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The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
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Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
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A communication barrier is any distortion or interruption during a conversation, resulting in miscommunication of the message. A good communicator should know these barriers and continuously check for the listener's understanding by obtaining feedback.
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Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data
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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
PubMed
Summary
This summary is machine-generated.

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.

Keywords:
patient satisfactionChinaChinese nursesbarriercare qualitycommunicationdigital governancedigital healthdigitalizationhealth care deliveryinfluencing factorsinternetinterviewmixed methods studynursingpolicymakersself-made questionnairetransitional care

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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.