Nurses' preferences for working in Uber-style ‘Internet plus’ nursing services: A discrete choice experiment

作者：Jin Yang, Bingxin Ma, Shixiang Chen, Yaqi Huang, Yulu Wang, Yulu Wang, Ying Chen, Xiaojun Zhang, Tingting Ma, Yue Zhao, Yaogang Wang, Yaogang Wang, Qi Lu · 发表于：International Journal of Nursing Studies · 年份：2024 · DOI：10.1016/j.ijnurstu.2024.104920 · 被引用次数：18 · 研究领域：Mobile Health and mHealth Applications、Telemedicine and Telehealth Implementation、Geriatric Care and Nursing Homes

BACKGROUND: China's 'Internet Plus' nursing services, which are Uber-style home care services with an 'online application, offline service' approach, have been evolving over the past five years. Registered nurses' preference for these Uber-style Internet Plus nursing services are crucial for improving human resource management and service efficiency, yet research in this area remains scarce. OBJECTIVE: This study aimed to explore registered nurses' preferences for Uber-style Internet Plus nursing services and provide optimization recommendations from a supply-side perspective. DESIGN: A cross-sectional study utilising a discrete choice experiment. SETTING(S): Two public tertiary hospitals located in Tianjin, China, which have implemented Internet Plus nursing services. PARTICIPANTS: 211 registered nurses who participated in Internet Plus nursing services. METHODS: The survey was conducted anonymously using an online survey platform. Respondents were presented with choices between two alternatives, based on five key attributes: income, safety and security, patient and family cooperation, commute time, and service type. Mixed logit models estimated the stated preferences for attributes. Relative importance scores, willingness-to-pay estimates, and simulations of service-type uptake rates were calculated. Subgroup analysis and seemingly unrelated regression estimation were performed to examine heterogeneity in preferences. RESULTS: A total of 3202 choice observations were genera...