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Guarded Alliance: Health Care Relationships in Chronic Illness
Author(s) -
Thorne Sally E.,
Robinson Carole A.
Publication year - 1989
Publication title -
image: the journal of nursing scholarship
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.009
H-Index - 80
eISSN - 1547-5069
pISSN - 0743-5150
DOI - 10.1111/j.1547-5069.1989.tb00122.x
Subject(s) - alliance , health care , consumerism , psychology , hero , nursing , social psychology , medicine , sociology , political science , artificial intelligence , computer science , law
A multiphase, qualitative study of ongoing health care relationships from the perspective of the chronically ill patient and family confirmed that such relationships evolve over time through three predictable stages: naive trust, disenchantment and guarded alliance. In the final stage, four patterns of health care relationships were identified: hero worship, resignation, consumerism and team playing. The configuration of these relationships in guarded alliance is explained by dimensions of the core variable of reconstructed trust—patients' trust in a health care professional and their trust in their own competence.