Evidence map›Paper›PMID 37468845›Full record

ArticleBMC primary care2023

Indicators of the dimensions of trust (and mistrust) in early primary care practice: a qualitative study.

Allen F Shaughnessy, Andrea Vicini Sj, Mary Zgurzynski, Monica O'Reilly-Jacob, Ashley P Duggan

Abstract read
In one paragraph

Article in BMC primary care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Medical Mistrust: A Concept Analysis.Nursing reports (Pavia, Italy) · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Allen F ShaughnessyDepartment of Family Medicine, Tufts University School of Medicine, Boston, MA, USA.
Andrea Vicini SjTheology Department, Boston College, 140 Commonwealth Ave, Chestnut Hill, MA, USA.
Mary ZgurzynskiUndergraduate Student, Boston College, 140 Commonwealth Ave, Chestnut Hill, MA, 02467, USA.
Monica O'Reilly-JacobWilliam F. Connell School of Nursing, Boston College, 140 Commonwealth Ave, Chestnut Hill, MA, USA.
Ashley P DugganDepartment of Family Medicine, Tufts University School of Medicine, Boston, MA, USA. ashley.duggan@bc.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrust occurs when persons feel they can be vulnerable to others because of the sincerity, benevolence, truthfulness and sometimes the competence they perceive. This project examines the various types of trust expressed in written reflections of developing healthcare clinicians. Our goal is to understand the roles trust plays in residents' self-examination and to offer insight from relationship science to inform the teaching and clinical work for better trust in healthcare.

methodsWe analyzed 767 reflective writings of 33 residents submitted anonymously, to identify explicit or implicit indicators attention to trust or relationship development. Two authors independently coded the entries based on inductively identified dimensions. Three authors developed a final coding structure that was checked against the entries. These codes were sorted into final dimensions.

resultsWe identified 114 written reflections that contained one or more indicators of trust. These codes were compiled into five code categories: Trust of self/trust as the basis for confidence in decision making; Trust of others in the medical community; Trust of the patient and its effect on clinician; Assessment of the trust of them exhibited by the patient; and Assessment of the effect of the patient's trust on the patient's behavior. DISCUSSION: Broadly, trust is both relationship-centered and institutionally situated. Trust is a process, built on reciprocity. There is tacit acknowledgement of the interplay among what the residents do is good for the patient, good for themselves, and good for the medical institution. An exclusive focus on moments in which trust is experienced or missed, as well as only on selected types of trust, misses this complexity.

conclusionA greater awareness of how trust is present or absent could lead to a greater understanding and healthcare education for beneficial effects on clinicians' performance, personal and professional satisfaction, and improved quality in patients' interactions.

Indexed as

Delivery of Health CareTrustHumansLearningPrimary Health CareQualitative ResearchFamily medicinePrimary careQualitativeReflective writingResident physiciansTrust

Identifiers

PMID37468845
PMCPMC10357788

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.