The art of (re)learning to walk: trust on the rehabilitation ward.
Although trust has significant implications for health outcomes, the mechanisms by which its presence or absence influences these outcomes require elucidation. Drawing on ethnographic research conducted in southeast Australia, we explore the tasks of rehabilitation for people who lost a limb because of vascular disease, and the importance of trust in the relationships of patients with their health professionals. Trust underpins procedures and practices designed to minimize problems that might delay rehabilitation or result in the continuing need for medical support and surveillance. Patients develop trust in the rehabilitation team based on three factors: competence, agency, and caring. Our findings emphasize how social skills, as well as technical competence, enable health professionals to gain and maintain their patients' trust.
Manderson
Lenore
L
School of Psychology and Psychiatry, Monash University, 900 Dandenong Rd., Caulfield East, Victoria 3145, Australia. lenore.manderson@med.monash.edu.au
Warren
Narelle
N
D000671:Amputation, Surgical / Q000534:rehabilitation*; D000884:Anthropology, Cultural; D002983:Clinical Competence; D003142:Communication; D003219:Confidentiality; D004645:Empathy; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D007858:Learning; D008297:Male; D008960:Models, Psychological; D011369:Professional-Patient Relations; D019145:Rehabilitation Nursing / Q000379:methods*; D013503:Surgery Department, Hospital; D035502:Trust; D014739:Victoria