Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Jan 9, 2023
Date Accepted: Jun 29, 2023
Nurses’ Willingness and Demand for Internet +home Care Services and Its Associated Factors in Municipal Hospitals in China: A Cross-Sectional Survey
ABSTRACT
Background:
Population ageing is an important global issue. Internet +home care has become an effective way to address the problems related to population ageing. Internet +home care is in its infancy in China, and few studies investigated the willingness and demand of clinical nurses in municipal hospitals to provide Internet + home care services.
Objective:
To investigate the willingness and demand of clinical nurses in municipal hospitals in China to provide Internet +home care services, and analyze the factors to promote the development of Internet +home care in China.
Methods:
This cross-sectional study used multi-stage sampling to recruit 9405 nurses from 10 hospitals in 5 regions of China. A self-designed reliability and validity questionnaire was used to measure nurses’ willingness and demand for providing Internet +home care services. Chi-square test, Welch’s t-test, Binary logistic regression analysis and Multiple linear regression analysis were used for data analysis.
Results:
Nurses were highly willing to provide Internet +home care services. Most nurses expected the service distances of IHC services to be <5 km from the departure place and the time period from 8:00 to 18:00 for IHC services as well as the services pay sharing was individual share >60%. Binary Logistic regression analysis showed that job title, educational level, monthly income and married status could influence municipal hospital nurses’ willingness for providing IHC services. Nurses holding a title of nurse in charge were 1.177 times more likely to express willingness to provide IHC services than Nurse practitioners. Nurses’ total demand score for providing IHC services was 17.38±3.67, the highest demanding item was "demand for protecting the privacy of patients and nursing staff". Multiple linear regression showed that job title, monthly income, and educational level could influence municipal hospital nurses’ demand for providing IHC services.
Conclusions:
The clinical nurses in municipal hospitals showed a high willingness and demand to provide Internet +home care services. There were differences in the willingness and demand of nurses with different demographic characteristics to provide Internet +home care services. Accordingly, government and hospitals should regulate the services period, service distance and other contents according to nurses’ willingness and demand and establish relevant laws and regulations to ensure the steady and orderly development of the Internet +home care services.
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