ISSN 2097-6054(网络) ISSN 1672-9234(印刷) CN 11-5289/R
主管:中国科学技术协会 主办:中华护理学会
出版:中华护理杂志社
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继续教育

县级医院护士参与“互联网+护理服务”的体验研究

  • 田雨同 ,
  • 张艳 ,
  • 马桂瑞 ,
  • 刘保芳 ,
  • 闫钰雯 ,
  • 高梦珂 ,
  • 李熙正
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  • 450001 郑州市 郑州大学护理与健康学院(田雨同,张艳,闫钰雯,高梦珂,李熙正);456750 河南省鹤壁市 淇县人民医院(马桂瑞,刘保芳)
田雨同,女,本科(博士在读),护师,E-mail:17839939224@163.com

收稿日期: 2023-02-03

  网络出版日期: 2024-03-13

基金资助

国家自然科学基金面上项目(71874162)

Study on nurses’ experience of participating in “Internet + nursing service” in county hospitals

  • Yutong TIAN ,
  • Yan ZHANG ,
  • Guirui MA ,
  • Baofang LIU ,
  • Yuwen YAN ,
  • Mengke GAO ,
  • Xizheng LI
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Received date: 2023-02-03

  Online published: 2024-03-13

摘要

目的 深入了解县级医院护士参与“互联网+护理服务”的体验。 方法 2022年6月—7月,采用目的抽样法,对2组共18名县级医院护士进行焦点小组访谈,运用Colaizzi 7步分析法对资料进行分析,归纳访谈主题。 结果 共提炼出参与带来的积极体验(收入获得感、自我价值感、职业认同感)、承受诸多负担(工作负担加重、出行不便、服务平台使用困难)、失落感(服务对象范围较窄带来的失落感、出行保障配备不足带来的失落感、服务收费标准与保障机制不完善带来的失落感)3个主题、9个子主题。 结论 县级医院护士对“互联网+护理服务”的参与体验较为复杂。建议通过优化薪酬激励机制、护理人力资源配置、服务平台、服务收费标准与保障机制等,推动“互联网+护理服务”的顺利运行。

本文引用格式

田雨同 , 张艳 , 马桂瑞 , 刘保芳 , 闫钰雯 , 高梦珂 , 李熙正 . 县级医院护士参与“互联网+护理服务”的体验研究[J]. 中华护理教育, 2024 , 21(3) : 330 -335 . DOI: 10.3761/j.issn.1672-9234.2024.03.012

Abstract

Objective To deeply understand the experience of nurses in county-level hospitals participating in “Internet + nursing service”. Methods From June to July 2022,a purposive sampling method was used to invite 18 nurses from county-level hospitals for interview. Participants were divided into two groups for focus group interviews. Colaizzi’s 7-step analysis method was used to analyze the data and summarize the interview topics. Results The results extracted three themes and nine sub themes:satisfaction brought by participation(income gain,self-worth,professional identity),burden bearing(increased work burden,inconvenience in travel,difficulty in using service platforms),and the sense of loss(the sense of loss caused by the narrow scope of service,the insufficient travel security equipment,and the imperfect charging standards and support mechanism). Conclusion The participation experience of nurses in county-level hospitals in “Internet + nursing service” is complex. It is recommended that hospital managers should optimize human resource allocation,service platforms,service charge standards,etc. to promote “Internet + nursing service” smooth operation.

