School of Nursing, Cheeloo College of Medicine, Shandong University, Jinan, China.
Jinan Shizhong People's Hospital, Jinan, China.
J Med Internet Res. 2020 Jul 22;22(7):e16644. doi: 10.2196/16644.
China is currently piloting a "Sharing Nurse" program that aims to increase the accessibility of nursing services to at-home patients by enabling patients to order nursing services using mobile apps or online platforms.
This study aims to assess nurses' perceptions of the Sharing Nurse program, including their acceptance, concerns, needs, and willingness to take part in the program.
A total of 694 nurses participated in the questionnaire survey. The survey collected their sociodemographic and work-related information and their perceptions of the Sharing Nurse program using a self-developed questionnaire.
The 694 respondents agreed that the Sharing Nurse program could provide patients with better access to nursing care (n=483, 69.6%). Their main concerns about the program were unclear liability division when medical disputes occur (n=637, 90.3%) and potential personal safety issues (n=604, 87%). They reported that insurance (n=611, 88%), permits from their affiliated hospital (n=562, 81.0%), clear instructions concerning rights and duties (n=580, 83.6%), real time positioning while delivering the service (n=567, 81.7%), and one-key alarm equipment (n=590, 85.0%) were necessary for better implementation of the program. More than half of the respondents (n=416, 60%) had an optimistic attitude toward the development of the Sharing Nurse program in China. However, only 19.4% (n=135) of the respondents expressed their willingness to be a "shared nurse." Further analyses found that nurses with a master's degree or above (χ=28.835, P<.001) or from tertiary hospitals (χ=18.669, P<.001) were more likely to be aware of the Sharing Nurse program and that male nurses were more willing to be shared nurses (Z=-2.275, P=.02).
The Chinese Sharing Nurse program is still in its infancy and many refinements are needed before it can be implemented nationwide. Generally, Chinese nurses are positive about the Sharing Nurse program and are willing to participate if the program is thoroughly regulated and supervised.
中国目前正在试点“共享护士”计划,旨在通过让患者使用移动应用程序或在线平台来订购护理服务,增加居家患者获得护理服务的可及性。
本研究旨在评估护士对“共享护士”计划的看法,包括他们对该计划的接受程度、关注问题、需求以及参与意愿。
共有 694 名护士参与了问卷调查。该调查收集了他们的社会人口学和工作相关信息,以及他们对“共享护士”计划的看法,使用的是自行开发的问卷。
694 名受访者均同意“共享护士”计划可以为患者提供更好的护理服务(n=483,69.6%)。他们对该计划的主要担忧是在发生医疗纠纷时责任划分不明确(n=637,90.3%)和潜在的个人安全问题(n=604,87%)。他们表示,该计划需要保险(n=611,88%)、所属医院的许可(n=562,81.0%)、明确的权利和义务说明(n=580,83.6%)、服务过程中的实时定位(n=567,81.7%)和一键报警设备(n=590,85.0%),以更好地实施该计划。超过一半的受访者(n=416,60%)对中国“共享护士”计划的发展持乐观态度。然而,只有 19.4%(n=135)的受访者表示愿意成为“共享护士”。进一步的分析发现,拥有硕士或以上学历的护士(χ=28.835,P<.001)或来自三级医院的护士(χ=18.669,P<.001)更有可能了解“共享护士”计划,男性护士更愿意成为共享护士(Z=-2.275,P=.02)。
中国的“共享护士”计划仍处于起步阶段,在全国范围内实施之前还需要进行许多改进。总的来说,中国护士对“共享护士”计划持积极态度,如果该计划得到彻底的监管和监督,他们愿意参与。