title: [Personalized nursing care and perceived quality of care in hospitals].
abstract: OBJECTIVE
  To determine whether there is an association between the Primary Nursing Model and perceived quality of care.
  
  
  METHODS
  An observational, descriptive, cross-sectional study in four hospital wards with Primary Nursing organization. Over a 12-month period, all the patients discharged from each ward were included in this study. The degree of development of Primary Nursing was measured by using the Personalization of Nursing Care Index and the perceived quality of care was measured with the LOPSS-12. Bivariate statistical analysis was carried out through ANOVA and Student's t-tests. Multivariate linear regression analysis was then applied to correlated variables (p < 0.05).
  
  
  RESULTS
  817 patients were included, 447 from two medical wards and 370 from two surgical wards. After a preliminary data analysis performed 6 months after the start of the study, four items were removed from the LOPSS-12 and each of the remaining items were analyzed separately. Scores for both patient satisfaction and the introduction of the Primary Nursing Model were higher in the surgical wards. Bivariate and multivariate regression analyses showed a statistically significant (p < 0.05) association between implantation of the model and all except one of the items included in the questionnaire.
  
  
  CONCLUSIONS
  The introduction of the Primary Nursing Model in hospital wards allows the presence of a primary nurse for each patient and consequently improves the nurse-patient relationship, increasing perceived quality of care among patients.
authors.affiliation: Hospital Universitario Puerto Real, Servicio Andaluz de Salud, Cádiz, España. charogarciajuarez@gmail.com
authors.forename: M A Del Rosario
authors.initials: MA
authors.lastname: García Juárez
authors.forename: Sergio R
authors.initials: SR
authors.lastname: López Alonso
authors.forename: M A José
authors.initials: MA
authors.lastname: Orozco Cózar
authors.forename: Raimundo
authors.initials: R
authors.lastname: Caro Quesada
authors.forename: Gádor
authors.initials: G
authors.lastname: Ramos Osquet
authors.forename: M A José
authors.initials: MA
authors.lastname: Márquez Borrego
authors.forename: M A Dolores
authors.initials: MA
authors.lastname: Cano Antelo
authors.forename: Carmen
authors.initials: C
authors.lastname: Serrano Pedrero
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006748:Hospital Departments / Q000458:organization & administration*; D006801:Humans; D007388:Internal Medicine / Q000458:organization & administration; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D009723:Nurse-Patient Relations; D017060:Patient Satisfaction; D010362:Patients' Rooms / Q000458:organization & administration; D057285:Precision Medicine / Q000451:nursing* / Q000523:psychology; D011321:Primary Nursing / Q000458:organization & administration* / Q000592:standards; D011787:Quality of Health Care; D012938:Social Perception; D013503:Surgery Department, Hospital / Q000458:organization & administration; D011795:Surveys and Questionnaires