Lingling Zhang,1,* Yongping Gao,1,* Limei Tang,2 Xuegang Zhao,3 Qiuge Qiao4 

1Nursing Department, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, People’s Republic of China; 2Department of Neurology, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, People’s Republic of China; 3Burn and Wound Repair Center, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, People’s Republic of China; 4Department of General Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, People’s Republic of China

*These authors contributed equally to this work

Correspondence: Qiuge Qiao, Department of General Surgery, The Second Hospital of Hebei Medical University, No. 215, Heping West Road, Shijiazhuang, Hebei, 050000, People’s Republic of China, Tel +86 15803216136, Email 27700387@hebmu.edu.cn

Aim: This study seeks to examine the present state of Chinese nurses’ intentions to deliver Internet Plus Nursing Services (IPNS), their psychological resilience, and their perceived professional benefits (PPB), in addition to exploring the interrelationships among these variables. IPNS are defined as nursing services performed by registered nurses from medical institutions utilizing internet and other information technologies through an “online application and offline service” model.
Background: Nurses are the primary providers of IPNS, and hence, their willingness is critical to developing IPNS. However, limited research has been conducted to investigate the relationship between nurses’ intention to provide IPNS, psychological resilience and PPB.
Methods: A convenience sampling approach was employed to conduct a cross-sectional survey of 611 nurses from three tertiary general hospitals in Shijiazhuang between April and October 2023. The research questionnaires include demographic information, nurses’ intention to provide IPNS, psychological resilience and PPB. The statistical analysis included non-parametric testing, Spearman correlation analysis, hierarchical regression analysis, and mediation effect analysis.
Results: The results indicated that nurses’ intention to provide IPNS was positively correlated with both psychological resilience (r=0.566, p< 0.001) and PPB (r=0.561, p< 0.001). PPB was also positively correlated with psychological resilience (r=0.631, p< 0.001). Furthermore, the mediating effect of PPB between psychological resilience and nurses’ intentions to provide IPNS was 0.127 (95% CI=0.089 to 0.167), accounting for 29.26% of the total effect.
Conclusion: Nurses from tertiary institutions who participated in this study expressed a willingness to provide IPNS, and the research findings imply that PPB modulates psychological resilience and goals.
Implications: Based on the findings of our study, we recommend that nursing managers implement a comprehensive training program aimed at enhancing psychological flexibility and professional practices. This program should encompass advanced nursing techniques, IPNS processes, emergency management, and skills in communication and stress reduction specifically tailored for home healthcare. Such skills may include meditation, deep-breathing workshops, and IPNS experience-sharing sessions. Additionally, it is advisable to offer individual and group counseling whenever feasible and to enhance the welfare of home-visiting nurses to facilitate the progress and implementation of IPNS.

Keywords: internet plus nursing services, psychological resilience, perceived professional benefits, mediation effect