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Nurses' Willingness and Demand for Internet+Home Care Services and the Associated Factors in Municipal Hospitals in China: Cross-Sectional Survey.

التفاصيل البيبلوغرافية
العنوان: Nurses' Willingness and Demand for Internet+Home Care Services and the Associated Factors in Municipal Hospitals in China: Cross-Sectional Survey.
المؤلفون: Zhang J; Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, China.; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China.; Xiangya Nursing School, Central South University, Changsha, China., Peng S; Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, China.; Xiangya Nursing School, Central South University, Changsha, China., Hou J; Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, China.; Xiangya Nursing School, Central South University, Changsha, China., Ma G; Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, China.; Xiangya Nursing School, Central South University, Changsha, China., Liu Y; Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, China., Fan Y; Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, China., Luo L; Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, China.; Xiangya Nursing School, Central South University, Changsha, China., Shi Z; Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, China.
المصدر: Journal of medical Internet research [J Med Internet Res] 2023 Aug 04; Vol. 25, pp. e45602. Date of Electronic Publication: 2023 Aug 04.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: JMIR Publications Country of Publication: Canada NLM ID: 100959882 Publication Model: Electronic Cited Medium: Internet ISSN: 1438-8871 (Electronic) Linking ISSN: 14388871 NLM ISO Abbreviation: J Med Internet Res Subsets: MEDLINE
أسماء مطبوعة: Publication: <2011- > : Toronto : JMIR Publications
Original Publication: [Pittsburgh, PA? : s.n., 1999-
مواضيع طبية MeSH: Hospitals, Municipal* , Nurses* , Telemedicine* , Home Care Services, Hospital-Based*, Humans ; China/epidemiology ; Cross-Sectional Studies ; Reproducibility of Results ; Surveys and Questionnaires
مستخلص: Background: Developing Internet+home care (IHC) services is a promising way to address the problems related to population aging, which is an important global issue. However, IHC services are in their infancy in China. Limited studies have investigated the willingness and demand of nurses in municipal hospitals to provide IHC services.
Objective: This study aims to investigate the willingness and demand of nurses in municipal hospitals in China to provide IHC services and analyze the factors to promote IHC development in China.
Methods: This cross-sectional study used multistage sampling to recruit 9405 nurses from 10 hospitals in 5 regions of China. A self-designed questionnaire with good reliability and validity was used to measure nurses' willingness and demand for providing IHC services. Data analysis used the chi-square test, Welch t test, binary logistic regression analysis, and multiple linear regression analysis.
Results: Nurses were highly willing to provide IHC services and preferred service distances of <5 km and times from 8 AM to 6 PM. An individual share >60% was the expected service pay sharing. Job title, educational level, monthly income, and marital status were associated with nurses' willingness to provide IHC services in binary logistic regression analysis. Supervising nurses were 1.177 times more likely to express a willingness to provide IHC services than senior nurses. Nurses with a bachelor's degree had a 1.167 times higher likelihood of expressing willingness to provide IHC services than those with a junior college education or lower. Married nurses were 1.075 times more likely to express a willingness than unmarried nurses. A monthly income >¥10,000 increased the likelihood of nurses' willingness to provide IHC services, by 1.187 times, compared with an income <¥5000. Nurses' total mean demand score for IHC services was 17.38 (SD 3.67), with the highest demand being privacy protection. Multiple linear regression analysis showed that job title, monthly income, and educational level were associated with nurses' demand for IHC services. Supervising nurses (B=1.058, P<.001) and co-chief nurses or those with higher positions (B=2.574, P<.001) reported higher demand scores than senior nurses. Monthly incomes of ¥5000 to ¥10,000 (B=0.894, P<.001) and >¥10,000 (B=1.335, P<.001), as well as a bachelor's degree (B=0.484, P=.002) and at least a master's degree (B=1.224, P=.02), were associated with higher demand scores compared with a monthly income <¥5000 and junior college education or lower, respectively.
Conclusions: Nurses in municipal hospitals showed a high willingness and demand to provide IHC services, with differences in willingness and demand by demographic characteristics. Accordingly, government and hospitals should regulate the service period, service distance, and other characteristics according to nurses' willingness and demand and establish relevant laws and regulations to ensure the steady and orderly development of IHC services.
(©Jinghui Zhang, Sha Peng, Jianmei Hou, Guiyuan Ma, Yanhui Liu, Yuhua Fan, Lingxia Luo, Zhengkun Shi. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 04.08.2023.)
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فهرسة مساهمة: Keywords: Internet+home care services; clinical nurses; demand; municipal hospitals; willingness
تواريخ الأحداث: Date Created: 20230804 Date Completed: 20230809 Latest Revision: 20230823
رمز التحديث: 20230823
مُعرف محوري في PubMed: PMC10439466
DOI: 10.2196/45602
PMID: 37540546
قاعدة البيانات: MEDLINE
الوصف
تدمد:1438-8871
DOI:10.2196/45602