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Interprofessional trust in emergency department – as experienced by nurses in charge and doctors on call
Author(s) -
Friberg Klara,
Husebø Sissel Eikeland,
Olsen Øystein Evjen,
Sætre Hansen Britt
Publication year - 2016
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.13359
Subject(s) - context (archaeology) , relevance (law) , interprofessional education , emergency department , qualitative research , norwegian , nursing , work (physics) , psychology , focus group , medical education , medicine , health care , sociology , mechanical engineering , paleontology , social science , linguistics , philosophy , engineering , political science , anthropology , law , economics , biology , economic growth
Aims and objectives The aim of this study was to describe that which characterises interprofessional trust in a Norwegian emergency department, as expressed by nurses in charge and doctors on call. Background Interprofessional trust requires knowledge of and skills in interprofessional collaboration. It also requires established trust in fellow collaborators, as well as in the work environment and in the more comprehensive system in which the work is conducted. Nurses in charge and doctors on call who collaborate in the context of an emergency department do so under changing conditions in terms of staff composition and work load. Design The study was designed in a qualitative, inductive and sequential manner. Method Data were collected from September–November 2013 through four focus group interviews and was analysed by means of qualitative content analysis. Results The data revealed two themes that were characteristic of interprofessional trust: ‘having relational knowledge’ and ‘being part of a context’. Together, the themes can be understood as equally important to contextual collaboration. A model of interprofessional trust between an individual level and system level was developed from the results. Conclusion The study indicates that interprofessional trust is a changeable phenomenon that has great impact on the possibility for development at an individual level and at a more abstract system level. Relevance to clinical practice Interprofessional trust can be improved by focusing on trust‐building activities between staff at the individual level and between staff and organisation at the system level. Supportive activities such as continuous interprofessional education are suggested as valuable to the development and maintenance of trust.