The diagram is arranged horizontally in a rightward arrow block. On the far left side, a shaded right-pointing arrow is labeled “Institutional trust”. At the top left, an oval label reads “Elements to develop organizational trust”. Below it is a vertical list headed “ARTIFACTS”, containing the following items: “Previous experience, reputation”, “Co-location or Big Room”, “Common processes and tools for example decision making, problem solving, team building, surveying trust”, and “Transparency of governance and communication system”. Beneath this list is a heading “ESPOUSED VALUES”, followed by “Fair and clear relational contract” and “Common and shared values and objectives”. Below that is a heading “UNDERLYING ASSUMPTIONS”, followed by “Collaborative culture” and “Open atmosphere”. To the right, at the top center, an oval label reads “Elements to develop interpersonal trust”. Below it is a vertical list headed “ARTIFACTS”, containing “Previous experience, reputation”, “Competence and alliance capability”, “Collaboration”, “Open and honest communication”, and “Project outcomes”. Beneath this list is a heading “UNDERLYING ASSUMPTIONS”, followed by “Propensity to trust”, “Feelings and emotions”, “Respect, reliability and benevolence”, “Fair habits, attitudes and intentions”, and “Non-opportunistic behavior”. On the far right, two large curved arrows in a counterclockwise pattern form a circular loop around the tip of the arrow block. On its right an oval reads, “Strengthening TRUST in project enables positive twist for project culture”. Below this large arrow block, the text reads, “Elements to manage and lead to develop organizational and interpersonal trust”. Below it, a right-pointing arrow contains the text, “Front-end phase: P M O responsibility to create the conditions for formation of trust”. At the bottom, another right-pointing arrow contains the text “Development and implementation phase: P M T and all project stakeholders responsibility”.Strengthening trust development as a part of forming an organizational culture in the collaborative hospital construction projects
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