Nurses’ Willingness and Demand for Internet +home Care Services and Its Influencing Factors in Different Levels of Hospitals in China – A Nationwide Survey

Ma, Guiyuan; Hou, Jianmei; Peng, Sha; Luo, Lingxia; Xu, Ran; Liu, Qing; Fan, Yuhua; Shi, Zhengkun; Zhang, Cailan; Zhang, Jinghui

doi:10.2147/rmhp.s367412

Cited by 14 publications

(16 citation statements)

References 20 publications

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“…This is similar to the research results of Sheng et al 16 Nurses in Yichang had a low awareness of the relevant documents, service objects, service contents and nurse qualifications of “Internet plus nursing service”, with an average score of 57.27±14.033. This was similar from the research results of Ma et al, 15 which may be related to the fact that “Internet plus nursing service” started late in China and mainly concentrated in the first-tier cities with more developed economy. For example, in Hubei Province, only Wuhan and Yichang are taken as pilot cities.…”

Section: Discussionsupporting

confidence: 89%

Investigation on Nurses’ Willingness to “Internet + Nursing Service” and Analysis of Influencing Factors

Tian¹,

Xi²,

Ai³

et al. 2023

JMDH

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Objective To investigate the willingness of nurses in Yichang to participate in “Internet plus nursing services” and analyze the influencing factors in order to provide reference for the implementation of “Internet plus nursing services”. Methods Using the “Internet plus Nursing Service” questionnaire, a cross-sectional survey was conducted among 1447 nurses in Yichang by convenience sampling from July to September in 2022, and the related influencing factors were analyzed. The questionnaire was composed of two parts: the demographic characteristics and the questionnaire of nurses’ willingness to participate in “Internet plus nursing service”, including 4 dimensions: awareness, promoting factors, concern factors and training needs. Likert 5-point scoring method was used for scoring. Binary logistic regression was used to screen the variables, and the ROC curve and Nomogram risk prediction model were drawn. Results A total of 1233 valid questionnaires were collected. It shows that 76.07% of nurses in Yichang are willing to participate in “Internet plus nursing services”. Among them, education background, specialist nurses, awareness, promotion factors, concerns and training needs are the independent influencing factors (all P < 0.05). The area under the ROC curve (AUC) of the prediction model is 0.802, and the consistency index (c-index) of nomogram is 0.800. The average absolute error of internal calibration is 0.014, and the model has good accuracy and discrimination. Conclusion Nurses in Yichang have a high willingness to participate in “Internet plus nursing services”, a low awareness of the program and a high demand for relevant professional training. It is suggested that the government and hospitals should strengthen the publicity of “Internet plus nursing services”, improve relevant laws and regulations and strengthen the construction of specialist nurses’ team, so as to provide a good practice environment for nurses’ door-to-door service.

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Section: Discussionsupporting

confidence: 89%

Investigation on Nurses’ Willingness to “Internet + Nursing Service” and Analysis of Influencing Factors

Tian¹,

Xi²,

Ai³

et al. 2023

JMDH

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“…Based on the UTAUT and literature analysis [12][13][14][15][16][17], semi-structured interviews were conducted with experts and nurses, and the following hypotheses were proposed: H1: Performance expectation positively in uences nurses' willingness to engage in "Internet + Nursing Services"; H2: Perceived risk negatively in uences nurses' willingness to engage in "Internet + Nursing Services"; H3: Knowledge demand negatively in uences nurses' willingness to engage in "Internet + Nursing Services"; H4: Professional knowledge demand positively in uences nurses' demand for knowledge in "Internet + Nursing Services"; H5: Professional external knowledge demand positively in uences nurses' demand for knowledge in "Internet + Nursing Services"; H6: There is a mutual in uence and correlation between professional knowledge demand and professional external knowledge demand. Then, a hypothetical model of barriers and facilitators for nurses to participate in "Internet + Nursing Services" was constructed, integrating the dimensions of effort expectation, perceived risk, professional knowledge demand, and professional external knowledge demand into a model (see Fig.…”

Section: Construction Of Item Poolmentioning

confidence: 99%

Development and validation of a rating scale for barriers and facilitators of nurses' participation intention on “Internet + nursing service”

