Practice
Jill E Sergison1, Luke Velickoff, Bonnie Hepler
1Author Affiliations: Duke University School of Nursing, Durham, NC (Drs. Sergison, Velickoff, Hepler, Knisely).
Abstract:
This paper adapts Anderson and Griffith's Trust-Building Process in Healthcare Organizations Framework to a nurse-led framework, illustrating how trust influences engagement in preventive health among structurally marginalized populations. Using cervical cancer screening among Appalachian women as an exemplar, the framework conceptualizes trust-building as a multilevel process operating at intrapersonal, interpersonal, and institutional levels. By situating trust as both a relational and structural construct, this adaptation underscores nurses' essential role in cultivating trustworthiness within healthcare systems and advancing equity. The framework offers a conceptual pathway for developing trustworthy systems of care that foster sustained preventive health engagement.
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