Ren Zhifang, Tong Ling, Fu Shuojin, Jin Shuai, Wang Yanling, Xiao Qian
School of Nursing, Capital Medical University, No.10 Xi-tou-tiao, You-an-men Wai, Feng-tai District, Beijing, 100069, China, 86 15210756682.
J Med Internet Res. 2025 Jun 30;27:e67572. doi: 10.2196/67572.
With China's aging population and increasing prevalence of chronic diseases, the Internet+Nursing Service has emerged as a new care model, enabling registered nurses from medical institutions to provide home-based care through a web-based application and offline service model. This care model is particularly beneficial for vulnerable populations, such as patients with dysphagia, who face significant risks like malnutrition and aspiration pneumonia. Nurses play a critical role in delivering these services, yet their experiences, challenges, and support needs remain underexplored. Understanding these factors is essential for improving service quality and establishing standardized care guidelines.
This study aims to explore the experiences and challenges of nurses providing the dysphagia-related Internet+Nursing Service, offering insights to guide the standardization and sustainable development of this innovative care model.
A qualitative study was conducted with 18 nurses who had been providing the Internet+Nursing Service for patients with dysphagia for over 6 months. Purposive sampling ensured the selection of participants with relevant expertise. Semistructured interviews were used for data collection, focusing on nurses' experiences, challenges, and recommendations. Data were analyzed using conventional content analysis, following an inductive approach to identify recurring themes and patterns.
The analysis revealed 3 key themes: value representation and social impact; nursing resources and staffing; and safety and management support. Nurses emphasized that patient-centered nursing services enhanced their sense of professional fulfillment and helped alleviate pressure on hospital nursing resources. However, challenges such as insufficient time and energy, inadequate manpower, and underexploitation of service potential limited service effectiveness. To ensure sustainability, nurses highlighted the need for standardized service processes, regular experience exchange, and stronger hospital involvement in managing and supporting the Internet+Nursing Service.
This study highlights both the opportunities and challenges of delivering the dysphagia-related Internet+Nursing Service. While nurses acknowledge the value of this care model, addressing staffing shortages, improving training programs, and strengthening regulatory frameworks are essential for optimizing service delivery. Policy makers and health care institutions should develop standardized guidelines and supportive policies to enhance service sustainability and accessibility.
随着中国人口老龄化以及慢性病患病率的上升，“互联网+护理服务”作为一种新的护理模式应运而生，使医疗机构的注册护士能够通过基于网络的应用程序和线下服务模式提供居家护理。这种护理模式对吞咽困难患者等弱势群体尤为有益，因为他们面临营养不良和吸入性肺炎等重大风险。护士在提供这些服务中发挥着关键作用，然而他们的经历、挑战和支持需求仍未得到充分探索。了解这些因素对于提高服务质量和制定标准化护理指南至关重要。
本研究旨在探索护士提供吞咽困难相关“互联网+护理服务”的经历和挑战，为指导这种创新护理模式的标准化和可持续发展提供见解。
对18名已为吞咽困难患者提供“互联网+护理服务”超过6个月的护士进行了一项定性研究。目的抽样确保了选择具有相关专业知识的参与者。采用半结构化访谈进行数据收集，重点关注护士的经历、挑战和建议。采用传统内容分析法对数据进行分析，采用归纳法识别反复出现的主题和模式。
分析揭示了3个关键主题：价值体现与社会影响；护理资源与人员配备；安全与管理支持。护士们强调，以患者为中心的护理服务增强了他们的职业成就感，并有助于缓解医院护理资源的压力。然而，时间和精力不足、人力不足以及服务潜力未得到充分开发等挑战限制了服务效果。为确保可持续性，护士们强调需要标准化服务流程、定期经验交流以及医院更有力地参与管理和支持“互联网+护理服务”。
本研究凸显了提供吞咽困难相关“互联网+护理服务”的机遇和挑战。虽然护士们认可这种护理模式的价值，但解决人员短缺问题、改进培训项目以及加强监管框架对于优化服务提供至关重要。政策制定者和医疗机构应制定标准化指南和支持性政策，以提高服务的可持续性和可及性。
