Building Trust Through Supportive Culture

Building trust is essential to the health and well-being of employees which impacts the health and well-being of an organization (1). Trust can be intentionally built into the culture and supported by the structural design of labor models in the following ways:

  • Implementing strategies to:
    • Recognize nurse contributions in meaningful and timely ways (2,3,4
    • Recognize the inherent value of individuals in unique ways (2)
    • Build social capital through empathetic communication and compassionate action (5,6)
    • Embrace and encourage diversity (7,8)
  • Creating cultures that truly support
    • Autonomy (9)
    • Shared governance (9)
    • Shared values (10)
    • Limiting work (11)
    • Taking breaks (11)
    • Saying no to overtime (12)
    • Accessing leave with impunity (12)


  1. Özgür, G., & Tektaş, P. (2018, October). An examination of the correlation between nurses’ organizational trust and burnout levels. Applied Nursing Research, 43, 93–97.
  2. Kelly, L. A., & Lefton, C. (2017, November 1). Effect of Meaningful Recognition on Critical Care Nurses’ Compassion Fatigue. American Journal of Critical Care, 26(6), 438–444.
  3. Sihvola, S., Kvist, T., & Nurmeksela, A. (2022, May 2). Nurse leaders’ resilience and their role in supporting nurses’ resilience during the COVID‐19 pandemic: A scoping review. Journal of Nursing Management.
  4. Markey, K., Ventura, C. A. A., Donnell, C. O., & Doody, O. (2020, November 6). Cultivating ethical leadership in the recovery of COVID‐19. Journal of Nursing Management, 29(2), 351–355.
  5. Hofmeyer, A., & Taylor, R. (2020, October 15). Strategies and resources for nurse leaders to use to lead with empathy and prudence so they understand and address sources of anxiety among nurses practising in the era of COVID‐19. Journal of Clinical Nursing, 30(1–2), 298–305.
  6. Xu, J. M., Stark, A. T., Ying, B. H., Lian, Z. M., Huang, Y. S., & Chen, R. M. (2022, June 13). Nurses’ Workplace Social Capital and the Influence of Transformational Leadership: A Theoretical Perspective. Frontiers in Public Health, 10.
  7. Medeiros, M. (2022, June). Nurse manager succession planning for unit health and well-being. Nursing Management, 53(6), 41–43.
  8. Morganstein, J. C., & Flynn, B. W. (2021, March 11). Enhancing Psychological Sustainment & Promoting Resilience in Healthcare Workers During COVID-19 & Beyond. Journal of Occupational &Amp; Environmental Medicine, 63(6), 482–489.
  9. Irshad, M., Majeed, M., & Khattak, S. A. (2021, June 21). The Combined Effect of Safety Specific Transformational Leadership and Safety Consciousness on Psychological Well-Being of Healthcare Workers. Frontiers in Psychology, 12.
  10. Dall’Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020b, June 5). Burnout in nursing: a theoretical review. Human Resources for Health, 18(1).
  11. Kelly, L. A., Weston, M. J., & Gee, P. M. (2021, October). A Nurse Leader’s Guide to Reducing Burnout: Nurse Leader, 19(5), 467–473.
  12. Centers for Disease Control and Prevention (CDC). (2021, November 30). Protecting Health Worker Mental Health: A Call-to-Action Webinar . YouTube. Retrieved May 2, 2022.