en Nursing Orginal research <span style="font-size:14px;"><span style="font-family:Times New Roman;"><span style="line-height:2;"><span style="unicode-bidi:embed"><span calibri=""><span style="color:#2980b9;"><b><i><span new="" roman="" times="">Background:</span></i></b> </span><span new="" roman="" times="">Trust between patients and Emergency Medical Technicians (EMTs) is crucial for effective pre-hospital nursing care. </span></span></span><br> <span style="unicode-bidi:embed"><span calibri=""><span style="color:#2980b9;"><b><i><span new="" roman="" times="">Objectives:</span></i></b></span><span style="color:#000066;"><b> </b></span><span new="" roman="" times="">This study aimed to assess the trust levels of patients in emergency medical technicians, associated factors, and resulting outcomes.</span></span></span><br> <span new="" roman="" times=""><span style="color:#2980b9;"><b><i>Methods:</i></b> </span><span style="color:black">This cross-sectional study was conducted on 400 patients transported by EMTs to the emergency departments of teaching hospitals in Zanjan City during 2023-2024. Data collection tools included demographic questionnaires, the Patient Trust Questionnaire (PTQ), a Visual Analog Pain Scale (VAS-P), and a Visual Analog Scale for Anxiety (VAS-A). Data were analyzed using SPSS version 24 software. Pearson&#39;s correlation, multiple regression, and simple linear regression statistical tests were conducted, with a significance level of less than 0.05.</span></span><br> <span style="unicode-bidi:embed"><span calibri=""><span style="color:#2980b9;"><b><i><span new="" roman="" times="">Results:</span></i></b></span><span new="" roman="" times=""> Patients had a mean (SD) trust level of 4.11 (0.92) in EMTs. Patients&rsquo; trust could be predicted by factors such as the speed of EMTs&rsquo; performance, reason for calling EMS, place of residence, and education (R=0.42, Adjusted R Square=0.17). The trust variable predicted anxiety, in patients. (p<0.05).</span></span></span><br> <span style="unicode-bidi:embed"><span calibri=""><span style="color:#2980b9;"><b><i><span new="" roman="" times="">Conclusion:</span></i></b></span><span new="" roman="" times=""> Trust in pre-hospital care helps manage patients&rsquo; mental conditions. EMTs play a crucial role in building patients&rsquo; trust during emergencies.</span></span></span></span></span></span> Trust, Emergency Medical Services, Anxiety, Emergency Medical Technicians 36 41 http://nmcjournal.zums.ac.ir/browse.php?a_code=A-10-466-2&slc_lang=en&sid=1 Alireza Rasouli rasouli.ems173@gmail.com 100319475328460013726 0009-0004-4351-6055 No Department of Emergency and Critical Care, School Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran Nasrin Hanifi nasrinhanifi@gmail.com 100319475328460013727 100319475328460013727 Yes Department of Emergency and Critical Care, School Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran Mohammad Ali Yadegari yadegary@zums.ac.ir 100319475328460013728 100319475328460013728 No Department of Anesthesia and Operating Room Nursing, Nursing and Midwifery School, Zanjan University of Medical Sciences, Zanjan, Iran