Shan Ruijie, Wang Zhenhui, Ma Chenjuan, Guo Chunhong, Cui Naixue
School of Nursing and Rehabilitation, Shandong University, Jinan, Shandong, China.
Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China.
BMC Nurs. 2024 Sep 19;23(1):667. doi: 10.1186/s12912-024-02286-0.
In China, Internet-Based Sharing Nursing Service (IBSNS) is a new mode of nursing service delivery that has been in practice for over five years, which enables nurses to provide care at clients' home. However, the acceptance and associated factors of IBSNS among caregivers of elderly with chronic diseases who are the major clients of the service were unclear.
To explore the acceptance of IBSNS and its associated factors among Chinese caregivers of elderly patient with chronic diseases based on the modified Technology Acceptance Model (mTAM).
A cross-sectional study was conducted from February 2023 to March 2023. Caregivers of hospitalized elderly with chronic diseases were recruited using convenience sampling method from three hospitals in Beijing, China. Data were obtained from self-reports of participants. Structural equation modeling was used to analyze data.
A total of 65.1% of the caregivers had neutral to weakly positive behavioral intention of IBSNS use. The mTAM model was supported with good model fit. Perceived ease of use was positively associated with perceived usefulness. Both perceived usefulness and perceived security were positively associated with attitude, consequently, attitude was associated with behavioral intention.
Improving the ease of use, security, and usefulness may be helpful to increase the positive attitude towards IBSNS and behavioral intention of using IBSNS, which provides valuable insights that can help healthcare providers improve the integration of technology in patient care, ultimately leading to better health outcomes and more efficient healthcare systems.
在中国,基于互联网的共享护理服务(IBSNS)是一种新的护理服务模式,已实践五年多,它使护士能够在患者家中提供护理。然而,该服务的主要客户——慢性病老年人的照护者对IBSNS的接受度及其相关因素尚不清楚。
基于改进的技术接受模型(mTAM),探讨中国慢性病老年患者照护者对IBSNS的接受度及其相关因素。
于2023年2月至2023年3月进行一项横断面研究。采用便利抽样法,从中国北京的三家医院招募住院慢性病老年人的照护者。数据通过参与者的自我报告获得。采用结构方程模型分析数据。
共有65.1%的照护者对使用IBSNS的行为意向为中性至弱阳性。mTAM模型得到支持,模型拟合良好。感知易用性与感知有用性呈正相关。感知有用性和感知安全性均与态度呈正相关,因此,态度与行为意向相关。
提高易用性、安全性和有用性可能有助于增强对照护者对IBSNS的积极态度和使用IBSNS的行为意向,这提供了有价值的见解,可帮助医疗服务提供者改善技术在患者护理中的整合,最终带来更好的健康结果和更高效的医疗系统。