Evaluating facilitators and barriers to the implementation of internet +rehabilitation nursing among older adults...

To describe the facilitators of and barriers to the implementation of internet+rehabilitation nursing services.

A descriptive qualitative study.

A purposive sampling method was used to select rehabilitation nurses involved in internet+rehabilitation nursing services as the study subjects. An interview outline was developed based on the RE-AIM framework as a guide. Face-to-face, semi-structured interviews were used.

We identified key facilitators and barriers in five dimensions. In the reach dimension, facilitators included high demand and good economic status, while barriers included weak awareness of rehabilitation and distrust. For effectiveness, facilitators comprised accessible and convenient teaching, acceptability and satisfaction of services, and solving care problems, whereas low compliance was the primary barrier. In the adoption dimension, facilitators included increased hospital visibility and young nurses being the mainstay, while work-family conflicts and unstandardized training were identified as barriers. The implementation dimension had two facilitators: two-person clinic visits and helpfulness in reducing environmental risks, alongside three barriers: high costs, low profitability of hospitals, and poor functionality of ordering software. Finally, in the maintenance dimension, facilitators included the establishment of specialized institutions or departments and continuous support from national policies, while barriers included exclusion from Medicare reimbursement and formalism.

Future studies should pay more attention to the evaluation of the adoption, implementation, and maintenance dimensions of internet+rehabilitation nursing services. The results offer evidence-based recommendations for putting internet+rehabilitation nursing services into practice. It provides a new perspective on how to implement this service across China.