{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T04:25:29Z","timestamp":1787113529456,"version":"build-2736575974"},"reference-count":20,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To establish a core competency item system for home\u2010based intravenous therapy nurses in primary hospitals under the \u2018Internet\u2009+\u2009Nursing Services\u2019 framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Based on the \u2018Iceberg Model\u2019 theoretical framework, a preliminary framework for the core competency item system of home\u2010based intravenous therapy nurses in primary hospitals under the \u2018Internet\u2009+\u2009Nursing Services\u2019 framework was constructed from December 2024 to May 2025 through literature review and semi\u2010structured interviews. The content of the item system items was finalised through two rounds of Delphi expert consultations with 20 experts and the weight quantification of items at each level was completed using the analytic hierarchy process (AHP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The response rates for the two rounds of Delphi expert consultations were 100% and 90%, respectively; the authority coefficients were 0.88 and 0.91, respectively; the Kendall harmony coefficients were all &gt;\u20090.2, with statistically significant differences (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). The final core competency item system for home\u2010based intravenous therapy nurses in primary hospitals under the \u2018Internet\u2009+\u2009Nursing Services\u2019 framework included 86 items, comprising four first\u2010level items, 13\u2009s\u2010level items and 69 third\u2010level items.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The core competency item system for home\u2010based intravenous therapy nurses in primary hospitals under the \u2018Internet\u2009+\u2009Nursing Services\u2019 framework established in this study is scientific and reliable, providing a reference for the future development of a unified training system and professional evaluation standards for home\u2010based intravenous therapy nursing personnel.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>The indicator system built in this study has ensured the safety of patients' home intravenous treatment, improved the public's trust and acceptance of \u2018Internet plus nursing services\u2019 and optimised the accessibility of medical services and humanistic care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>No Patient or Public Contribution<\/jats:title>\n                    <jats:p>This study focuses on the construction of a professional system, with nurses and nursing experts as the research subjects, without involving patients or the public.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.70518","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T03:56:12Z","timestamp":1787111772000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Building a Competency Framework for Primary Hospital Nurses in \u2018Internet\u2009+\u2009Nursing\u2019 Based Home\n                    <scp>IV<\/scp>\n                    Therapy"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4742-4778","authenticated-orcid":false,"given":"Lingyan","family":"Chen","sequence":"first","affiliation":[{"name":"Admission and Discharge Preparation Center The Affiliated Yangming Hospital of Ningbo University  Yuyao Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yimao","family":"Sang","sequence":"additional","affiliation":[{"name":"Nursing Department The Affiliated Yangming Hospital of Ningbo University  Yuyao Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8932-8413","authenticated-orcid":false,"given":"Ya","family":"Wang","sequence":"additional","affiliation":[{"name":"Cardiovascular Medicine Ward The Affiliated Yangming Hospital of Ningbo University  Yuyao Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Yang","sequence":"additional","affiliation":[{"name":"Nursing Department The Affiliated Yangming Hospital of Ningbo University  Yuyao Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"issue":"1","key":"e_1_2_11_2_1","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1038\/s44294-025-00101-y","article-title":"Pregnancy and Cardiovascular Disease in Developing Countries of South Asia\u2010A Narrative Review","volume":"3","author":"Baloch F.","year":"2025","journal-title":"NPJ Women's Health"},{"issue":"7","key":"e_1_2_11_3_1","first-page":"964","article-title":"Practice and Reflections on 'Internet + Nursing Services' in Beijing","volume":"19","author":"Chen J.","year":"2019","journal-title":"China Nursing Management"},{"key":"e_1_2_11_4_1","doi-asserted-by":"crossref","first-page":"2857","DOI":"10.2147\/PRBM.S417243","article-title":"The Relationship Between Personality Traits, Emotional Stability and Mental Health in Art Vocational and Technical College Students During Epidemic Prevention and Control","volume":"16","author":"Chen Y. 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