关键词: 伤口造口失禁专科护士, 互联网, 延续性护理, 选择意愿, 作用路径, 扎根理论

Abstract: Objective: To explore the factors influencing the choice willingness of "Internet+ nursing" in the continuous care and the action path among specialist nurses of wound, ostomy and continence. Methods: A qualitative research approach guided by constructivist grounded theory was adopted. Data were collected by using semi-structured in-depth interviews on 11 specialist nurses of wound, ostomy and continence with experience of "Internet+ nursing" in the continuous care. The theoretical framework was finally formed through primary coding, focus coding and theoretical coding of the data. Results: Safety is the core of the theoretic framework and the factors influencing the choice of specialist nurses can be divided into facilitating factors and limiting factors. The facilitating factors included professional value, resource optimization and community support and the limiting factors include patient safety risk, homecare level, objective practice conditions, risk of nursing practice. Among them, patient safety risk is affected by community support, homecare level and objective practice conditions. Conclusion: Safety is the core which influence the choice willingness of "Internet+ nursing" in the continuous care and the action path among specialist nurses of wound, ostomy and continence. It is necessary to do some work to ensure healthy development of "Internet+ nursing" in the continuous care by improving laws, strengthening platform construction, formulating rules, and strengthen community support, etc.

Key words: Wound, Ostomy, Continence, Specialist nurses, Internet, Continuous care, Choice willingness, Action path, Grounded theory