Purpose. Develop a Children's Trust in General Nurses Scale (CTGNS).Design and Methods. In a cross-sectional investigation, 128 UK children (68 females and 60 males; Mean age = 10 year -4 months) completed the CTGNS and reported their trust in, and fear of, nurses. Forty-six parents reported those dispositions and the frequency of their children visiting medical centres.Results. The CTGNS showed acceptable internal consistency and factor structure.It was correlated with reported children's trust in nurses and visiting medical centres.Practice Implications. The CTGNS will permit the investigation of children's trust in nurses and interventions to promote it. 3 Children's Trust in Nurses Development of a Children's Trust in General Nurses Scale Polls show that nurses are one of the most trusted professions (e.g., Gallup, 2012) and it has long been advocated that nurse-patient trust is a crucial part of nursing practices both in the treatment of adults (de Raeve 2002; Dinc, & Gastmans, 2012;Johns, 1996;Radwin & Cabral, 2010;Rutherford, 2014) and children (Hall & Nayar, 2014;Hupcey, Penrod, & Morse, 2001). There are a very limited number of studies investigating adults' trust in nurses (see Radwin & Cabral, 2010) and there is a dearth of research that has investigated children's trust in nurses. Researchers have developed multi-item scales to assess adults' trust in nurses (Radwin & Cabral, 2010). Because of the sophistication of the language and generalized nature of the items in those scales though, they are not suitable for use with children. The purpose of current study of the current study was to redress that gap in our knowledge regarding paediatric nursing by developing a trust in general nurses scale for children.
Conceptualization and Measurement of TrustThe current investigation was guided by Bases, Domains, and Targets (BDT) framework comprising 3 (bases) x 2 (domains) x 2 (target dimensions) (see Rotenberg, 2010). The three bases of interpersonal trust are: (a) Reliability which comprises believing that others fulfil their word or promise; (b) Honesty which comprises believing that others tell the truth and engaging in behaviors that are guided by benign rather than malicious intent and by genuine rather than manipulative strategies; and (c) Emotional which comprises believing that others to refrain from causing emotional harm, such as being receptive to disclosures, maintaining confidentiality of them, refraining from criticism and avoiding acts that elicit embarrassment. The three domains are: (a) cognitive/affective which are the beliefs and affect regarding the three bases of trust; (b) behavior-dependent which comprises individuals behaviorally relying on others to act in 4 Children's Trust in Nurses a trusting fashion as per the three bases, (c) behavior-enacting which comprises individuals behaviorally engaging in the three bases of trust. The bases and domains are characterized by two target dimensions: (a) familiarity, which ranges from slightly to highly familiar and (b) specificity...
