Decreased trust in nursing can stem from various factors. One significant factor is poor communication. When nurses fail to effectively communicate with patients, it can lead to misunderstandings and a lack of clarity regarding treatment plans. Additionally, instances of medical errors, whether due to negligence or system failures, can severely impact trust. Another cause can be the perception of insufficient care, where patients feel their needs are not being adequately addressed due to time constraints or heavy workloads on nursing staff.