Trust is the mechanism through which relationships are built and maintained. Relationships are the means through which organizations conduct their work as virtual or actual health care environments. Three nursing staff members, a Director of Patient Services, a Clinical Nurse Specialist, and a Staff Nurse, examine their perceptions of the ways trust, mistrust, and betrayal may occur during turbulent times of transition and change. They describe the ways in which trust can be strengthened and betrayal avoided or minimized as the system expands its mission, scope of work, number of personnel, and complexity of communication.
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Marie Farrell (2002) studied this question.