县级三甲医院护士“互联网+护理服务”从事意愿现状及潜在剖面分析

Current status and latent profile analysis of nurses′ willingness to engage in internet+nursing service in county-level tertiary grade a hospitals

摘要

目的 了解县级三甲医院护士“互联网＋护理服务”从事意愿的现状,探究其类别特征,并探究不同类别的影响因素。方法 采用便利抽样法于2024年12月—2025年3月,选取某县级两所三甲医院的护士为调查对象,采用一般资料调查表和护士“互联网＋护理服务”从事意愿量表进行调查。对县级三甲医院护士“互联网＋护理服务”从事意愿特征进行潜在剖面分析,并通过单因素分析和logistic回归分析识别不同剖面的影响因素。结果 最终纳入360名护士,量表得分为86(75,96)分,其从事意愿可分为低效能顾虑型、规范遵从权衡型、高效能信任型3个剖面。Logistic回归分析结果显示,上门服务经历、“互联网+护理服务”培训经历、自评健康状况、对“互联网＋护理服务”了解程度、是否有必要对提供“互联网+护理服务”的护士定期进行培训、定期培训时长是潜在不同剖面的独立影响因素(P＜0.05)。结论 护士从事意愿呈现3个潜在剖面,建议管理者根据群体异质性及不同特征制定个性化干预方案。

Abstract

Objective To investigate the current status of nurses′ willingness to engage in "internet+nursing service" in county-level tertiary hospitals,explore their categorical characteristics,and identify influencing factors across different categories. Methods A convenience sampling method was employed from December 2024 to March 2025 to select nurses from two county-level tertiary hospitals as survey subjects.The general information questionnaire and the nurses′ willingness to engage in internet+nursing service scale were used for investigation.Latent profile analysis was conducted on the characteristics of nurses′ willingness to engage in internet+nursing service in county-level tertiary hospitals,and single-factor analysis and logistic regression analysis were employed to identify influencing factors across different profiles. Results A total of 360 nurses were enrolled, with a scale score of 86 (75,96). Their engagement willingness was categorized into three profiles:low-efficiency concern,norm-compliance trade-off,and high-efficiency trust.Logistic regression analysis revealed that experience with home visits, training in internet+nursing service,self-rated health status,understanding of internet+nursing service,the necessity of regular training for nurses providing internet nursing service,and training duration were independent predictors of different profiles (P＜0.05). Conclusion The nurses′ engagement willingness exhibited three latent profiles.Managers are advised to develop personalized intervention plans based on group heterogeneity and distinct characteristics.

关键词

县级护士 / 互联网+护理服务 / 从事意愿 / 潜在剖面分析 / 影响因素

Key words

County-level nurse / Internet+nursing service / Willingness to engage / Latent profile analysis / Influencing factors

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基金资助

皖南医学院教学质量与教学改革工程(2024jyxm90)