title: [Personalized nursing care in hospital and its effects on the patient-nurse trust relationship].
abstract: OBJECTIVE
  To determine the level of implementation of an inpatient personalized nursing care model in four hospitals of the Andalusian Health Service, and to determine if there is an association between this model and the perception of trust in the nurse by the patient.
  
  
  METHODS
  An observational cross-sectional study included the patients discharged during a period of 12 months from hospital wards that used the Inpatient Personalized Nursing Care Model of the Andalusian Health Service (based on Primary Nursing Model). The level of implemention was evaluated using the Nursing Care Personalized Index (IPC), made by «patient report» methodology, and the nurse-patient trust relationship was evaluated at the same time as the IPC. Statistical analysis included descriptive data analysis, Chi-squared test, and bivariate and multivariate logistic regression, with and without stratifying by hospitals wards.
  
  
  RESULTS
  A total of 817 patient were included. The implementation of the inpatient personalized nursing care model varied between 61 and 79%. The IPC values showed a strong association with the nurse-patient trust relationship, and that for each point increase in the IPC score, the probability of a nurse-patient trust relationship increased between 50 and 130% (0.12<r2>0.58).
  
  
  CONCLUSIONS
  The implementation of a personalized nursing care model in the wards studied was higher in the surgicals wards and at regular level in medical wards. Furthermore, the influence of the inpatient personalized nursing care model on the nurse-patient trust relationship has been demonstrated using the IPC model. This trust is the main component for the establishment of a therapeutic relationship.
authors.affiliation: Subdirección de Enfermería, Hospital Puerto Real, Puerto Real, Cádiz, España. Electronic address: charogarciajuarez@gmail.com.
authors.forename: María del Rosario
authors.initials: Mdel R
authors.lastname: García-Juárez
authors.forename: Sergio R
authors.initials: SR
authors.lastname: López-Alonso
authors.forename: Ana
authors.initials: A
authors.lastname: Moreno-Verdugo
authors.forename: Sara
authors.initials: S
authors.lastname: Guerra-González
authors.forename: Juana
authors.initials: J
authors.lastname: Fernández-Corchero
authors.forename: M José
authors.initials: MJ
authors.lastname: Márquez-Borrego
authors.forename: M José
authors.initials: MJ
authors.lastname: Orozco-Cózar
authors.forename: Gádor
authors.initials: G
authors.lastname: Ramos-Bosquet
mesh_terms: D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016294:Models, Nursing; D009723:Nurse-Patient Relations; D009741:Nursing Staff, Hospital; D057285:Precision Medicine / Q000451:nursing*; D011795:Surveys and Questionnaires; D035502:Trust
keywords: Confianza; Enfermería primaria; Inpatient personalized nursing care; Modelos de asignación de cuidados; Modelos de práctica enfermera; Nursing care delivery model; Nursing practice model; Personalización de cuidados hospitalarios; Primary nursing; Trusting relationship