Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Jan 9, 2023
Date Accepted: Jun 29, 2023
Warning: This is an author submission that is not peer-reviewed or edited.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.
Nurses’ Willingness and Demand for Internet +home Care Services and Its Influencing Factors in Municipal Hospitals in China: A Cross-Sectional Survey
ABSTRACT
Background:
Population aging is an important problem in the world. Family nursing has become an effective way to deal with population aging. China's Internet + home care is in its infancy, and there are few studies on the willingness and demand of clinical nurses in municipal hospitals for Internet + home care.
Objective:
The study aims to investigate the willingness and demand of clinical nurses in municipal hospitals in China for Internet + home care services, and analyze the factors affecting the participation of clinical nurses in municipal hospitals in Internet + home care services, and promote the development of Internet + home care.
Methods:
In this study, we recruited 9405 nurses from 10 hospitals in 5 regions of China by multi-stage sampling method. We use a self-designed reliability and validity questionnaire to measure nurses' willingness and demand for Internet + home care services. Data analysis adopts: χ 2 test, Welch t-test, Binary logistic regression analysis and Multiple linear regression analysis.
Results:
Nurses were highly willing to provide Internet +home care services. Statistical differences were found in the willingness to provide Internet +home care services and the preference for service distance, service period, service times and number of service between nurses in municipal hospitals (both P<.05). Binary Logistic regression analysis showed that job title, educational title, marital status and monthly income are risk facors towards nurses’ willingness for Internet +home care services (both OR＞1) but gender is protective factor (OR＜1). Multiple linear regression showed that job title, monthly family income,educational level influence nurses’ demand for Internet +home care services.
Conclusions:
The clinical nurses in municipal hospitals have a high willingness and demand for Internet + home care services, which suggests that managers need to strengthen knowledge publicity, and education, reasonably arrange the service period, duration, and frequency, improve various policies, regulations and service processes, improve the service salary of home nurses, and pay attention to the needs and willingness of nurses for Internet + home care services to improve the enthusiasm of nurses to participate in Internet + home care services.
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