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202所医院“互联网+护理服务”开展现况调查

Current status of "Internet plus nursing services" in 202 hospitals

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【作者】 尹世玉王颖徐蓉黄丽红胡露红范俊瑶

【Author】 Yin Shiyu;Wang Ying;Xu Rong;Huang Lihong;Hu Luhong;Fan Junyao;Nursing Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology;

【机构】 华中科技大学同济医学院附属同济医院护理部

【摘要】 目的 调查我国医院“互联网+护理服务”开展现状,为“互联网+护理服务”相关对策制订提供依据。方法 2023年7-8月,以方便抽样法抽取全国202所不同等级医院,采用问卷星形式,向各医院护理部主任或分管“互联网+护理服务”的护理管理者发放自行编制问卷对“互联网+护理服务”开展情况进行调查。结果 仅81所(40.10%)医院开展“互联网+护理服务”,其中三级医院开展率为44.13%。56.79%~95.06%有相关制度及配套设施;100.00%要求从业护士最低学历为大专及以上,97.53%要求最低职称为护师及以上,98.77%要求最低工作年限3年及以上;“互联网+护理服务”平台61.73%、55.56%分别具有一键报警功能、不良事件上报系统;开展项目中伤口造口护理和PICC/输液港维护开展率较高,分别为91.36%和90.12%;14.81%对“互联+护理服务”收费项目无价格公示,81.48%以患者支付给平台的方式支付服务费用。60.49%医院出诊人员为护士单人。结论 我国医院“互联网+护理服务”开展率较低,主要集中在三级医院;各项规章制度、护士准入及管理制度、平台建设标准、服务项目收费标准和支付制度等尚有待完善。可依托医联体联盟促进二级医院开展“互联网+护理服务”,同时开展多学科、多部门、跨领域合作,制订相关政策,以促进我国医院“互联网+护理服务”深度发展。

【Abstract】 Objective To investigate the current status of "Internet plus nursing services" in hospitals in China, and to provide refe-rence for the formulation of relevant countermeasures.Methods From July to August 2023, a convenience sample of directors of nursing department or nursing managers in charge of "Internet plus nursing services" in 202 hospitals of different accreditation le-vels in China were surveyed in terms of implementation of "Internet plus nursing services".Results Only 81(40.10%) hospitals carried out "Internet plus nursing services" and the implementation rate in tertiary hospitals was 44.13%.Strictly, 56.79%-95.06% of hospitals had relevant regulations and supporting facilities for implementing "Internet plus nursing services".Nurses participating in "Internet plus nursing services" were required to have a junior college diploma at least in all hospitals, junior professional title or above(97.53% hospitals), and at least 3 years of work experience(98.77% hospitals).Greater than sixty percent(61.73%) of the "Internet plus nursing services" platform had one-key alarm function and 55.56% had adverse event reporting system.Wound/stoma care and PICC/implanted port maintenance were provided by 91.36% and 90.12% of the hospitals.Nearly fifteen percent(14.81%) of hospitals had no price announcement for "Internet plus nursing services" and 81.48% required patients to pay the service charge through the platform.More than sixty percent(60.49%) of hospitals utilized single nurse atten-dance for "Internet plus nursing services".Conclusion The implementation of "Internet plus nursing services" in hospitals in China is relatively low, mainly in tertiary hospitals.The rules and regulations, nurse entrance and management system, platform construction standards, service charge standards and payment system still need to be improved. Secondary hospitals should be encou-raged to participate in "Internet plus nursing services" based on the medical alliance system.Multidisciplinary, multi-sectoral and interdisciplinary cooperation should be carried out, as well as relevant policies also need to be formulated to promote the development of "Internet plus nursing services" in Chinese hospitals.

  • 【文献出处】 护理学杂志 ,Journal of Nursing Science , 编辑部邮箱 ,2024年23期
  • 【分类号】R47
  • 【下载频次】193
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