Building and sustaining trust region1 nsh

BUILDING AND
SUSTAINING TRUST2014 NH/VT
Kris Mailepors; MBA, CODP
Director of Organizational Development & Training
Catholic Medical Center
kmailepo@cmc-nh.org
@krismailepors
©Kris Mailepors; 2014

HOW DO I BUILD TRUST?
What do I do? What should I do? What might I do wrong?
What about my Boss??
What does s/he do? What should s/he do more?
What does s/he do wrong?

NOW WAIT… WHAT ARE THE RULES?
TRUST:
Choosing to risk making something you value subject to another person’s actions.
…Such as?
opinions about policy
work habits
things we need
“tricks of the trade”
Money, goals, promotions, your “good name,” your sense of happiness…..
Yes, somewhat vague…

TRUST & DISTRUST…
DIStrust
When you choose to NOT make yourself open to another’s actions.
General assessment: What is important to me is not safe with this person in this
situation.
When we DIStrust, we look for ways to PROTECT what we value

TRUST & DISTRUST…
When we DIStrust, we look for ways to PROTECT what we value
THE DISASTER OF DISTRUST:
The strategies we use to protect ourselves
get in the way of our ability to
effectively work with others.

TRUST-------------------------DISTRUST
• It is dangerous to trust this
person
• This person may be a threat to
me (my job, my status, my
reputation with others, my
success)
• I can trust this person
• I am safe with this person
Assessments about other person

TRUST-------------------------DISTRUST
• I am not safe
• I can’t handle what this person
might do
• I need to protect myself
• I am safe
• I can handle whatever
happens
• I can be open and
forthcoming
Assessments about self

TRUST-------------------------DISTRUST
• Fear, anger, resentment,
resignation, frustration.
• Hope, curiosity, generosity,
care, compassion, happiness,
satisfaction, confidence
Associated emotions…

TRUST-------------------------DISTRUST
• Defending, resistance,
blaming, problem identifying,
avoidance, withholding
information, expecting the
worst, justifying protective
actions, isolation, making
cliques/alliances.
• Cooperation, collaboration,
engaging in conversation,
dialog and debate, listening,
communicating freely/openly,
supporting others, sharing info,
offering ideas, expecting the
best (optimism), open to
criticism…
BEHAVIORS…

TRUST-------------------------DISTRUST
• Amygdala is warmed up
(primary defense system) and
primed for danger
• Elevated levels of adrenaline,
cortisol, and other fight/freeze
chemicals
• Eroded access to neocortex:
must rely on defense-related,
pre-rogrammed patterns for
decision making.
• Normal levels of oxytocin
• Can access neocortex (higher
thought) and limbic system to
make descisions and take
action
• Can think on their feet.
Biology….Biology? Yes, Biology…

TRUST IS BASED ON 4 THINGS:
• Sincerity – Reliability – Competence – Care
Sincerity: honesty
• You say what you mean and you mean what you say.
• You ca be believed.
• When you express an opinion, it’s valid/useful/backed
up.
• Your actions align with your words.

Reliability
• You meet the commitments you make
• You keep your promises

Competence
• You have the ability to do what you are supposed to
do
• You have the skill, capacity, knowledge, and
resources to do your job

Care
• You have the other person’s interests in mind as well
as your own when you make decisions and take
actions
• The most important for building lasting trust; if they
believe your hold their interests in mind, they will
extend trust more broadly in the other three areas

BUILDING TRUST: SINCERITY
Our behaviors aren’t always displayed
in perfect alignment
with our thoughts/intentions

BUILDING TRUST: RELIABILITY
How do we handle our requests, offers, and commitments?
Common pitfall: UNINTEDED BREACHES OF TRUST
If a request is unclear and you say “YES,”
…others assume you have committed to do exactly what they asked
…yet you won’t be clear on all the specifics. You now are at risk of failing
…and you will begin to question how reliable the requests are.

Caution to the overachievers:
Every time you say YES to something, you are saying NO to something else. Careful
that when you execute one request, you may be demonstrating poor reliability to other
people.
Are you being asked to do too much? (See grid)
Sometimes “unkept” promises were never even made

•Don’t say yes before you make sure you
can do what is asked
•If you get an unclear request, ask for
clarification
•Clarify details of the commitment when
you are asking others to do things out of
their normal habits

BUILDING TRUST: COMPETENCE
Have you ever worked with someone—and you thought s/he
wasn’t competent to do their job?
How do you manage them? What do/don’t you TRUST them
with?

BUILDING TRUST: COMPETENCE
• Make a list…
• Define the STANDARD by which your competence is assessed
(may need to collaborate). This is an exercise in CLARITY
• When you don’t know something, do you ask? If you are the
highest ranking in the room, do you still ask?
• Do you ask OTHERS for direct feedback (not fishing for
compliments)

BUILDING TRUST: CARE
“We’re in this together”
When people believe you have their best interests in mind as
well as your own (or at least some shared interest like patient
care, team advancement), they will generally extend their
trust in many circumstances
(even if reliability,
sincerity, and competence
are incomplete or imperfect)

Without care:
• I may believe what he says,
• He may keep promises
• He may be competent…. BUT…
I won’t trust him/her to do (anything past this one thing)
I won’t let him/her know what I am really thinking…
I won’t let him/her know what I really care about.

Collaboration killer:
If any members of the team think some others
don’t care about collective interests
• Conflict (overt or covert) increases and healthy exchange/debate fades.
• People DIStrust their teammates’ sincerity, reliability, and competence

Do you believe your supervisor has your interests in mind as well is
his/her own?
Do you have your team’s interests in mind as well as your own? How do
you let them know this?
Does your team have the team’s interests at heart? Do they even know
what those might be?
What effect does it have on you and your work when you feel someone
doesn’t have your interests at heart? (either ignoring or in direct
opposition to…)

Cultivate it:
Some degree of intimacy is fundamental to the assessment of care in a relationship. This
can only come from a conversation about what is important to both
Listen to others; to what they say and what they are “trying” to say… (what’s the
difference?)
Think before you speak: “what I am about to say, will it serve the person/team, or just me?
Why/how will it serve them?”
What are your peoples’ interests & concerns? What are yours? (night)
What do you expect from me? Here’s what I expect from you…

TRUST
In order to practice Sincerity, I should:
In order to practice Reliability, I should:
In order to demonstrate Competence, I should:
In order to practice Care, I should:

REFERENCES
Feltman, Charles. 2009. The Thin Book of Trust. Bend OR
Reina, Dennis; Reina Michelle. 2007. “Building Sustainable Trust.” OD
PRACTITIONER Vol.9 No.1.

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