The impact of patient-physician alliance on trust following an adverse event

Shoemaker, Katherine; Smith, Carly

doi:10.1016/j.pec.2019.02.015

Cited by 19 publications

(15 citation statements)

References 10 publications

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“…This result is in line with earlier research in which it was found that the course of action of HCPs regarding mistakes influences how patients feel after an adverse event or complication. Moreover, patients were less upset if the HCP apologized and revealed the mistake through honesty and with compassion [34]. Oates underlines the relevance of a culture where honesty and openness exist [35].…”

Section: Discussionmentioning

confidence: 99%

Trust in Intensive Care Patients, Family, and Healthcare Professionals: The Development of a Conceptual Framework Followed by a Case Study

Lemmers

Voort

2021

Healthcare

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Intensive care patients experience anxiety, pain, uncertainty, and total dependency. In general, it is important to develop trust between the healthcare professionals (HCPs), patients, and their family. Trust building in the ICU setting is challenging because of the time sensitivity of decision making and the dependency of patients on health care professionals. The objectives of this study are the development of a trust framework and then to use this framework in a case study in the intensive care. In three steps we developed a comprehensive trust framework from the literature concerning trust. First, we identified the elements of trust. Second, we adapted and integrated the dimensions to six concepts to construct the trust framework. Third, these concepts are incorporated into a comprehensive trust framework. In a case study we explored the facilitators and barriers within this framework in eight semi-open interviews with healthcare professionals and eight patients or partners. Trust was first explored inductively and then deductively. We showed that HCPs, patients, and family have largely the same perspective regarding the facilitators of trust, in which communication emerged as the most important one. Other facilitators are maintaining an open feedback culture for HCPs and being aware of patients’ physical and informational privacy. Patients want to be approached as an individual with individual needs. Dishonesty and differences in values and norms were the most important barriers. To contribute to a positive perception of health delivery and to avoid conflicts between HCP and patients or their family we formulated five practical recommendations.

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Section: Discussionmentioning

confidence: 99%

Trust in Intensive Care Patients, Family, and Healthcare Professionals: The Development of a Conceptual Framework Followed by a Case Study

Lemmers

Voort

2021

Healthcare

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“…What is traumatizing, and unforgivable, is the cowardice, the unwillingness to face those we have harmed in the course of attempting to help them, to show up in their hour of greatest need immediately after the error has been made, and simply apologize. Institutional Cowardice -Institutional, because it is a practice emerging from the construct of "risk management," the fear of an organization taking responsibility for the human failings of those it engages (Shoemaker & Smith, 2019;Smith, 2017).…”

Section: Never Saying Sorrymentioning

confidence: 99%

Institutional Cowardice: A Powerful, Often Invisible Manifestation of Institutional Betrayal

Brown

2020

Journal of Trauma & Dissociation

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“…[5][6][7] Prior literature in the field of obstetrics demonstrates that adverse or unanticipated events negatively affect patients trust in their physicians and unanticipated events around the time of delivery remain a significant source of litigation. 8,9 However, having a more active role in medical decisionmaking decreases this negative impact on the patient-physician relationship, and has been linked to increased trust in physicians as well as dramatic decreases in plans for litigation following an adverse event. 8,10 Pregnancy, and particularly labor and delivery, are uniquely stressful and unpredictable time-points in a woman's life.…”

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confidence: 99%

“…8,9 However, having a more active role in medical decisionmaking decreases this negative impact on the patient-physician relationship, and has been linked to increased trust in physicians as well as dramatic decreases in plans for litigation following an adverse event. 8,10 Pregnancy, and particularly labor and delivery, are uniquely stressful and unpredictable time-points in a woman's life. Unanticipated outcomes or complications have the potential to lead to disappointment in the birth experience, affect the patient-physician relationship, and in some instances lead to lasting birth trauma and associated psychiatric sequelae, with recent research reporting that up to 3 to 16% of women meet criteria for posttraumatic stress disorder related to childbirth.…”

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confidence: 99%

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Coping with the Unexpected: Patient Trust in Physicians following Delivery

et al. 2019

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Objective Patient's trust in physicians is a significant predictor of continuity, adherence, and satisfaction with care. However, it is unclear what influences a woman's trust in her physician. This study sought to determine if women's trust in their clinicians was affected by unexpected outcomes at the time of delivery. Study Design This is a secondary analysis of a prospective cohort of 300 postpartum women with gestational diabetes mellitus. Participants completed the validated Trust in Physician Scale during their postpartum hospitalization. Participants' scores were compared based on their exposure to an unexpected pregnancy outcome. Results Of the 300 women consented to participate in this study, 294 completed the Trust in Physician Scale. The mean overall trust score was 80/100 with a range of 42 to 100. Unexpected pregnancy outcomes occurred in 41% (120) of women in this cohort. There was no significant difference in the trust score between women who did and did not have at least one unexpected outcome (0.79 vs. 0.79, p = 0.93). Additionally, there was no significant association between the trust score and any individual unexpected pregnancy outcome. Conclusion Unexpected pregnancy outcomes are not associated with changes in women's trust in their obstetric clinicians. These results emphasize the antepartum period as the essential time for patient–physician relationship building which has important implications for postpartum follow-up and long-term psychiatric sequelae from unexpected outcomes.

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The impact of patient-physician alliance on trust following an adverse event

Cited by 19 publications

References 10 publications

Trust in Intensive Care Patients, Family, and Healthcare Professionals: The Development of a Conceptual Framework Followed by a Case Study

Trust in Intensive Care Patients, Family, and Healthcare Professionals: The Development of a Conceptual Framework Followed by a Case Study

Institutional Cowardice: A Powerful, Often Invisible Manifestation of Institutional Betrayal

Coping with the Unexpected: Patient Trust in Physicians following Delivery

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