TRUST

Trust depends in part on reputation and competence, and in part on liking.

«  Meeting a patient for the first time is a critical moment in establishing trust.

First impressions are particularly important. The studies by ethologists on imprinting (recognition and attraction) in newborn birds and animals may also be relevant to new encounters between humans.

A trusting relationship does three things:

• Reduces fears and improves morale

• Improves compliance

• Saves time

Trust is the first step to reassurance. A person will not share deep-seated fears with an uncaring stranger. (see Reassurance)

A person is more likely to take the advice of someone he trusts. (see Advice)

Trust saves time because it reduces the need for detailed discussion or justification of every step in treatment or management, although open communication among patient, family and carers is always important.

Good leadership should maintain trust, reduce uncertainty and be optimistic in some way. Optimism is supportive (pessimism is not) and being supportive boosts trust. Honesty and openness also boost trust. It is always possible to be both honest and optimistic. (see Talking with Patients)

The author and publisher have taken precautions to ensure that the information in this book is error-free. However, readers must be guided by their own personal and professional standards of good practice in evaluating and applying recommendations made herein. The contents of this book represent the views and experience of the author, and not necessarily those of the publisher.