6) 2008

Gilburt et al. The importance of relationships in mental health care: a qualitative study of service users’ experiences of psychiatric hospital admission in the UK.

To explore the experiences of

admission to acute psychiatric hospital from the perspective

of services users.

User-led study, a participatory approach. 19 service users who had all had inpatient stays in psychiatric hospitals in London were interviewed in the community.

Three codes, treatment, freedom and environment defined the role of hospital and its physical aspects. Themes of communication, safety, trust, coercion, and cultural competency contributed to the concept of relationships.

7) 2008

Piippo & Aaltonen

Mental health care: trust and mistrust in different caring contexts.

To identify the factors that make trust within the context of public mental health possible. We also consider the question of patients’ trust in the whole caring system.

Individual interviews with 22 psychiatric patients, who were also users of social services. A qualitative method based on the grounded theory approach. The main focus in the analysis was on how the patients had experienced the contexts of the caring systems and how trust was created or not within them.

Categories creating trust were found. Acceptance of the patient’s expertise concerning his/her life situation, openness and joint discussions concerning knowledge are important. Trust is closely connected to autonomy and power: patients feel that trust increases as their experience of autonomy increases and in such situations power is not owned by any one person.

8) 2008

Wiersma & Pedlar

The nature of relationships in alternative dementia care environments.

To examine the experiences of older adults with dementia while they were in long-term care and while they were in a summer-camp setting.

Participant observation and interviews to gain an understanding of the experiences of seven residents of the long-term care facility.

Differing strategies were employed by residents. In a supportive relationship, participants used humor and reminisce. At the summer camp, relationships were dramatically altered and included elements of equality; personal interactions; and attention, reciprocity, and trust.

9) 2007

Hordern & Street

Issues of intimacy and sexuality in the face of cancer: the patient perspective.

Draws on data from a larger study into issues of intimacy and sexuality from the perspectives of patients and health professionals in cancer and palliative care.

A 3-stage reflexive inquiry involved semistructured participant interviews (n = 82), textual analysis of national and international clinical practice guidelines (n = 33), and participant feedback at 15 patient and health professional educational forums. This article presents the analysis of 50 patient interviews.

Five clusters of responses to a cancer diagnosis: “focus on survival,” “trust in health professional,” “desire for choices,” “search for normality,” and “need for negotiated communication.”



Sacks J.L., Nelson J.P.

A theory of nonphysical suffering and trust in hospice patients.

To uncover participants’ experiences of nonphysical suffering and what was helpful during this time.

18 chronically ill patients. Grounded theory study.

Trust was uncovered as a central issue within nonphysical suffering, whereas meaning was the vehicle that enabled the individual to move within the suffering. Trust included the categories of dynamic experience, losing trust, and dealing to regain trust. Participants identified nurse trustworthiness as important for decreasing energy expenditures associated with suffering.

11) 2007

Mauleon A.L., Palo-Bengtsson L., Ekman S.L.

Patients experiencing local anesthesia and hip surgery.

To show that the experience of local anesthesia and a surgical situation meant to patients.

An interpretive phenomenological method developed by Benner was used to extract the experience of what it means to be in local anesthesia and surgery. Seven patients experiencing local anesthesia and hip surgery.

The well-being and comfort of patients is compromised by challenges such as severe pain and long waits, which may be experienced as endless and which leave the patient thinking of nothing else. By contrast, the experience of trust helps the patient to feel control even in situations where the treatment is hard to grasp. Local anesthesia and surgery force patients to overcome and handle experiences of pain, trust and distrust, feelings of alienation and unreality.