目的 通过调查了解区域医联体范围内护士及患者对"互联网+护理服务"的认知和态度,为更好地推动相关护理工作提供参考.方法 2021年4-5月,采用自行设计的"互联网+护理服务"认知和态度调查问卷,对上海市第八人民医院及区域医联体内6家社区卫生服务中心的护士及患者进行在线调查.医院工作的护士及患者为调查对象,采用自行设计的调查表对护士及患者对"互联网+护理服务"意愿进行问卷调查.结果 共调查护士648名、患者143例,问卷有效回收率分别为98.9％和97.9％.被调查护士和患者对于"互联网+护理服务"的开展大都表示支持,但仅有4.32％的护士曾参与过相关服务,仅5.59％的患者对该项服务非常了解;92.9％的护士和0.42％的患者均认为提供相关服务的护士需经过专业培训并取得相关资质;但对于收费标准护患双方的期待存在一定差异,64.97％的护士认为一次上门服务的价格应在200～300元,而82.52％的患者希望价格低于200元/次.此外,有79.63％的护士担心参与"互联网+护理服务"的安全问题;78.40％的护士希望参与相关服务可以与绩效奖励及晋升等挂钩.结论 区域医联体内大多护士和患者均支持"互联网+护理服务"的开展,但对相关服务的内涵尚了解不足,部分护士存在一定顾虑,且护患双方对服务收费的态度在一定差异.为更好地推动"互联网+护理服务"的开展,需从政策、医院及第三方平台等各方面着手,进一步加强"互联网+护理服务"的宣传,平衡护士及患者的需求,制订切实可行的实施方案及配套政策,更好地满足患者健康需求.

Objective:To investigate the core competency of nurses in the community health service centers. Methods:A total of 369 registered nurses from 8 community health service centers in Shanghai were investigated with a questionnaire named"Chinese registered nurse core ability scale (CIRN)". Results:The average score of core capacity of community nurses was at a lower level (98.61±16.12). The three dimensions which got lowest score were critical thinking﹠research ability, professional development ability, and education﹠counseling ability, respectively. Multivariate linear regression analysis showed that age, job title, position, and education status were inlfuencing factors of the nurses’ core competence. Conclusion:Interventions to improve the core competency of community nurses’ is thus much needed.