Abstract:

Objective To analyze the understanding level,service willingness and influencing factors of using Internet + Nursing Services（hereinafter referred to as the service） by nurses in non-pilot provinces and cities,so as to provide references for the development of the service. Methods A convenience sampling method was adopted to conduct a questionnaire survey to investigate registered nurses in hospitals of different grades in non-pilot provinces and cities. Results Among 3 242 nurses from 127 hospitals in South China,North China,Central China,East China,Northeast China,Northwest China and Southwest China,641（19.8%） nurses knew the service and 1 541（47.5%） were willing to participate in the service. 390（60.8%） nurses got the information about the service through social networks. The benefits of nurses participating in the service are as following. 2 690（82.9%） nurses choose the option of reflecting the value of nursing;2 557（78.8%） nurses choose increasing their income. 2 442（75.3%） nurses choose broadening their practice path and promoting the development of nursing discipline. 2 706（83.4%） nurses believed that medical risks and disputes were increased,and they were worried that the safety of practice would not be guaranteed. 3 045（93.9%） nurses hoped that the legislation could be clearly defined at national level to ensure the safety of practice. Logistic regression analysis showed that male nurse, being married, high education level, high vocational title, mortgage pressure, and understanding of the service were influencing factors for nurse willingness to participate（P<0.05）. Conclusion Nurses had a lower level of understanding of the service,and different under-standing levels of the service affected their willingness to participate. Improving the relevant legal system,popu-larizing relevant policies and publicity were essential to promote the willingness of nurses to participate in the service.

Key words: Nurses, Internet+Nursing Service, Willingness, Questionnaires, Root Cause Analysis

摘要：

目的 分析非试点省份护士对“互联网+护理服务”的了解程度、参与意愿及影响因素,为“互联网+护理服务”发展提供参考。 方法 采取便利抽样法,2019年6月—7月采用自制问卷对全国非试点省份不同等级医院执业护士进行“互联网+护理服务”意愿问卷调查。 结果 来自华南、华北、华中、华东、东北、西北、西南地区127所医院的3 242名护士中,641名（19.8%）了解“互联网+护理服务”,1 541名（47.5%）愿意参与“互联网+护理服务”。390名（60.8%）对“互联网+护理服务”的了解主要来源于社交网络。护士认为参与“互联网+护理服务”的益处依次是,2 690名（82.9%）护士选择体现护理服务价值、2 557名（78.8%）护士选择提高收入、2 442名（75.3%）护士选择拓宽执业发展路径和促进护理学科发展,2 706名（83.4%）护士认为参与“互联网+护理服务”增大了医疗风险及纠纷的弊端,担忧执业安全无保障;3 045名（93.9%）护士希望能从国家层面明确立法,以保障执业安全。Logistic回归分析结果显示,男性、已婚、学历高、职称高、有房贷压力、了解“互联网+护理服务”的护士愿意参与“互联网+护理服务”（P<0.05）。 结论 非试点省份护士对“互联网+护理服务”的了解程度较低,“互联网+护理服务”的了解程度影响参与“互联网+护理服务”的意愿。需进一步完善相关法律制度、普及相关政策的宣传及宣讲,提升护士参与“互联网+护理服务”的意愿。

关键词: 护士, 互联网+护理服务, 意愿, 问卷调查, 影响因素分析