An integrative review of adolescent trust in the healthcare provider relationship. (29th November 2020)

• Record Type: Journal Article
• Authors: Hardin, Heather K.; Bender, Anna E.; Hermann, Carla P.; Speck, Barbara J.
• Is Part Of: Journal of advanced nursing. Volume 77:Number 4(2021)
• Page Start: 1645
• Page End: 1655
• Publication Date: 2020-11-29
• Subjects: adolescent -- confidentiality -- empathy -- healthcare provider -- honesty -- integrative review -- nurse -- respect -- systematic review -- trust; Nursing -- Periodicals; 610.7305
• DOI: 10.1111/jan.14674
• Languages: English
• ISSNs: 0309-2402

Abstract

Abstract: Aim: To conduct an integrative review of empirical studies examining factors affecting trust in the healthcare provider (HCP) relationship among adolescents. Design: An integrative review was conducted. Data sources: The keywords adolescent, trust, healthcare provider and related words were searched in multiple online research databases. The results were limited to research published between 2004 and 2019. Seventeen primary sources were identified and synthesized in the final review. Review method: Guided by the Whittemore and Knafl integrative review method, a data‐based convergent synthesis design was used to explore the key research question in both qualitative and quantitative research. Results: This integrative review found that health care provider behaviours, such as confidentiality, honesty, respect, and empathy, promote adolescent's trust of the HCP. Notable gaps in the literature were also identified, including a lack of diversity among adolescent samples and HCP types and underdeveloped measures of adolescent trust of HCP. Conclusion: This integrative review informed the development of a new conceptual definition of adolescent trust of HCP, which embodies the key findings of the importance of HCP confidentiality, honesty, respect, and empathy. This definition can be used to develop instruments, interventions and policies that promote HCP trust among adolescents. Future research is needed to develop instruments to measure adolescents' trust of HCPs, evaluate trust of HCPs among diverse samples of adolescents and evaluate adolescent trust of HCPs with a variety of HCP types. Impact: The new conceptual definition of adolescent trust of HCP can be used to enhance nursing practice and design behavioural interventions to improve trust of HCP. To foster adolescent trust of HCP, policies should be enacted in healthcare institutions to explain confidentiality, provide notification of reporting mandates and formalize consent, assent and dissent for adolescents seeking health care. 摘要: 目的: 开展实证研究综合评估, 研究影响青少年与医疗服务提供者 (HCP) 关系信任度的因素。 设计: 开展综合评估。 数据来源: 在多个在线研究数据库中搜索关键词 青少年、信任、医疗服务提供者 和相关词汇。研究结果仅限于2004年至2019年间发表的研究。在最终评估中确定并综合了17个主要数据来源。 评估方法: 以Whittemore和Knafl综合评估方法为指导, 采用基于数据的收敛综合设计, 对定性和定量研究中的关键研究问题进行探讨。 结果: 本项综合评估发现, 医疗服务提供者的行为, 如保密、诚实、尊重和同理心, 促进了青少年对医疗服务提供者的信任。在文献中也发现了明显差距, 包括青少年样本和医疗服务提供者类型之间缺乏多样性, 以及青少年对医疗服务提供者的信任度不够。 结论: 本项综合评估为制定青少年对医疗服务提供者信任度的新概念定义提供了信息, 该定义体现了医疗服务提供者保密、诚实、尊重和同理心的重要性的关键结论。该定义可以用来开发促进青少年对医疗服务提供者信任的工具、干预和政策。未来研究需开发工具来衡量青少年对医疗服务提供者的信任度, 评估不同样本的青少年对医疗服务提供者的信任度, 并评估青少年对不同类型医疗服务提供者的信任度。 影响: 关于青少年对医疗服务提供者信任度的新概念定义可用于加强护理实践和设计行为干预, 以提高对医疗服务提供者的信任。为了促进青少年对医疗服务提供者的信任, 医疗服务提供者应制定政策, 解释保密性, 提供报告任务通知, 并使寻求医疗保健的青少年的同意、批准和异议正式化。