Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Oct 10, 2019
Date Accepted: Jun 25, 2020
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Internet-Based Sharing Nurse Program and Nurses’ Perceptions in China: A Cross-Sectional Survey
ABSTRACT
Background:
China is currently piloting a “Sharing Nurse” program that aims to increase accessibility to nursing services for at-home patients by enabling patients to order nursing services using mobile applications or online platforms.
Objective:
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.
Methods:
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.
Results:
The respondents agreed that the Sharing Nurse program could provide patients with better access to nursing care (69.6%). Their main concerns about the program were unclear responsibility division when accidents occur (90.3%) and potential personal safety issues (87%). They reported to believe that insurance (88%), permits from their affiliated hospital (81.0%), clear instructions concerning rights and duties (83.6%), real-time positioning while delivering the service (81.7%), and one-key alarm equipment (85.0%) were necessary for better implementing the program. More than half of the respondents (60%) had an optimistic or very optimistic attitude towards the development of the Sharing Nurse program in China. However, only 19.4% of the respondents expressed their willingness to be a “shared nurse.” Further analyses found that nurses with Masters’ degrees or above (2 = 28.835, P < 0.001) or from tertiary hospitals (χ2 = 18.669, P < 0.001) 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 = 0.023).
Conclusions:
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 willing to participate if the program is thoroughly regulated and supervised.
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