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Background: Trust is a critical component of competency committees given their high-stakes decisions. Research from outside of medicine on group trust has not focused on trust in group decisions, and "group trust" has not been clearly defined. The purpose was twofold: to examine the definition of trust in the context of group decisions and to explore what factors may influence trust from the perspective of those who rely on competency committees through a proposed group trust model.
Methods: The authors conducted a literature search of four online databases, seeking articles published on trust in group settings. Reviewers extracted, coded, and analyzed key data including definitions of trust and factors pertaining to group trust.
Results: The authors selected 42 articles for full text review. Although reviewers found multiple general definitions of trust, they were unable to find a clear definition of group trust and propose the following: a group-directed willingness to accept vulnerability to actions of the members based on the expectation that members will perform a particular action important to the group, encompassing social exchange, collective perceptions, and interpersonal trust. Additionally, the authors propose a model encompassing individual level factors (trustor and trustee), interpersonal interactions, group level factors (structure and processes), and environmental factors.
Conclusions: Higher degrees of trust at the individual and group levels have been associated with attitudinal and performance outcomes, such as quality of group decisions. Developing a deeper understanding of trust in competency committees may help these committees implement more effective and meaningful processes to make collective decisions.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6693175 | PMC |
http://dx.doi.org/10.1186/s12909-019-1726-4 | DOI Listing |
J Nurs Scholarsh
March 2025
School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia.
Introduction: Delay in detecting acute deterioration in older adults in care homes is associated with avoidable hospitalizations and adverse outcomes, including premature death.
Objective: Underpinned by the Knowledge to Action Framework, this study aimed to understand the barriers and enablers to direct care staff detecting and responding to the early signs of acute deterioration in care home residents.
Study Design: Online focus groups or interviews with regulated (registered and enrolled nurses) and unregulated (assistants in nursing and personal care workers) direct care staff from participating care homes were conducted.
BMJ Open
March 2025
Department of Global Health, University of Washington, Seattle, Washington, USA.
Objectives: This study explores factors affecting community-level demand for assisted partner services (APS) and HIV testing services (HTS) in western Kenya.
Design: This is a multilevel qualitative analysis conducted as part of the APS Scale-up Study, a hybrid type 2 implementation-effectiveness study of APS integrated within routine HTS. For this analysis, in-depth phone interviews assessed demand for APS and factors influencing decisions to participate in APS.
BMJ Open
March 2025
Department of Surgery, Cardiff and Vale University Health Board, Cardiff, UK.
Introduction: Wales has higher rates of bowel cancer incidence and mortality than other UK nations, with over 2300 new cases and 900 deaths annually. Regional disparities in bowel cancer mortality underscore the need for a better understanding of patient experiences of bowel cancer care in Wales as well as exploring potential areas for improvement. This evaluation aimed to explore the experiences of individuals with a history of bowel cancer and their caregivers in Wales, UK, examining diagnosis, treatment and aftercare.
View Article and Find Full Text PDFInt J Cardiol
March 2025
National Clinical Research Center for Metabolic Diseases, Metabolic Syndrome Research Center, Key Laboratory of Diabetes Immunology, Ministry of Education, Changsha 410011, Hunan, China. Electronic address:
Objective: This study aims to develop a radiomics machine learning (ML) model that uses preoperative computed tomography angiography (CTA) data to predict the prognosis of endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm (AAA) patients.
Methods: In this retrospective study, 164 AAA patients underwent EVAR and were categorized into shrinkage (good prognosis) or stable (poor prognosis) groups based on post-EVAR sac regression. From preoperative AAA and perivascular adipose tissue (PVAT) image, radiomics features (RFs) were extracted for model creation.
Radiother Oncol
March 2025
Department of Radiation Oncology, The First Affiliated Hospital, Zhejiang University School of Medicine, No. 79 Qingchun Road, Hangzhou, 310003, Zhejiang, China; Cancer Center, Zhejiang University, 866 Yuhangtang Road, Hangzhou, 310027, Zhejiang, China. Electronic address:
Purpose: Patients with locally-advanced head and neck squamous cell carcinomas(HNSCCs), particularly those related to human papillomavirus(HPV), often achieve good locoregional control(LRC), yet they suffer significant toxicities from standard chemoradiotherapy. This study aims to optimize the daily dose fractionation based on individual responses to radiotherapy(RT), minimizing toxicity while maintaining a low risk of LRC failure.
Method: A virtual environment was developed to simulate tumor dynamics under RT for optimizing dose schedules.
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