Fostering trusting relationships with older immigrants hospitalised for end-of-life care

Johnstone, Megan-Jane, Rawson, Helen, Hutchinson, Alison Margaret and Redley, Bernice 2016, Fostering trusting relationships with older immigrants hospitalised for end-of-life care, Nursing ethics, Online first, pp. 1-13, doi: 10.1177/0969733016664978.

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Title Fostering trusting relationships with older immigrants hospitalised for end-of-life care
Author(s) Johnstone, Megan-Jane
Rawson, HelenORCID iD for Rawson, Helen
Hutchinson, Alison MargaretORCID iD for Hutchinson, Alison Margaret
Redley, BerniceORCID iD for Redley, Bernice
Journal name Nursing ethics
Season Online first
Start page 1
End page 13
Total pages 13
Publisher Sage
Place of publication London, Eng.
Publication date 2016
ISSN 1477-0989
Keyword(s) Aged
cultural diversity
nurse–patient relationship
terminal care
Summary BACKGROUND: Trust has been identified as a vital value in the nurse-patient relationship. Although increasingly the subject of empirical inquiries, the specific processes used by nurses to foster trust in nurse-patient relationships with older immigrants of non-English speaking backgrounds hospitalised for end-of-life care have not been investigated.

AIMS: To explore and describe the specific processes that nurses use to foster trust and overcome possible cultural mistrust when caring for older immigrants of non-English speaking backgrounds hospitalised for end-of-life care.

RESEARCH DESIGN: A qualitative descriptive approach was used. Twenty-two registered nurses were recruited from four metropolitan health services in Melbourne, Australia.

ETHICAL CONSIDERATIONS: Research approval was granted by the Human Research Ethics Committees of the host institution and four participating health services.

FINDINGS: Thematic analysis revealed that fostering trust encompassed the following three commensurate stages: establishing trust, strengthening trust and sustaining trust. Underpinning the successful achievement of these stages was the nurses' moral commitment (reflected in their intentional, conscious and conscientious approach) to fostering trust as an essential ingredient of quality end-of-life care.

DISCUSSION: This study has shown that while professional competencies are important to providing quality end-of-life care to older immigrant patients of non-English speaking backgrounds, it is a nurse's moral commitment to fostering trust that may ultimately lay the foundations for a trusting quality care relationship to be established and sustained.

CONCLUSION: This study has captured the processes used by nurses to foster trust as an essential element of quality end-of-life care in older immigrants. The characteristics of trust and the different factors influencing its expression in diverse cultural contexts are, however, under-researched. Accordingly, gaps remain in the knowledge and understanding of the specific cultural nuances and manifestations of trust across and within different cultures. This is an area that is germane to further cross-cultural and international collaborative scholarly inquiry and research.
Language eng
DOI 10.1177/0969733016664978
Field of Research 111001 Aged Care Nursing
220199 Applied Ethics not elsewhere classified
2201 Applied Ethics
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, The Authors
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