首页|造口伤口失禁专科护士开展"互联网+护理服务"制约因素的质性研究

造口伤口失禁专科护士开展"互联网+护理服务"制约因素的质性研究

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目的 通过半结构式访谈探究造口伤口失禁专科护士开展"互联网+护理服务"的制约因素,以期促进相关服务的深入落实.方法 2022年2-4月,选取11名山东省造口伤口失禁专科护士为研究对象,围绕"互联网+护理服务"中存在的问题及制约因素,对其进行半结构式访谈,基于扎根理论及Co-laizzi七步法对访谈材料进行编码、提取.结果 根据访谈结果提炼出造口伤口失禁专科护士开展"互联网+护理服务"的五方面制约因素,分别为:支持保障政策不完善,护患双方存在风险;时间成本较高,专科护士角色冲突;服务定价及医疗费用支付体系有待完善;老年患者互联网服务使用能力弱,平台建设亟待加强;医用耗材及医疗废物处理等物联网支持系统不成熟.结论 相关部门需关注"互联网+护理服务"中的医疗安全及护理人员自身安全,通过建立健全相关政策制度、培养专业的护理服务队伍、搭建并完善服务平台和物联网体系、优化服务收费及医保政策等措施,进一步促进造口伤口失禁专业"互联网+护理服务"的良性发展,更好满足患者居家护理需求.
Qualitative Study on Obstacles Encountered by Wound,Ostomy and Continence Nurses in Providing"Internet Plus Nursing Service"
Objective To explore the obstacles encountered by wound,ostomy and continence(WOC)nurses in providing"Internet plus nursing service"through semi-structured interviews,aiming to facilitate the implementation of relevant services.Methods From February to April 2022,total of 11 WOC nurses in Shandong Province were selected to receive semi-structured interviews regarding the challenges and obstacles in providing"Internet plus nursing service".Their interview data was coded and refined based on grounded theory and Colaizzi's 7-step analysis method.Results The obstacles encountered by WOC nurses in providing"Internet plus nursing service"were refined into the following five aspects based on the interview results:1)inadequate support and safeguard policies,posing risks for both nurses and patients;2)nurse specialists facing time-consuming tasks and role conflicts;3)immature service pricing and medical cost payment system;4)limited ability of elderly patients to utilize the Internet,requiring urgent strengthening of platform construction,and 5)less well-established IoT systems,such as medical consumables and waste disposal systems.Conclusion Relevant departments should pay attention to medical and nurse safety in the provision of"Internet plus nursing service".In addition,they should establish and enhance relevant policies and systems,build specialized nursing teams,construct and improve service platforms and IoT systems,and optimize service pricing and medical insurance policies.These measures will ensure a robust development of"Internet plus nursing service"in the field of WOC to better satisfy the health care needs of home-based patients.

Nurse specialistWound,ostomy and continenceInternet plus nursingObstacleGrounded theoryInterviewQualitative study

李苗苗、董利英、赵文博、于鲁欣、朱永健、吕晓慧、张双双、夏永梅

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烟台毓璜顶医院,山东 烟台 264000

山东第一医科大学第一附属医院,山东 济南 250000

济宁医学院附属医院,山东 济宁 272000

专科护士 造口伤口失禁 互联网+护理 制约因素 扎根理论 访谈 质性研究

烟台市科技计划

2019MSGY131

2024

上海护理
上海市护理学会

上海护理

影响因子:1.097
ISSN:1009-8399
年,卷(期):2024.24(1)
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