Volume 29, Issue 1 (Iran South Med J 2026)
Iran South Med J 2026, 29(1): 1-14 |
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Salehi Y, Rad M, Sharafi S. The Effect of Negotiation with Patients on their Level of Trust in Nurses in the Emer-gency Department: A Parallel-Group Randomized Controlled Trial. Iran South Med J 2026; 29 (1) :1-14
URL: http://ismj.bpums.ac.ir/article-1-2505-en.html
URL: http://ismj.bpums.ac.ir/article-1-2505-en.html
1- Student Research Committee, Birjand University of Medical Sciences, Birjand, Iran
2- Iranian Research Center of Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran
Department of Nursing, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran
3- Department of Nursing, School of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran ,siminsharafi@bums.ac.ir
2- Iranian Research Center of Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran
Department of Nursing, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran
3- Department of Nursing, School of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran ,
Abstract: (16 Views)
Background: Effective communication and trust are essential components of the nurse-patient relationship within the emergency department. Patient trust influences adherence to treatment. Negotiation can improve mutual understanding and enhance trust. This study aimed to investigate the effect of nurse-patient negotiation on trust in nurses in the emergency department.
Materials and Methods: This parallel-group randomized controlled trial with 1:1 allocation was conducted in the emergency department of Imam Reza Hospital, Birjand, Iran, in 2025. This single-blind study recruited seventy patients selected by convenience sampling and randomly assigned to intervention and control groups (n=35 each). The intervention group received 10-15 minutes of individual negotiation based on Botelho's six-step model (1992); the control group received routine care. Trust was measured using the Radwin & Cabral questionnaire. Data were analyzed using ANCOVA.
Results: Nurse-patient negotiation significantly increased trust in nurses in the intervention group compared to controls (P<0.001, F (1,67) =22.48). Mean trust score in the intervention group increased from 15.94 at pretest to 18.35 at posttest. Eta squared showed that 39% of the variance in trust was explained by nurse-patient negotiation.
Conclusion: Nurese-patient negotiation significantly increases trust in nurses. Investing in communication skills training for nurses, especially in high-pressure environments like emergency departments, can yield substantial benefits.
Materials and Methods: This parallel-group randomized controlled trial with 1:1 allocation was conducted in the emergency department of Imam Reza Hospital, Birjand, Iran, in 2025. This single-blind study recruited seventy patients selected by convenience sampling and randomly assigned to intervention and control groups (n=35 each). The intervention group received 10-15 minutes of individual negotiation based on Botelho's six-step model (1992); the control group received routine care. Trust was measured using the Radwin & Cabral questionnaire. Data were analyzed using ANCOVA.
Results: Nurse-patient negotiation significantly increased trust in nurses in the intervention group compared to controls (P<0.001, F (1,67) =22.48). Mean trust score in the intervention group increased from 15.94 at pretest to 18.35 at posttest. Eta squared showed that 39% of the variance in trust was explained by nurse-patient negotiation.
Conclusion: Nurese-patient negotiation significantly increases trust in nurses. Investing in communication skills training for nurses, especially in high-pressure environments like emergency departments, can yield substantial benefits.
Keywords: Negotiation, Trust, Nurse, Emergency Department, Health Communication, Randomized Clinical Trial
Type of Study: Original |
Subject:
Nursing
Received: 2026/04/23 | Accepted: 2026/06/8 | Published: 2026/07/8
Received: 2026/04/23 | Accepted: 2026/06/8 | Published: 2026/07/8
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