Nursing Ethics 15 (6):777-788 (2008)

The ideal of trust pervades nursing. This article uses empirical material from acute psychiatry that reveals that it is distrust rather than trust that is prevalent in this field. Our data analyses show how distrust is expressed in the therapeutic environment and in the relationship between nurse and patient. We point out how trust can nonetheless be created in an environment that is characterized by distrust. Both trust and distrust are exposed as `fragile' phenomena that can easily `tip over' towards their opposites. Trust is not something that nurses possess or are given; it is rather something that they earn and have to work hard to achieve. Regarding themselves as potential causes of distrust and active wielders of power can contribute to nurses developing a more realistic view of their practice. Assuming a realistic middle-way perspective can help to manoeuvre between the extremities of excellence and resignation, which in turn can lead to processes that create trust between psychotic patients and nurses
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1177/0969733008090525
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy

Upload a copy of this paper     Check publisher's policy     Papers currently archived: 71,436
External links

Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library

References found in this work BETA

No references found.

Add more references

Citations of this work BETA

Trust in Nurse–Patient Relationships.Leyla Dinç & Chris Gastmans - 2013 - Nursing Ethics 20 (5):501-516.

Add more citations

Similar books and articles

Emerging From Distrust: A Review of Strategies and Principles for Action. [REVIEW]Patti Tamara Lenard - 2008 - Critical Review of International Social and Political Philosophy 11 (3):357-368.
Creating Trust.Robert C. Solomon - 1998 - Business Ethics Quarterly 8 (2):205-232.
Public Trust.Cynthia Townley & Jay L. Garfield - 2013 - In Cynthia Townley & P. Maleka (eds.), Trust: Analytic and Applied Perspectives. Amsterdam: Rodopi.
Trust and Distrust in Cpr Decisions.Barbara Hayes - 2010 - Journal of Bioethical Inquiry 7 (1):111-122.
Trust and Responsibility in Health Policy.Meredith C. Schwartz - 2009 - Journal of Feminist Approaches to Bioethics 2 (2):116-133.
Corporate Espionage and Workplace Trust/Distrust.Marjorie Chan - 2003 - Journal of Business Ethics 42 (1):45 - 58.
The Impact of Trust on Employee Participation in Poland.Jacek Sójka - 1999 - Journal of Business Ethics 21 (2-3):229 - 236.
Tar Wars: Strategic Distrust, the Public Health Community, and Big Tobacco.Robbin Derry & Sachin V. Waikar - 2006 - Proceedings of the International Association for Business and Society 17:89-92.


Added to PP index

Total views
30 ( #383,555 of 2,519,861 )

Recent downloads (6 months)
1 ( #406,012 of 2,519,861 )

How can I increase my downloads?


My notes