title: Interprofessional trust in emergency department - as experienced by nurses in charge and doctors on call.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  The study was designed in a qualitative, inductive and sequential manner.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Stavanger, Norway. k.s.friberg@gmail.com.|Stavanger University Hospital, Stavanger, Norway. k.s.friberg@gmail.com.|Østfold Hospital in Kalnes, Sarpsborg, Norway. k.s.friberg@gmail.com.
authors.forename: Klara
authors.initials: K
authors.lastname: Friberg
authors.affiliation: Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Stavanger, Norway.|Stavanger University Hospital, Stavanger, Norway.
authors.forename: Sissel Eikeland
authors.initials: SE
authors.lastname: Husebø
authors.affiliation: Stavanger University Hospital, Stavanger, Norway.|Global Health Priorities Research Group, Department of Global Public Health and Primary Care, Center for International Health, University of Bergen, Bergen, Norway.
authors.forename: Øystein Evjen
authors.initials: ØE
authors.lastname: Olsen
authors.affiliation: Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Stavanger, Norway.|Stavanger University Hospital, Stavanger, Norway.|Faculty of Health Sciences, Buskerud and Vestfold University College, Campus Vestfold, Norway.
authors.forename: Britt
authors.initials: B
authors.lastname: Saetre Hansen
mesh_terms: D000328:Adult; D003299:Cooperative Behavior; D004636:Emergency Service, Hospital; D005260:Female; D017144:Focus Groups; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D008875:Middle Aged; D009664:Norway; D010564:Personnel, Hospital / Q000523:psychology*; D035502:Trust; D016526:Workload
keywords: doctors on call; emergency department; interprofessional trust; nurses in charge; qualitative study