Trust at the very root of
getting it right for students
Andy Philpott and Christine Scholes
March 2011
AHEAD at University College Dublin
www.bournemouth.ac.uk
Regulated Environments
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Nationally
Nursing and Midwifery Council 2008
Health Professions Council 2009
Disability Discrimination Act 2007
Equality Act 2010
Locally
Education Contract
Learning and Development Agreement
Placement Agreement
www.bournemouth.ac.uk
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The need for support
• Where staff and students are well
supported, students report positive
experience (Storr, Wray, Draper in press)
• Collaboration between academic and
practice staff important determinant (Wray et al
2005)
• University Practice Learning Advisers in
Bournemouth University
www.bournemouth.ac.uk
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A trusting relationship
• The journey toward autonomous practice
calls for a mélange of opportunity, risk and
trust (Clouder 2009)
• The recipe includes:
• Responsibility
• Empowerment
• Management of risk
• Mutual trust
www.bournemouth.ac.uk
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A culture or environment of trust
Micro level
• Trust between student and mentor, and
student and lecturer accepted as good
practice (Callaghan et al 2009, Kilkullen 2007, Pearcey & Elliot 2004)
• Belongingness (Levett-Jones et al 2006)
Macro Level
• Competition and competitiveness in the
NHS leading to social embeddeness (Ferlie
1994, McKee et al 2008)
www.bournemouth.ac.uk
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Trust
• Trust becomes relevant when social
interaction is based on uncertainty (Smith 2005)
• People who do not trust one another
cooperate under a system of formal rules
(Fukuyama 2000)
• Networks for engagement (Addicott et al 2006)
www.bournemouth.ac.uk
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A structure of socially embedded
trust
Locality
Organisation
Locality
Organisation
Profession/
Placement
www.bournemouth.ac.uk
Profession/
Placement
Locality
Organisation
Profession/
Placement
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A structure of socially embedded
trust
Local
Forum
Local
Organisation
Profession/
Placement
www.bournemouth.ac.uk
Organisation
Profession/
Placement
Locality
Meeting
Local
Organisation
Profession/
Placement
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An exemplar to demonstrate
How this approach works at
Bournemouth University
approach
• case study 'Lucy‘
• internal relationships
• critical starting point
• action planning
• wider partnerships
www.bournemouth.ac.uk
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References
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Addicott A, McGivern G, Ferlie E 2007 The Distortion of a Management Technique?
The case of clinical networks in UK health care. British Journal of management 18,
95-105
Callaghan D, Watts W, McCullough D, Moreau J, Little M, Gamroth L, Durnford K.
2009 The experience of two practice education models: Collaborative learning unit
and preceptorship. Nurse Education in Practice 9, 244–252
Clouder L 2009 ‘Being responsible’: students’ perspectives an trust, risk and workbased learning. Teaching in Higher Education 14 (3) 289-301
Fukuyama 2000 Trust: The Social Virtues and the Creation of Prosperity.
Pennsylvania, Diane Pub Co
Health professions Council, 2009. Standards of Education training Guidance. London:
HPC.
Ferlie E 1994, The evolution of quasi-markets in the NHS: Early evidence in Bartlett
W, Propper C, Wilson D, Le Grand J (eds) Quasi-markets in the welfare state. Bristol,
SAUS Publications
Kilkullen, N., 2007. The impact of mentorship on clinical learning. Nursing Forum, 42
(2), 95-104.
www.bournemouth.ac.uk
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References cont’d
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Levett-Jones T, Lathlean J, Maguire J, McMillan M 2006 Belongingness: A critique of
the concept and implications for nursing education. Nurse Education Today 27 210218
McKee L, Ferlie E, Hyde P 2008 Organizing and Reorganizing: Power change in
health care organizations. Basingstoke, Palgrave MacMillan
Nursing and Midwifery Council, 2008. Standards to support learning and assessment
in practice. 2nd ed. London: NMC.
Pearcey, P. A., Elliott, B. E., 2004. Students’ impressions of clinical nursing, Nurse
Education Today, 24, 382-387.
Smith C 2005 Understanding Trust and Confidence: Two paradigms and their
significance for health and social care. Journal of Applied Philosophy 22 (3) 299-316
Storr H, Wray J, Draper P 2010 Supporting disabled student nurses from registration
to qualification: A review of the United Kingdom (UK) literature. Nurse Education
today in press
Wray, J., Fell, B., Stanley, N., Manthorpe, J., Coyne, E., 2005a. The PedDS Project:
Disabled Social Work Students and Placements. University of Hull, Hull
http://www.hull.ac.uk/pedds/documents/MASTERRESEARCHREPORT15_000.doc.
www.bournemouth.ac.uk
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