Organizations thrive when employees trust each other. Nurses are facing significant challenges in providing patient care services and creating the systems to support the desired care. The volatility resulting from exploding technology, mergers, and acquisitions undermines once trusting relationships. Issues of mistrust emerge from the unstable reimbursement models, increased government regulations, and a shortage of qualified caregivers. Adversarial relationships abound with union activity, legislative efforts to manage staffing, work hours, and patient acuity systems.
No takes yet. Share an insight, caveat, or question.
Kathy Malloch (2002) studied this question.