参考文献

[1] 国家卫生健康委员会. 关于开展“互联网+护理服务”试点工作的通知[EB/OL].(2019-01-22)[2022-07-25]. http://www.nhc.gov.cn/yzygj/s7657g/201902/bf0b25379ddb48949e7e21edae2a02da.shtml.
[2] 谭玉玲, 黄美玲, 邬敏志, 等. “互联网+母婴护理” 精准服务模式的构建与实践[J]. 护理学报, 2021, 28(23):25-27.
[3] 国家卫生健康委员会. 关于开展改善就医感受提升患者体验主题活动的通知[EB/OL].(2023-05-23)[2023-06-04]. https://www.gov.cn/zhengce/zhengceku/202305/content_6883385.htm.
[4] 沈香芹. 建立紧密型医共体优化医保资源配置[J]. 中国卫生, 2022(5):106-107.
[5] 胡雁, 王志稳. 护理研究[M]. 5版. 北京: 人民卫生出版社, 2017:294.
[5] Hu Y, Wang ZW. Nursing research[M]. 5th ed. Beijing: People’s Medical Publishing House, 2017:294.
[6] 陈向明. 质的研究方法与社会科学研究[M]. 北京: 教育科学出版社, 2000.
[6] Chen XM. Qualitative research in social sciences[M]. Beijing: Educational Science Publishing House, 2000.
[7] 高雨濛, 赵红, 李星, 等. 我国护士对“互联网+护理服务”体验质性研究的Meta整合[J]. 护理学杂志, 2022, 37(11):87-91.
[7] Gao YM, Zhao H, Li X, et al. Experiences of “Internet plus nursing service” in Chinese nurses:a meta-synthesis of qualitative studies[J]. J Nurs Sci, 2022, 37(11):87-91.
[8] 李精健, 苟菊香, 周倩, 等. 非试点省份护士对“互联网+护理服务” 意愿调查[J]. 中华护理杂志, 2020, 55(12):1825-1830.
[8] Li JJ, Gou JX, Zhou Q, et al. Investigation and analysis on willingness of nurse to use Internet + Nursing Services in non-pilot provinces[J]. Chin J Nurs, 2020, 55(12):1825-1830.
[9] 任安霁, 潘思, 邓海骏, 等. 基于医护到家平台的护士参与“互联网+护理服务”现状调查[J]. 护理学杂志, 2020, 35(5):56-59.
[9] Ren AJ, Pan S, Deng HJ, et al. Nurses’ participation in “Inter-net plus nursing service”:a survey based on the HOMEINCARE platform[J]. J Nurs Sci, 2020, 35(5):56-59.
[10] 刘超, 董芮含, 刘俐惠. 护士视角下“互联网+护理服务”实施障碍的质性研究[J]. 护士进修杂志, 2023, 38(4):375-379.
[11] Noguchi K, Ochiai R, Imazu Y, et al. Incidence and prevalen-ce of infectious diseases and their risk factors among patients who use visiting nursing services in Japan[J]. J Community Health Nurs, 2020, 37(3):115-128.
[12] 王丽婷, 唐浪娟, 岳丽春, 等. 护士从事互联网居家护理服务工作体验的研究[J]. 中华护理杂志, 2020, 55(7):1067-1071.
[12] Wang LT, Tang LJ, Yue LC, et al. The study on work experie-nce of nurses in Internet home-care service[J]. Chin J Nurs, 2020, 55(7):1067-1071.
[13] 杨雨菡, 许思怡, 詹立睿, 等. 我国护士从事“互联网+护理服务”意愿率及影响因素的Meta分析[J]. 中国卫生质量管理, 2023, 30(4):52-56.
[13] Yang YH, Xu SY, Zhan LR, et al. Meta-analysis of willingness rate of Chinese nurses to engage in “internet + nursing service” and its influencing factors[J]. Chin Health Qual Manag, 2023, 30(4):52-56.
[14] 谭江红, 田艳珍, 王浪, 等. 以区域医疗中心为主导的护联体的构建与实施[J]. 护理学杂志, 2021, 36(12):90-93.
[14] Tan JH, Tian YZ, Wang L, et al. Construction and implemen-tation of nursing consortium led by regional medical center[J]. J Nurs Sci, 2021, 36(12):90-93.
[15] 胡静超, 王韬, 章雅青. “互联网+护理服务”的态势分析[J]. 中华护理教育, 2020, 17(10):956-960.
[15] Hu JC, Wang T, Zhang YQ. SWOT analysis on “Internet + nursing services”[J]. Chin J Nurs Educ, 2020, 17(10):956-960.
[16] 曹军, 凌枫, 孙雅, 等. “互联网+护理服务”平台与闭环机制的构建及应用[J]. 中西医结合护理(中英文), 2023, 9(6):160-162.
[16] Cao J, Ling F, Sun Y, et al. Construction and application of “Internet + nursing service” platform and closed-loop mechanism[J]. J Clin Nurs Pract, 2023, 9(6):160-162.
[17] 何雅娟, 杜俊. 县域医共体内“互联网+护理服务”模式的构建与实践[J]. 护士进修杂志, 2022, 37(11):1013-1016.
[17] He YJ, Du J. Construction of “Internet + Nursing Service” mode in county medical community and its practice[J]. J Nurses Train, 2022, 37(11):1013-1016.
[18] 向运华, 胡天天. “健康中国”战略下的农村老年人医疗消费行为:基于收入不平等与基本医保的视角[J]. 华中师范大学学报(人文社会科学版), 2020, 59(5):25-34.
[18] Xiang YH, Hu TT. Medical consumption behavior of rural elderly under the strategy of “healthy China”——based on the perspective of income inequality and basic medical insurance[J]. J Cent China Norm Univ Humanit Soc Sci, 2020, 59(5):25-34.
[19] 郑王萍. 护士从事“互联网+护理服务”真实感受的质性研究[J]. 中国乡村医药, 2021, 28(21):73-74.
[20] 姜勤勤, 张泽洪, 熊晶晶, 等. 基于技术接受模型和计划行为理论的“互联网+护理服务”患者采纳意愿研究[J]. 解放军护理杂志, 2022, 39(2):42-45,50.
[20] Jiang QQ, Zhang ZH, Xiong JJ, et al. Patients’ adoption intention to “Internet + Nursing service” based on technology acceptance model and theory of planned behavior theory[J]. Nurs J Chin PLA, 2022, 39(2):42-45,50.
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