Background: Individualized care is a cornerstone of patient-centered nursing care. To foster individualized care,\ninfluencing factors should be known. The aim of this study was to identify the individual and organizational factors\ninfluencing hospitalized patients� perception of individualized care.\nMethods: A cross-sectional study was conducted of 606 patients from 20 wards from five hospitals across\nGermany. Individualized care and potential influencing factors were assessed via structured questionnaires. To\nidentify influencing factors, we applied a hierarchical linear model with two levels.\nResults: Self-rated health, length of ward stay, educational level and shared decision-making process about nursing\ncare were perceived to influence individualized care. A higher rating of health and longer ward stay correlated with\nimproved perceptions of individualized nursing care. In addition, an educational level of nine or fewer years and a\nperceived shared decision-making process about nursing care positively influenced the perception of nursing care\nas being tailored to individual needs.\nConclusions: Several factors influence patients� perception of individualized care. However, only the decision-making\nprocess can be actively influenced by nurses. Therefore, nurses should be encouraged to promote shared\ndecision-making regarding patients� nursing care.
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