Providing a Model of Organizational Trust with Professional Ethics Approach in the Health System: Grounded Theory

The health system is responsible for the health of society, so it needs to develop its individual and organizational performance through mutual trust and professional ethics to improve health and treatment services. This research aimed to present a comprehensive model of organizational trust with a professional ethics approach in the health system.

This qualitative study used the Foundation Data method (Grounded theory). Data were collected by reviewing upstream documents and interviewing 22 informed experts. The validity of this study was reviewed and approved by the interviewees and professors. The continuous comparison method has been used for data analysis through three stages open, central, and selective coding. MAXQDA 2020 software was used for encoding.

Finally, five main dimensions and ten sub-categories were identified and classified based on data analysis: 1-Causative conditions with two sub-categories; (Structural and legal areas), 2-Contextual conditions with two sub-categories; (Organizational currents and individual competence), 3-Interventionist conditions with two sub-categories; (Environmental factors and administrative Factors), 4-Strategies and actions with two sub-categories; (Cultural and ethical standards and inter-organizational standards), 5-Consequences with two sub-categories; (Organizational and social consequences).

A high level of organizational trust with professional ethics increases job satisfaction and organizational commitment, fosters employee confidence, stimulates participation and data sharing, helps solve problems, facilitates empowerment and adaptability, and enhances learning and organizational innovation. On the other hand, building trust and promoting professional ethics in an organization reduces mental and psychological pressure, assists employees in overcoming hopelessness, facilitates conflict resolution, and ultimately establishes a framework for boosting productivity and organizational performance to provide higher-quality services and products, thereby enhancing social responsibility.