Construction of graded access standard for home nursing service projects under the background of "Internet+ nursing service"
10.3760/cma.j.cn115682-20220407-01677
- VernacularTitle:"互联网+护理服务"背景下居家护理服务项目分级准入标准的构建
- Author:
Wenyan LIU
1
;
Weiwei LIU
;
Dongxue ZHAO
;
Mengyao LI
;
Xinyi WANG
;
Zhenzhen CHENG
Author Information
1. 首都医科大学护理学院，北京 100069
- Keywords:
Internet+;
Home care;
Nursing service projects;
Access management;
Expert letter inquiry
- From:
Chinese Journal of Modern Nursing
2023;29(3):343-348
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct the access standard of nursing service project according to the feasibility, operational risk and difficulty of "Internet+ nursing service" home-based nursing project operation, so as to provides references for establishing the management method of "Internet+ nursing service".Methods:From March to August 2021, nursing service projects in the existing "Internet+ nursing service" platform were collected, and relevant literature and policies were referred to build an "Internet+ nursing service" project pool, including 64 nursing service items. The convenient sampling method was adopted to select 19 hospital nursing managers, community nursing managers, clinical nursing and nursing education experts in the field of "Internet+ nursing service" in Beijing from November 2021 to January 2022. Delphi method was adopted to conduct expert letter inquiry, and to evaluate the feasibility of home operation, difficulty score, risk score and access suggestions of nursing service projects.Results:The results showed that 61 nursing service items had the feasibility of home nursing operation. The nursing operations of intravenous injection, intravenous infusion and indwelling needle infusion were not suitable for home operation. Among them, the operators of the five items such as transfusion port maintenance, wound dressing change, peritoneal dialysis, ostomy nursing and disease rehabilitation guidance should be competent only after they passed the training and assessment of specialized nurses and had the operation experience of the project due to the difficulty of operation or the medium and high level of risk. Hair care and warm water bath were of low difficulty and low risk to be operated at home and they could be completed by trained caregivers or nursing workers. Operators of 54 items such as oral care, perineal scrubbing, rapid blood glucose monitoring, etc., should have nurse practicing certificate, nurse or above title, and have more than 5 years of related work experience.Conclusions:The access standard of "Internet+ nursing service" project established in this study is highly scientific and reliable, which can provide useful reference for establishing the access management method of "Internet+ nursing service".
