Liu Wenyan, Li Yao, Zhu Huanhuan, Li Kexin, Deng Haiting, Cai Xiaoyan
Department of Geriatrics, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Int J Nurs Sci. 2025 Apr 18;12(3):233-240. doi: 10.1016/j.ijnss.2025.04.012. eCollection 2025 May.
Systematically integrate nurses' experience with "Internet Nursing Service" to analysis the nurses' experiences with "Internet Nursing Service", and to provide a theoretical reference for formulating a more rational "Internet Nursing Service" model.
A systematic search in PubMed, Embase, Web of Science, the Cochrane Library, CINAHL, China National Knowledge Infrastructure (CNKI), Wanfang Database, and Chinese Biomedical Literature Database was conducted to collect qualitative research on nurses' experiences with "Internet Nursing Service," with a retrieval time limit from December 2019 to June 2024. Qualitative meta-synthesis was performed through line-by-line coding of relevant quotes, organization of codes into descriptive themes, and development of analytical themes.
A total of 19 studies were included, one study was rated as Grade A in quality evaluation, and the remaining studies were rated as Grade B. Collectively synthesized into three integrated results: Harvest and growth, Difficulties and challenges, and Expectations and support. Harvest and growth, include 1) manifestation of self-value, 2) enhancing nursing capabilities, 3) optimizing nursing resources; Difficulties and challenges, include 1) lack of safety guarantee, 2) role conflict; Expectations and support include, 1) expectation for professional knowledge and skill training, 2) expectations for service platform optimization, 3) expectation for reasonable charges, 4) expectation for related policy support.
"Internet Nursing Service" model benefits both nurses and patients, but still full of challenges. It aids in the decentralization of medical resources. Management departments still need to encourage nurses to actively invest in "Internet Nursing Service" while ensuring their safety and interests.
系统整合护士开展“互联网护理服务”的经验，分析护士在“互联网护理服务”中的体验，为制定更合理的“互联网护理服务”模式提供理论参考。
在PubMed、Embase、Web of Science、Cochrane图书馆、CINAHL、中国知网（CNKI）、万方数据库和中国生物医学文献数据库中进行系统检索，收集关于护士开展“互联网护理服务”体验的定性研究，检索时间限制为2019年12月至2024年6月。通过对相关引语逐行编码、将编码组织成描述性主题以及发展分析性主题来进行定性元综合。
共纳入19项研究，1项研究在质量评价中被评为A级，其余研究被评为B级。综合归纳为三个整合结果：收获与成长、困难与挑战、期望与支持。收获与成长包括：1）自我价值体现；2）提升护理能力；3）优化护理资源。困难与挑战包括：1）缺乏安全保障；2）角色冲突。期望与支持包括：1）对专业知识和技能培训的期望；2）对服务平台优化的期望；3）对合理收费的期望；4）对相关政策支持的期望。
“互联网护理服务”模式对护士和患者都有益，但仍充满挑战。它有助于医疗资源的分散。管理部门仍需鼓励护士积极投入“互联网护理服务”，同时保障其安全和利益。
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