Aims and Objectives: To report a synthesis of the literature on the meaning of trust in the context of\npatientsââ?¬â?¢ experiences of nursing. The review question was ââ?¬Å?How do patients describe the meaning of\ntrust in the nursing relationship?ââ?¬Â Background: Trust is essential in nursing as it has the potential to\ncreate opportunities for the human being to gain faith, hope and meaning in life as well as open up for\nnew experiences. Trust is an interpersonal and essential element of all patient-nurse relationships\nand requires nurses to create a trusting relationship with the patients. Design: Systematic qualitative\nliterature review. Methods: Systematic searches were conducted for the period January 2002 to December\n2012, updated in January 2014. 20 papers were included. Results: Four categories emerged:\nAttitudes related to trust, indicating that trust is fundamental and existential; Experiences of trust,\nconcerning how trust can be sensed; The patient-nurse relationship, revealing the qualities of the\nperson who creates trust; and Where trust occurs, illuminating the contextual relevancies of trust.\nConclusions: Patientsââ?¬â?¢ experiences of trust in nursing are dependent on the nursesââ?¬â?¢ knowledge, level\nof commitment in the dialogue to creating and developing the relationship and contextual issues. Implications\nfor nursing practice: Reflection on a trusting relationship with the patient is necessary for a\ndeeper conceptual understanding of trust in nursing. Clinical nurse researchers nurse supervisors,\nmanagers and nurse educators should discuss different areas of trust during nursing supervision and\nfocus-group meetings as well as with nursing graduates to ensure that nurses develop knowledge of\nhow to create a trusting patient-nurse relationship.
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