‘Culture of Trust’ emphasized by TAMC seminar

| November 22, 2012 | 0 Comments

Genie Joseph and Richard Ries
Contributing Writers



HONOLULU — When we aren’t feeling well, and we don’t know what’s wrong, we want to be able to trust our health care providers.

We want answers and we want them now!

If we trust our doctors and clinicians, we’re more likely to follow their recommendations.

The feeling of trust is so important in successful patient care that Medical Command, or MEDCOM, senior leadership encouraged Tripler Army Medical Center employees to take new training called the “Culture of Trust.” This seminar examines different ways that trust affects interactions with patients and with each other.

The issue of trust is not new to Army life, according to Lt. Gen. Patricia Horoho, Army Surgeon General.

“Trust is the foundation of everything we do,” said Horono. “Our Soldiers trust we will get them from the battlefield to an aid station or hospital as quickly as possible. This trust extends to Army families who are confident that they will receive the finest care.”

Relationships are based on shared expectations, and they do better when trust is in place. When interaction with the health care provider offers a sense of trust, a patient is more likely to follow instructions, and feel hope and optimism about getting well.

What exactly is trust? According to the training, “trust is an emotional response to the quality and characteristics of the relationship between two or more people.”

Trust is a feeling, and is sensed when at low level. When trust is low, commitment levels drop and patients may become less compliant with their doctor’s recommendations.

Earned Trust. Not everyone has the same approach to giving and receiving trust. During training, some people display “earned trust,” meaning that in order for this type of person to feel trust, the other party needs to earn it through certain specific behaviors over time.

Given Trust. On the other hand, some people have what is called “given trust,” meaning that their default mode is to trust another, and in order to lose that trust, someone would have to do certain things that fall outside of their standards and values.

Given trust types will extend trust as a general rule, and will only withdraw it when demonstrated negative behaviors have occurred. For those who are on the earned trust spectrum, trust is only extended once a person has demonstrated trustworthiness over time.

“Trust supports the foundation of healthy organizations,” said Lt. Col. Heather Moriyama, registered dietitian and chief of Nutrition Care Division, TAMC. “We are dedicated to nurturing positive, new initiatives to ensure that everyone who wants to be heard has a venue for their voice.”

“It has been really useful to understand that people have different trust styles,” said Bobbie Blaskowski, from the Warrior Ohana Medical Home, who took the five-day training. “This makes working together much smoother.”

TAMC Partners in Trust

The TAMC Partners in Trust have collaborated to create an electronic “voice box” and three physical “voice boxes,” or comment boxes, that will be posted at Tripler’s two main entrances. The third will be passed around at Care Provider Support Program Resiliency classes.

Soldiers and employees at TAMC can expect a series of command luncheons, wherein they can make suggestions directly to those in the top command. Sign up for the command luncheon at tamc.pit@amedd.army.mil.

(Editor’s note: Joseph is a Chaminade University professor and serves as an Army Family Team Building instructor for Army Community Service. Ries is a resiliency training instructor, TAMC, Pacific Regional Medical Command.)

Tags: , , , , ,

Category: Community, Health

Leave a Reply

Your email address will not be published. Required fields are marked *