Trust in the face of uncertainty: a qualitative study of intersubjective trust and risk

Frederiksen, Morten

doi:10.1080/03906701.2014.894335

Cited by 46 publications

(20 citation statements)

References 27 publications

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“…Koppenjan and Klijn [50] recognize that inconsistent actor strategies and changing circumstances may negatively affect trust, as was also revealed in this case study as residents' trust in authorities was diminished as a result of compounding and cascading governance, funding and socio-cultural uncertainties. While trust can help to overcome uncertainty [81], when uncertainties are compounding and pervasive, trust between communities and their governing authorities may be undermined, reconsidered or dwindle altogether [50].…”

Section: Discussionmentioning

confidence: 99%

The Uncertainty Contagion: Revealing the Interrelated, Cascading Uncertainties of Managed Retreat

2020

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Managed retreat presents a dilemma for at-risk communities, and the planning practitioners and decisionmakers working to address natural hazard and climate change risks. The dilemma boils down to the countervailing imperatives of moving out of harm’s way versus retaining ties to community and place. While there are growing calls for its use, managed retreat remains challenging in practice—across diverse settings. The approach has been tested with varied success in a number of countries, but significant uncertainties remain, such as regarding who ‘manages’ it, when and how it should occur, at whose cost, and to where? Drawing upon a case study of managed retreat in New Zealand, this research uncovers intersecting and compounding arenas of uncertainty regarding the approach, responsibilities, legality, funding, politics and logistics of managed retreat. Where uncertainty is present in one domain, it spreads into others creating a cascading series of political, personal and professional risks that impact trust in science and authority and affect people’s lives and risk exposure. In revealing these mutually dependent dimensions of uncertainty, we argue there is merit in refocusing attention away from policy deficits, barrier approaches or technical assessments as a means to provide ‘certainty’, to instead focus on the relations between forms of knowledge and coordinating interactions between the diverse arenas: scientific, governance, financial, political and socio-cultural; otherwise uncertainty can spread like a contagion, making inaction more likely.

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Section: Discussionmentioning

confidence: 99%

The Uncertainty Contagion: Revealing the Interrelated, Cascading Uncertainties of Managed Retreat

2020

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“…Limited evidence can postulate ambiguity around the clinical bene ts of POC tests and foster uncertainties (68-70). These factors are consequential given that uncertainty arises from knowledge gaps (69, 70), and perceptions of uncertainty in uence decisions and behaviours (71,72). Cultivating trust can reduce uncertainty (73), where clinical evidence can generate trustworthiness (74,75).…”

Section: Discussionmentioning

confidence: 99%

Strategies to implement SARS-CoV-2 point-of-care testing into primary care settings: A qualitative secondary analysis guided by the Behaviour Change Wheel

Kierkegaard¹,

Hicks²,

Aj³

et al. 2021

Preprint

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Background There is little empirical evidence to inform implementation strategies for introducing SARS-CoV-2 point of care (POC) testing into primary care settings. The purpose of this study is to develop a theory-driven understanding of the behavioural determinants underpinning the implementation of SARS-CoV-2 POC testing in primary care. This will allow identification of potential intervention strategies that could encourage successful implementation of testing into routine practice and facilitate face-to-face consultations. Methods We used a secondary qualitative analysis approach to re-analyse data from a qualitative study that involved interviewing 22 primary care physicians from 21 primary care practices across three regions in England. We followed the three-step method based on the Behaviour Change Wheel to identify barriers/enablers to the implementation of SARS-CoV-2 POC testing and identified behaviour change techniques to inform intervention strategies that targeted the barriers/enablers. Results We identified 10 barriers and enablers to POC implementation under eight Theoretical Domains Framework (TDF): (1) knowledge; (2) behavioural regulation; (3) reinforcement; (4) skills; (5) environmental context and resources; (6) social influence; (7) professional role and identity; and (8) belief about consequences. Linkages with the Behaviour Change Techniques (BCT) taxonomy enabled the identification of intervention strategies to address the social and contextual factors influencing primary care physician’s willingness and capacity to adopt POC testing. Conclusions A theory-informed approach identified barriers to the adoption of POC tests in primary care as well as guiding implementation strategies to address these challenges.

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“…Frederiksen (Frederiksen, 2014), tillid som en mekanisme til at relatere til usikkerhed. (Uslaner, 2013) anfører dertil, at tillid reducerer individers risiko-perceptioner uafhaengigt af personlige erfaringer.…”

Section: B Tillid Og Koblingen Til Risikounclassified

Risikobaseret regulering som tillidsbevarende mekanisme i en uforudsigelig verden – rationaler, dilemmaer og paradokser

Henriksen

2020

SiS

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Den moderne verden er kompleks og dynamisk. Usikkerhed og uforudsigelighed råder, og det stiller store krav til den måde, vi forvalter de samfundsmæssige processer på. For i en usikker verden er tilliden til samfundets centrale institutioner og de systemiske organisationer af endnu større betydning, når vi skal opretholde et velfungerende velfærdssamfund. Alligevel oplever vi en række sager, f.eks. relateret til SKAT, sundhedssektoren og den finansielle sektor, der udfordrer vores indlejrede oplevelse af tillid til systemet. Men hvorfor får vi disse sager, og kan de undgås? En del af svaret ligger muligvis i det paradoks, at vi konsekvent søger at håndtere usikkerhed og uforudsigelighed ud fra strategier og principper, der er rodfæstet i en verdensopfattelse af forudsigelige kausale sammenhænge. Artiklen argumenterer for, at den opfattelse har konsekvenser, fordi årsags-virknings-sammenhænge ofte kendetegnes ved det stik modsatte, nemlig uigennemskuelighed og deraf, uforudsigelighed. Artiklen tager afsæt i paradigmet om risikobaseret regulering og kontrol som eksponent for samfundsmæssige strømninger om rationel kausalitet, der har gjort risikostyring til et dominerende, men også tvetydigt svar på næsten alting. På den baggrund diskuteres 3 centrale udfordringer (strategisk ideologi, motiv- / praktik-kobling og risiko- / usikkerheds-tolkning), som risikobaseret regulering bør adressere for at afstemme intention med modernitetens natur. Den overordnede konklusion er, at ureflekteret tiltro til risikobaseret regulering og kontrol som universel metodik, er en farefyldt vej for samfundskontrakten, fordi paradigmet i praksis ignorerer verdens diskontinuitet og betydningen af samme.

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Trust in the face of uncertainty: a qualitative study of intersubjective trust and risk

Cited by 46 publications

References 27 publications

The Uncertainty Contagion: Revealing the Interrelated, Cascading Uncertainties of Managed Retreat

The Uncertainty Contagion: Revealing the Interrelated, Cascading Uncertainties of Managed Retreat

Strategies to implement SARS-CoV-2 point-of-care testing into primary care settings: A qualitative secondary analysis guided by the Behaviour Change Wheel

Risikobaseret regulering som tillidsbevarende mekanisme i en uforudsigelig verden – rationaler, dilemmaer og paradokser

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