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Nurses' Experience Regarding Barriers to Providing Internet Plus Continuous Nursing: Mixed Methods Study
Huanhuan Huang1,2, Zhiyu Chen3, Lijuan Chen1,2
1Department of Nursing, The First Affiliated Hospital of Chongqing Medical University, 1st Youyi Road, Chongqing, 400016, China, 86 89012206.
JMIR Medical Informatics
|July 3, 2025
Summary
Nurses face challenges implementing Internet Plus continuous nursing, especially with management continuity. Addressing these barriers is key to improving patient care in China's digital health landscape.
Area of Science:
- Digital Health
- Nursing Informatics
- Healthcare Management
Background:
- China's aging population and digitalization drive the adoption of "Internet Plus continuous nursing."
- Limited research exists on the implementation barriers and challenges of this novel healthcare model.
Purpose of the Study:
- To investigate and understand nurses' experiences with barriers in providing "Internet Plus continuous nursing."
Main Methods:
- Sequential mixed methods design combining quantitative surveys and qualitative semistructured interviews.
- Quantified barriers into management, relational, and information continuity domains using a self-made questionnaire.
- Explored nurse experiences and perspectives through in-depth interviews.
Main Results:
- 4638 nurses from 312 hospitals participated; adjusted mean score for barriers was 3.49.
- Management continuity (mean 3.32) presented the most significant challenges, followed by relational (3.44) and information continuity (3.62).
- Age, education, and years of experience were significant predictors of continuity.
Conclusions:
- Chinese nurses encounter distinct challenges in "Internet Plus continuous nursing," particularly concerning management continuity.
- Recommendations include improving interdisciplinary relationships, organizational management, and communication to enhance patient care delivery.
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