The role of trust in relation to how quality in mental health services is perceived : a critical systems thinking approach

This research explores the role of trust in relation to how the quality of care provided by the Humber Mental Health NHS Teaching Trust (HMHTT) is perceived by stakeholders.A Participatory Action Research Project (PAR) was carried out within an overarching framework of Critical Systems Thinking (CST), using a modified form of Soft Systems Methodology (SSM) (Checkland and Scholes, 1990; Checkland and Poulter, 2006) to structure the process of gathering information regarding perceptions of service quality, communication among stakeholders as individuals and groups, and trust in the system and thinking critically and creatively about the issues raised. Semi-structured, face-to-face interviews were conducted with 14 service users, 5 carers, 6 service providers, and 3 decision-makers, to build up a rich picture of the situation, and workshops were held to identify and model relevant systems and generate proposals for change.Root definitions and conceptual models were generated by service users and carers for two activity systems identified by them as priorities for attention: Communication and Carer Involvement, and forwarded to service providers for feedback. The issues raised were carried forward to the Trust's planning and budgeting agenda, and were disseminated more widely within the Trust, to inform subsequent action.The research contributes to theory on relational quality by providing rich data and conceptual models on the complex interrelationships between trust, communcation and perceived quality and points to the value of explicit incorporation of trust in CST theory and practice.

Name dc:type.qualificationname

PhD

Level dc:type.qualificationlevel

Doctoral

Grantor dc:publisher.institution

University of Hull

Year dc:date.issued

2010

Author dc:creator

• Eid, Yasser

Advisors dc:contributor.advisor

• Gregory, Amanda (Amanda Jayne)
• Cordoba, Jose

• Business
• Management systems

Language dc:language

en

Identifier

oai:hull-repository.worktribe.com:4209288

OAI identifier oai:identifier

oai:hull-repository.worktribe.com:4209288