Research on the Implementation Status and Optimization Path of "Internet + Nursing Service" from the Perspective of Grade Hospital Difference: A Multi-Dimensional Empirical Study Based on Online Nurses in Quzhou City.

Purpose: This study aims to explore the hierarchical management model of "Internet + Nursing Services" in prefecture-level regions, and provide targeted management strategies and improvement measures for managers of hospitals at different levels, so as to improve the overall quality and effectiveness of "Internet + Nursing Services" and promote the sustainable development of "Internet + Nursing Services".

Patients and methods: A cross-sectional study was conducted on online nurses from different grades of hospitals contracted with "Zheli Nursing" in Quzhou City using cluster sampling method, to compare the differences in cognition, service willingness, service experience, risk perception, and obtained policy support among online nurses from different grades of hospitals in carrying out "Internet + Nursing Services".

Results: Online nurses in high-level hospitals have advantages in cognition of knowledge related to "Internet + Nursing Services", service willingness, and service capabilities, but they face challenges in occupational safety and adaptation to complex environments. In contrast, online nurses in low-level hospitals have insufficient cognition of relevant knowledge about "Internet + Nursing Services", low service willingness, and concerns about road safety and medical violence, and they receive relatively less policy support and other issues.

Conclusion: This study found significant quantitative differences in multiple dimensions among online nurses from different graded hospitals in Quzhou during the provision of "Internet + Nursing Services", providing scientific basis and practical guidance for optimizing the hierarchical management of "Internet + Nursing Services".