{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T16:02:41Z","timestamp":1791907361829,"version":"4.3.4"},"reference-count":31,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T00:00:00Z","timestamp":1761264000000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Patient trust is fundamental to ensuring optimal cancer care, especially for vulnerable patients who may face additional challenges. However, there is a limited understanding of what it entails for nurses to establish and maintain trust among vulnerable patients. Grounded in the concept of Trust Work, this study explored nurses' efforts to nurture patient trust.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Drawing on qualitative insights from NAVIGATE, a multicenter randomized controlled trial, we explored the interaction between nurses and vulnerable patients with lung cancer in clinical encounters. We included 16 patients and eight nurses from five Danish hospital sites. Among other sources, data comprised 45 audio\u2010recorded clinical encounters conducted over one year, 15 of which were also observed in clinic settings or patients' homes, as well as semi\u2010structured interviews with all participating patients and nurses. Analyses were based on thematic analysis principles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We found that nurses were continuously engaged in nurturing trust. This trust work involved three interrelated aspects: (1) \u2018Recognition\u2019 \u2010 meticulous preparation to remember individual patients and recognize their lived experiences, (2) \u2018Witnessing\u2019 or \u2018Guarding\u2019 \u2010 sustained support, though with varying levels of engagement, and (3) \u2018Involvement\u2019 or \u2018Detachment\u2019\u2014engaging with affirming resources or disengaging from colleagues' or the broader healthcare system. These aspects were shaped by contextual factors, including nurses' available time and continuity of care, professional affiliations and roles, and collegial and institutional relationships.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study highlights nurses' critical role in nurturing patient trust and identifies important contextual factors for improving care targeting vulnerable cancer patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70299","type":"journal-article","created":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T04:59:42Z","timestamp":1761368382000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Nurturing Patient Trust: A Qualitative Study of the Interaction Between Vulnerable Lung Cancer Patients and Nurse Navigators in the Intervention Study NAVIGATE"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6516-292X","authenticated-orcid":false,"given":"R.","family":"Torenholt","sequence":"first","affiliation":[{"name":"Cancer Survivorship Danish Cancer Institute  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Langballe","sequence":"additional","affiliation":[{"name":"Cancer Survivorship Danish Cancer Institute  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Tj\u00f8rnh\u00f8j\u2010Thomsen","sequence":"additional","affiliation":[{"name":"National Institute of Public Health University of Southern Denmark  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. O.","family":"Dalton","sequence":"additional","affiliation":[{"name":"Cancer Survivorship Danish Cancer Institute  Copenhagen Denmark"},{"name":"Department of Clinical Oncology &amp; Palliative Care Zealand University Hospital  Denmark"},{"name":"Institute of Clinical Medicine Faculty of Health Copenhagen University  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. E.","family":"Bidstrup","sequence":"additional","affiliation":[{"name":"Cancer Survivorship Danish Cancer Institute  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,24]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1745"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0193945920930337"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-48557-2_1"},{"key":"e_1_2_13_5_1","doi-asserted-by":"crossref","unstructured":"EpsteinR. M. StreetR. L.Jr.Patient\u2010Centered Communication in Cancer Care: Promoting Healing and Reducing Suffering.2007.","DOI":"10.1037\/e481972008-001"},{"key":"e_1_2_13_6_1","unstructured":"General Medical Counsil. \u201cGood Medical Practice 2024 \u201dJanuary 2024 [Internet] www.gmc\u2010uk.org\/guidance."},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440\u20101800.2011.00582.x"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1191\/096973398673047900"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/s1470\u20102045(20)30605\u20107"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/s1470\u20102045(20)30612\u20104"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2019.103490"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckl003"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0969733012468463"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102021\u2010060242"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010023\u201050161\u2010w"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0038038507072285"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467\u20109566.ep10487954"},{"key":"e_1_2_13_18_1","volume-title":"Being Ethnographic: A Guide to the Theory and Practice of Ethnography","author":"Madden R.","year":"2010"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2016.02.003"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874\u2010022\u201001732\u20104"},{"key":"e_1_2_13_21_1","volume-title":"Qualitative Researching","author":"Mason J.","year":"2018"},{"key":"e_1_2_13_22_1","volume-title":"Interview","author":"Kvale S.","year":"1997"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1037\/13620-004"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1017\/s147895152200075x"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.5172\/hesr.451.17.2.177"},{"key":"e_1_2_13_26_1","first-page":"71","volume-title":"The Complex Role of Patient Trust in Oncology","author":"E. H. Wood and PMI","year":"2024"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010025\u201002928\u2010x"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1548\u20101387.2009.01035.x"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.2732"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472\u20106963\u201010\u201092"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.23157"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.22.2720"}],"container-title":["Psycho-Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.70299","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T06:49:11Z","timestamp":1761547751000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pon.70299"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":31,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1002\/pon.70299"],"URL":"https:\/\/doi.org\/10.1002\/pon.70299","archive":["Portico"],"relation":{},"ISSN":["1057-9249","1099-1611"],"issn-type":[{"value":"1057-9249","type":"print"},{"value":"1099-1611","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"2025-01-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70299"}}