Building a Competency Framework for Primary Hospital Nurses in 'Internet + Nursing' Based Home IV Therapy

To establish a core competency item system for home-based intravenous therapy nurses in primary hospitals under the 'Internet + Nursing Services' framework.

Based on the 'Iceberg Model' theoretical framework, a preliminary framework for the core competency item system of home-based intravenous therapy nurses in primary hospitals under the 'Internet + Nursing Services' framework was constructed from December 2024 to May 2025 through literature review and semi-structured interviews. The content of the item system items was finalised through two rounds of Delphi expert consultations with 20 experts and the weight quantification of items at each level was completed using the analytic hierarchy process (AHP).

The response rates for the two rounds of Delphi expert consultations were 100% and 90%, respectively; the authority coefficients were 0.88 and 0.91, respectively; the Kendall harmony coefficients were all > 0.2, with statistically significant differences (p < 0.05). The final core competency item system for home-based intravenous therapy nurses in primary hospitals under the 'Internet + Nursing Services' framework included 86 items, comprising four first-level items, 13 s-level items and 69 third-level items.

The core competency item system for home-based intravenous therapy nurses in primary hospitals under the 'Internet + Nursing Services' framework established in this study is scientific and reliable, providing a reference for the future development of a unified training system and professional evaluation standards for home-based intravenous therapy nursing personnel.

The indicator system built in this study has ensured the safety of patients' home intravenous treatment, improved the public's trust and acceptance of 'Internet plus nursing services' and optimised the accessibility of medical services and humanistic care.

This study focuses on the construction of a professional system, with nurses and nursing experts as the research subjects, without involving patients or the public.