Tian

Peng

et al. 2023

Preprint

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Background: With the increasing pace of China's aging population, the growing demand for public health services and the shortage of nursing human resources have become more prominent. The “Internet+ Nursing Services” have received more attention. Exploring the obstacles and promoting factors of nurses' willingness to participate in “Internet+ Nursing Services” and utilizing internet technology to increase the supply of nursing services has become a key issue. Objective: This study aimed to develop a scale for assessing the obstacles and promoting factors of nurses' willingness to participate in “Internet+ Nursing Services”, and to test the validity and reliability of the scale. Methods: A preliminary scale was developed through literature review, theoretical research, semi-structured qualitative interviews, and two rounds of Delphi expert inquiry. A convenience sampling method was used for the questionnaire survey. Likert 5-point scoring was used to assign importance to the items. The survey data of 659 clinical nurses from February to March 2023 were used for item analysis, exploratory factor analysis, and reliability and validity tests of the pre-test scale. The survey data of 538 clinical nurses in April 2023 were used for confirmatory factor analysis of the formal scale. Results: The final scale consisted of 25 items and 4 dimensions (performance expectation, perceived risk, professional knowledge training needs, and non-professional knowledge training needs). The scale showed good structural validity and content validity: the Cronbach's α coefficient of the scale was 0.955, the split-half reliability was 0.778, the test-retest reliability was 0.944, the KMO value was 0.960, and the cumulative variance contribution rate of the 4 common factors was 83.147%. The content validity index of the scale (S-CVI) was 0.914. The confirmatory factor analysis model fit indices were good: χ2/df=4.234, RMSEA=0.078, NFI=0.940, IFI=0.953, TLI=0.947, and CFI=0.953. Conclusion: The scale for assessing the obstacles and promoting factors of nurses' willingness to participate in “Internet+ Nursing Services” has good reliability and validity, and provides a reference for evaluating nurses' willingness to participate in “Internet+ Nursing Services”.

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“…The one-child policy implemented over the years and economic pressures have led to increasing burdens on young people and decreasing the caregiving capacity of families [ 4 , 5 ]. Meanwhile, home-based older adults often face a constellation of daily challenges, including multiple chronic conditions, functional impairment, frailty, and social and mental stressors [ 6 ], leading to increasing demand for healthcare in China [ 7 – 9 ]. Over the past two decades, there has been a gradual extension of health-care services from hospitals to the community and the home [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…Although medical staff come from different institutions and backgrounds, they can communicate with each other, and seek help from other specialists in higher-level hospitals if they encounter problems. In particular, Internet + Care as a form of service delivery is emerging, which facilitates home care practice behavior for medical professionals [ 7 , 27 ].…”

Section: Introductionmentioning

confidence: 99%

“…Overall, home care services have attracted the attention of a growing number of scholars. But researches mostly focusing on patients’ needs, willingness, or service availability [ 4 , 7 , 35 – 37 ], are lacking in exploring the home care practice behavior of medical professionals in primary care settings. Moreover, there may be variations in what home care service entails across countries and regions due to differences in the organization and structure.…”

Section: Introductionmentioning

confidence: 99%

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Home care practice behavior and its influencing factors of primary care providers: a multicenter cross-sectional study in Sichuan Province, China

Zhou,

Liu,

2024

BMC Nurs

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Background Primary care providers play an important role in home health care, and their practice behavior is significant for care quality and patient outcomes. This study aimed to assess the home care practice behavior of Chinese primary care providers and to explore the factors associated with the practice behavior. Methods A multicenter cross-sectional design with a convenience sample was used to survey 863 registered primary care providers from 62 primary health care settings in Sichuan Province, China. Descriptive statistics, t-test or ANOVA for one-way analysis, and Pearson’s correlation analyses were used to compare the differences and examine the relationships between participants’ demographics and experience of home care services and practice behavior. Multiple linear regression models were performed to identify salient variables associated with the practice behavior from among demographic and home care experience. Results The score of home care practice behavior questionnaire was 97.25 ± 21.05. The average scores for the dimensions of home visit preparation, assessment, medical care behavior and safety practice were 3.70 ± 0.95, 3.76 ± 1.02, 3.66 ± 1.03, and 3.20 ± 0.46, respectively. Home care practice behavior was associated with working years, working experience in general hospitals, work area, home care experience such as client types of home care, service frequency and willingness, explaining 21.5% of the total variance. Conclusion Chinese primary care providers had a medium to high level of home care practice behavior but poor implementation of safety practice. The results may provide clues to increased focus and implementation of safety practice, as well as providing targeted measures based on influencing factors.

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Nurses’ Willingness and Demand for Internet +home Care Services and Its Influencing Factors in Different Levels of Hospitals in China – A Nationwide Survey

Cited by 14 publications

References 20 publications

Investigation on Nurses’ Willingness to “Internet + Nursing Service” and Analysis of Influencing Factors

Investigation on Nurses’ Willingness to “Internet + Nursing Service” and Analysis of Influencing Factors

Development and validation of a rating scale for barriers and facilitators of nurses' participation intention on “Internet + nursing service”

Home care practice behavior and its influencing factors of primary care providers: a multicenter cross-sectional study in Sichuan Province, China

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