基于NVivo分析改进上海市"互联网+护理服务"的对策建议OACSTPCD

Objective:To analyze the importance and constraints of"Internet + nursing"among nurses in tertiary,secondary and primary hospitals in Shanghai,and to provide countermeasures and suggestions for promoting Internet + nursing services.Methods:A total of 36 clinical nurses or managers from 2 third-level general hospitals,2 third-level specialized hospitals,2 second-level general hospitals and 3 first-level hospitals(community health service centers)in Shanghai were selected for semi-structured interviews.The content of interview data was analyzed by using the three-level coding method and the project map and matrix coding analysis of NVivo 12 Plus software.Results:A total of 3 level 1 nodes,which were importance,constraints and countermeasures,13 level 2 nodes and 11 level 3 nodes were derived from the analysis.According to the number of reference points,the importance was reflected in the well-being of the service ob-ject,the value of nurses and the development of the hospital.The main constraints are security,manpower,policy and platform.The order of countermeasures and suggestions is mainly service pricing,service item,service security,service standard,service platform and service object.Through the comparison and analysis of the framework matrix,the constraints of"Internet + nursing"services in hospitals of different levels and the focus of countermeasures and suggestions are different.Conclusion:The constraints for nurses at different levels of hospitals to carry out"Internet + nursing"services are different.It is recommended to increase policy support,clarify management systems and service standards,optimize human resource allocation,reasonable service pricing,continuously improve"Internet + nursing"service projects,accelerate the construction of information platforms,and take multiple measures to promote the co-construction and sharing of high-quality nursing services.