Trust and temporality in participatory research

This paper argues that trust cannot be taken for granted in long-term participatory research and promotes greater consideration to conceptualizing the trusting process as fluid and fragile. This awareness by researchers can reveal to them how the passing of time shapes and reshapes the nature of trusting relationships and their constant negotiation and re-negotiation. The paper draws together literature from different disciplines on the themes of trust, temporality and participatory research and outcomes from interviews and workshops undertaken for The Trust Map project to focus on two key moments that reveal the fragility of trust. These are the subtlety of disruption and trust on trial and trust at a distance. We discuss how trust was built over time through processes of interaction that were continually tested, incremental and participatory.

A model to foster and facilitate trust and trusting relationships in the nursing education context

Background: In the nursing education context, the fostering of trust and establishing trusting relationships are important facets of teaching and learning.Aim: The purpose of the study was to understand trust and trusting relationships in teaching and learning, and to develop a model to foster and facilitate trust and trusting relationships in the nursing education context.Setting: Two nursing education institutions were purposively sampled that offered a comprehensive programme in nursing.Methods: A grounded theory study was conducted with the aim to develop a model for trust and trusting relationships in teaching and learning. Purposive, convenience and theoretical sampling of participants were applied. The sample size consisted of 5 educators and 23 students at a university and 9 educators and 37 students at a public nursing education institution. Charmaz’s methods were used for the data analysis. Collection and analysis of data were conducted concurrently.Results: Data of views from the educators and students on trust were synthesised. Themes identified were: professional relations, expectations of the role players in nursing education, creating a conducive teaching and learning context, and outcomes of lack of trust. From the findings, a substantive model to foster and facilitate trust and trusting relationships in nursing education was developed.Conclusion: The study contributed to understanding trust in nursing education. Recommendations focus on fostering and facilitating self-trust and trusting relationships and also on how the model could be implemented in nursing education.Contribution: Fostering and facilitating trust and trusting relationships in the nursing education context will enhance a trusting culture and contribute to the quality of teaching and learning.

Examining of the effect of HRM in mitigating negative effects of LM&SS on employee well-being in health care

Purpose This study aims to examine the effect of human resource management (HRM) in mitigating negative effects of Lean management and Six Sigma (LM&SS) on employee well-being in health care. The authors subdivide well-being into three components: happiness, trust and health. Design/methodology/approach This is a cross-sectional, multisite survey study in internal service units of hospitals. Data analyzed using multivariate regression come from a sample of 1,886 survey respondents (42 units, N = 218 supervisors, N = 1,668 employees) in eight Dutch academic hospitals that have implemented LM&SS. Findings The present study findings show no or weak effects of LM&SS on the happiness and health component of employee well-being. In addition, the authors found a significant but weak direct positive effect (ß = 0.07) of the LM&SS bundle on the trusting relationships component of well-being. Therefore, moderating effects of HRM practices on the relationship between LM&SS and employee well-being seem less relevant because an existing relationship between LM&SS and employee well-being is a prerequisite for moderation (Hayes, 2009). There were unexpected side effects. Inspired by research that discusses direct effects of HRM on employee well-being, the authors tested this relationship and found that HRM has a direct positive effect on trust and happiness of employees in health care. For the health component of well-being, the present results show a weak negative effect of HRM. Practical implications This study results in a cautiously optimistic view about LM&SS in health care, provided that it is applied in a targeted manner (to improve the performance of their processes) and that HRM is strategically aligned with the goals of LM&SS to improve employees’ happiness and trusting relationships. Originality/value Unique features of the study are the focus on the consequences for employees’ well-being related to LM&SS in health care, the role of HRM in regard to this relationship and the participation of all eight Dutch academic hospitals in this research.

Blockchain-based Trusty Buyer Coalition Scheme Using A Group Signature

Without trust, buyers may not join a coalition. Despite the tremendous need for trustworthy relationships in buyer coalitions, no current buyer coalition scheme explicitly tackles confidence issues with blockchain technology. This study proposes an algorithmic design, the blockchain-based trusty buyer coalition scheme, to satisfy the trust requirement among different actors while forming the coalition. All activities forming a coalition through a decentralized public ledger can be explicitly examined. Consequently, the proposed algorithm can ensure anonymity within a community, resulting in trusting relationships. Furthermore, the proposed algorithm can ensure correctness and accountability by recognizing misbehavior and enforcing alternative forms of punishment. Additionally, the discovered algorithm can be applied to mobile commerce applications.

