Establishment and practice of online neonatal nursing consultation clinic based on mobile healthcare
Objective To establish and implement an online neonatal nursing consultation clinic,to enhance accessible medical services for the public,and prompt problem resolution and disease risk identification for parenting concerns.Methods The online neonatal nursing consultation clinic in the Internet hospital was set up on the hospital's WeChat official account.An internet specialized nursing service system and workflow were established and visiting nurses were selected.The workload,response time,service duration,and satisfaction with internet nursing clinic were monitored.Results A total of 16 nurses were selected for the consultation from February 2020 to August 2023.The neonatal online nursing consultation clinic received a total of 9,212 cases,with 145,598 consultation items,of which,full-term infants accounted for 8,489 cases(92.2%)and premature infants for 723 cases(7.8%).Neonatal feeding topped the list of consultation,with 62,799 items(43.14%),followed by neonatal jaundice with 44,778 cases(30.75%),skin problems with 2 6,297(18.06%),and other problems with 11,724 cases(8.05%).Those who needed to be referred to offline nursing or medical clinics accounted for 337 cases(3.66%).The median response time from patient registration to nurse attendance was 33(0,162)minutes.The median nursing service time was 46(17,1,440)minutes.Totally 6,427 people(69.77%)completed the satisfaction evaluation,of which the three dimensions of service quality,service attitude and system use all received 5-star excellent ratings in 6,362 cases(98.99%).Conclusion The establishment of online neonatal nursing consultation clinic serves as a valuable complement to traditional offline clinics,effectively addressing parenting concerns.It fulfills the ongoing needs of neonatal care,saving parents'precious time,and enhances their overall medical experience while providing an opportunity to benefit from the expertise and professional value offered by specialized newborn nurses.