Zhang Lingling, Gao Yongping, Tang Limei, Zhao Xuegang, Qiao Qiuge
Nursing Department, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
Department of Neurology, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
Risk Manag Healthc Policy. 2025 Jun 21;18:2035-2047. doi: 10.2147/RMHP.S520302. eCollection 2025.
This study seeks to examine the present state of Chinese nurses' intentions to deliver Internet Plus Nursing Services (IPNS), their psychological resilience, and their perceived professional benefits (PPB), in addition to exploring the interrelationships among these variables. IPNS are defined as nursing services performed by registered nurses from medical institutions utilizing internet and other information technologies through an "online application and offline service" model.
Nurses are the primary providers of IPNS, and hence, their willingness is critical to developing IPNS. However, limited research has been conducted to investigate the relationship between nurses' intention to provide IPNS, psychological resilience and PPB.
A convenience sampling approach was employed to conduct a cross-sectional survey of 611 nurses from three tertiary general hospitals in Shijiazhuang between April and October 2023. The research questionnaires include demographic information, nurses' intention to provide IPNS, psychological resilience and PPB. The statistical analysis included non-parametric testing, Spearman correlation analysis, hierarchical regression analysis, and mediation effect analysis.
The results indicated that nurses' intention to provide IPNS was positively correlated with both psychological resilience (=0.566, <0.001) and PPB (=0.561, <0.001). PPB was also positively correlated with psychological resilience (=0.631, <0.001). Furthermore, the mediating effect of PPB between psychological resilience and nurses' intentions to provide IPNS was 0.127 (95% CI=0.089 to 0.167), accounting for 29.26% of the total effect.
Nurses from tertiary institutions who participated in this study expressed a willingness to provide IPNS, and the research findings imply that PPB modulates psychological resilience and goals.
Based on the findings of our study, we recommend that nursing managers implement a comprehensive training program aimed at enhancing psychological flexibility and professional practices. This program should encompass advanced nursing techniques, IPNS processes, emergency management, and skills in communication and stress reduction specifically tailored for home healthcare. Such skills may include meditation, deep-breathing workshops, and IPNS experience-sharing sessions. Additionally, it is advisable to offer individual and group counseling whenever feasible and to enhance the welfare of home-visiting nurses to facilitate the progress and implementation of IPNS.
本研究旨在考察中国护士提供互联网+护理服务（IPNS）的意愿现状、心理韧性以及其感知到的职业益处（PPB），并探究这些变量之间的相互关系。IPNS被定义为医疗机构注册护士通过“线上申请、线下服务”模式利用互联网及其他信息技术提供的护理服务。
护士是IPNS的主要提供者，因此，他们的意愿对于IPNS的发展至关重要。然而，关于护士提供IPNS的意愿、心理韧性和PPB之间关系的研究有限。
采用便利抽样法，于2023年4月至10月对石家庄市三家三级综合医院的611名护士进行横断面调查。研究问卷包括人口统计学信息、护士提供IPNS的意愿、心理韧性和PPB。统计分析包括非参数检验、Spearman相关性分析、分层回归分析和中介效应分析。
结果表明，护士提供IPNS的意愿与心理韧性（r = 0.566，P < 0.001）和PPB（r = 0.561，P < 0.001）均呈正相关。PPB与心理韧性也呈正相关（r = 0.631，P < 0.001）。此外，PPB在心理韧性与护士提供IPNS意愿之间的中介效应为0.127（95%CI = 0.089至0.167），占总效应的29.26%。
参与本研究的三级医疗机构护士表示愿意提供IPNS，研究结果表明PPB调节心理韧性和目标。
基于我们的研究结果，我们建议护理管理者实施一项全面的培训计划，旨在增强心理灵活性和专业实践能力。该计划应包括先进的护理技术、IPNS流程、应急管理以及专门为家庭医疗保健量身定制的沟通和减压技能。这些技能可能包括冥想、深呼吸工作坊和IPNS经验分享会。此外，建议在可行的情况下提供个体和团体咨询，并提高上门访视护士的福利，以促进IPNS的推进和实施。
