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Developing trusting, caring relationships: home care nurses and elderly clients

L Trojan1, O Yonge

  • 1Health and Welfare Canada, Hobbema, Alberta.

Journal of Advanced Nursing
|December 1, 1993
PubMed
Summary
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This study explored how home care nurses and elderly clients build trust. Findings reveal a four-phase process crucial for developing effective nurse-client relationships in home care settings.

Area of Science:

  • Nursing
  • Gerontology
  • Healthcare Relationships

Background:

  • Trust is a critical but under-examined aspect of nursing research.
  • Establishing trust is fundamental in home care, particularly for elderly clients.
  • Existing literature lacks a detailed understanding of the trust-development process in this context.

Purpose of the Study:

  • To investigate the process by which home care nurses and elderly clients develop trusting relationships.
  • To identify the key phases involved in building trust within the home care setting.
  • To provide insights for improving nurse-client interactions and care delivery.

Main Methods:

  • Grounded theory methodology was employed to analyze interview data.
  • Interviews were conducted with seven home care nurses and six elderly clients.

Related Experiment Videos

  • Data analysis involved iterative sorting and identification of core categories using qualitative software.
  • Main Results:

    • A core category of 'trusting, caring relationships' emerged from the data.
    • The process of developing trust was delineated into four distinct phases: initial trusting, connecting, negotiating, and helping.
    • Trust development is intrinsically linked to the caring behaviors provided by home care nurses.

    Conclusions:

    • The identified phases provide a framework for understanding and fostering trust in home care.
    • Findings offer practical implications for educating novice nurses and enhancing program development.
    • Further research on trust in diverse healthcare contexts is recommended to strengthen all nurse-client relationships.