Interracial Trust between Black Doctoral Student Protégés and White Mentors

Psychologists have found that many Black persons in the United States have significant levels of mistrust of White persons. This serves as a protective factor in response to pervasive structural and systemic racism. Yet interracial trusting relationships exist. In this phenomenological study, 10 Black counseling doctoral students described their interracial trust experiences with White faculty and/or clinical supervisor mentors. The authors constructed six themes from the data: setting less rigid boundaries, practicing transparency, taking the initiative, being congruent, honoring the proteges’ strengths and experiences, and advocating for equity. Implications and strategies for supervisors and educators are shared.

EP13 Perceptions and experiences of residents and relatives of emergencies in care homes: systematic review and meta-synthesis

BackgroundMedical emergencies in care homes, both residential and nursing care homes, are common and costly, often resulting in calls to an out-of-hours general practitioner (GP) or Emergency Medical Services (EMS). Ambulance attendance frequently results in conveyance to hospital and the concomitant high costs and risks of, often prolonged, hospitalisation. Previous reviews have focussed on various stakeholder perceptions of transfer to hospital. The aim of this systematic review was to provide a comprehensive synthesis of the perceptions and experiences of care home residents and their family members, who have experienced medical emergencies in a care home setting.MethodsWe searched five electronic databases, supplemented with internet searches and forward and backward citation tracking from the included studies and review articles. Data were synthesised thematically following the Thomas and Harden approach. The CASP Qualitative Checklist was used to assess the quality of the included studies of this review.ResultsThe search strategy identified 6,140 citations. After removing duplicates and excluding citations based on title and abstract, and full-text screening, ten studies from four countries (Australia, Canada, UK, and US) were included in the review and meta-synthesis. All included studies were considered of acceptable quality. Through an iterative approach, we developed six analytical themes. 1. Infrastructure and process requirements in care homes to prevent and address emergencies; 2. The decision to transfer to hospital – a perfect storm; 3. Challenges of transfer and hospitalisation for older patients; 4. Good communication vital for desirable outcomes; 5. Legal, regulatory and ethical concerns; and 6. Trusting relationships enabled residents to feel safe.ConclusionsThe emergency care experience for care home residents can be enhanced by ensuring resources, staff capacity and processes for high quality care. Building trusting relationships underpinned by good communication and attention to ethical practice were also identified as important factors.

The Intersection of Counseling Microskills and Qualitative Interviewing and Reporting in the Study of Sensitive Topics

Sensitive topics evaluation presents both a maze and a minefield to qualitative evaluators due to their complexity and their potential to create areas of misanalysis. For novice and experienced qualitatve practitioners alike, the evaluator can find the task of broaching complex content and developing trusting relationships to be serious methodological hurdles. In particular, the exercise of exploring and analyzing sensitive topics may increase strain as the evaluator seeks to access the abstract and intangible aspects of often distressing subjective content. To assist qualitative evaluators in overcoming these hurdles, the authors propose a collaborative analysis approach informed by counseling strategies and reflecting skills.

"Going It Alone": Following the Male Cohort of Survivors of Sex Trafficking of the Chai Dai Butterfly Longitudinal Research Project

Over the past ten years, the Butterfly Longitudinal Research Project has followed 128 survivors of trafficking through their experiences in aftercare, reintegration, and beyond to better understand the recovery and reintegration of trafficking survivors within a Cambodian context. This paper focuses on the 19 males who were available to interview. Despite the project’s wealth of data and analysis, there are notable gaps regarding the male cohort. In response, this paper examines this cohort holistically, considering their statements and broader narratives, merging them with previous collective observations of the Butterfly Project. Throughout this paper, data indicates a pattern of violence among the male cohort. The paper finds high rates of both physical and emotional peer-to-peer violence during the male cohort’s time in residential care, as well as emotional violence from families following their community reintegration. Difficulties in work and school, frequent migration and housing instability are also prevalent. During aftercare, peer-to-peer violence is cited, with a majority describing a lack of trusting relationships. As respondents are reintegrated back into their communities, the majority report struggles with poverty and emotional violence from parents/carers. There is evidence of more positive peer relationships, fewer feelings of shame, and more trusting relationships. However, the majority still struggles with poverty, pressure to support their families, and poor emotional health. While peers are the primary source of violence experienced during aftercare, parents are most generally the source during the Reintegration and Life Beyond phases. Respondents describe deteriorating relationships with families/carers, increasing responsibility to be more independent, and continuing struggles to maintain their studies or employment.