The current status and influencing factors of core competencies among China’s internet-based “sharing nurses” based on social-ecological system theory: a multicenter cross-sectional study

Chinese "sharing nurses" demonstrated a high level of core competencies and emergency response abilities, and the two are closely related. Based on these findings, healthcare institutions should actively provide standardized training in accordance with national policies, with an emphasis on enhancing nurses' subjective willingness to become "sharing nurses" and promoting the actual delivery of nursing services. Supported by hospital-based therapeutic teams, these efforts will help safeguard the quality of life and safety of home-based patients, while also providing a foundation for refining the "Internet+ nursing service" model and optimizing the allocation of primary healthcare human resources.