A Q-ANALYSIS OF INTERPERSONAL TRUST IN THE NURSE-CLIENT RELATIONSHIP.
Contributors: University of Alabama at Birmingham.
Published: 1988
Number of pages: 115
Subjects: Health Sciences, Nursing.
Description: Trust of the nurse caregiver(s) is stated to take on a crucial importance for the spinal cord injured client who must adapt to a most stressful life change event (Rehabilitation Nursing Institute, 1981). The purpose of this research was to develop a Q instrument to answer the question: What are the dimensions of interpersonal trust in the nurse-client relationship? The conceptual framework was derived from the Neuman's (1982) Systems Model, the three dimensions of interpersonal trust revealed in the literature, and Q methodology.

Content validity was established by an analysis of ideal nurse interpersonal trust behaviors which were subjected to review by a panel of experts. Reliability was determined by test-retest methods.

The final Q-sort instrument was administered to 12 nurses and 12 paraplegics. A Q-type factor analysis of the data revealed four person types. The subjects' assignment to type was influenced by their responses to items in the Q-sort instrument and whether they were a nurse or a client. ANOVA procedures assessed different patterns of response within persons. The sorts of seven subjects were significant at the.05 level. Post hoc procedures revealed different response patterns for the participants. While consensus items were found in all three dimensions, the grand mean for the credibility dimension was of greater magnitude. These results were further affirmed by Typal Z scores in each person type Factor Array. Intrasorter consistency was revealed for all subjects at greater than or equal to.40.

It was recommended that Q methodology be used with other populations to determine ideal nurse interpersonal trust behaviors. It was also recommended to investigate the temporal sequence for the trusting choice.
Notes: Source: Dissertation Abstracts International, Volume: 50-02, Section: B, page: 0493.

Thesis (D.S.N.)--UNIVERSITY OF ALABAMA AT BIRMINGHAM, 1988.

School code: 0005.