Table 2 Component matrix after rotation

Items

B

C

D

E

A

B10. The travel tools used on the day of the service are safe.

0.789

0.314

0.281

0.170

0.156

B12. The service location is easily identifiable within the community, and transportation around it is convenient.

0.779

0.348

0.314

0.122

0.203

B11. The day of service runs smoothly, with convenient transportation.

0.776

0.302

0.277

0.199

0.230

B13. The security of the service community is excellent, ensuring environmental safety.

0.758

0.350

0.384

0.118

0.181

B14. The family environment of the service recipient is safe, with no obstacles blocking passages or overly slippery floors.

0.751

0.387

0.357

0.128

0.202

B9. The distance between the service location and the departure point is appropriate.

0.724

0.372

0.213

0.199

0.058

B8. The weather on the day of service is sunny, without snow, fog, windy conditions, or other adverse weather conditions, making it suitable for travel.

0.718

0.152

0.264

0.196

0.079

B15. The service recipient’s home and nursing operation environment have sufficient lighting.

0.700

0.384

0.381

0.176

0.126

C19. The Internet platform/hospital offers a mobile APP positioning and tracking system, equipped with one-button alarm, delay warning, and other safety devices, to ensure my personal safety.

0.313

0.832

0.162

0.287

0.145

C22. The Internet platform/hospital obtains medical liability insurance and personal accident and injury insurance for nurses.

0.312

0.818

0.171

0.293

0.160

C18. The Internet platform/hospital can set up work recorders (e.g., video cameras) to ensure service transparency.

0.366

0.818

0.178

0.242

0.150

C20. The Internet platform/hospital ensures information and data security, preventing the easy leakage of personal information.

0.355

0.790

0.212

0.277

0.233

C21. The Internet platform/hospital offers reasonably priced services.

0.369

0.762

0.264

0.197

0.205

C17. Internet platforms/hospitals can ensure the effective utilization of products within their shelf life.

0.482

0.706

0.284

0.145

0.175

E28. I am highly proficient in my nursing operation skills.

0.375

0.177

0.845

0.210

0.150

E30. I possess the ability to accurately assess clinical problems, address practical nursing issues, deliver health education, and handle emergency treatments.

0.337

0.238

0.842

0.243

0.162

E31. When faced with challenging clinical scenarios, I maintain a calm and organized approach, quickly immersing myself in the situation and effectively reflecting on my experiences.

0.345

0.254

0.836

0.247

0.150

E29. I excel in communicating with patients and their families.

0.384

0.189

0.828

0.243

0.181

E27. My professional knowledge aligns well with the requirements of this service project.

0.374

0.215

0.803

0.279

0.172

D26. I have extensive experience in providing “Internet + home care” services, having participated in such projects on three occasions.

0.153

0.381

0.359

0.759

0.031

D25. I have undergone systematic and comprehensive training in home care, including relevant “Internet + home care” policies and regulations, complex nursing procedures, emergency nursing responses, interpersonal communication, and professional ethics.

0.266

0.441

0.345

0.686

0.114

D24. I am well-versed in the qualifications needed for “Internet + home nursing” service nurses and relevant laws and regulations.

0.235

0.420

0.370

0.676

0.178

D23. My medical institution actively encourages “Internet + home care” nurses to offer in-home services.

0.347

0.313

0.342

0.617

0.172

A2. The patients and their family members have a high level of education, quality, and refinement.

0.025

0.222

0.230

-0.032

0.803

A1. Patients and their family members treat me with politeness and courtesy.

0.041

0.235

0.175

-0.068

0.782

A3. I build a trustworthy relationship with the patients and their family members.

0.243

-0.013

-0.028

0.208

0.719

A6. The service outcomes are largely in line with the expectations of the family members and patients.

0.288

0.130

0.138

0.251

0.644

characteristic root

6.398

5.598

5.127

2.883

2.810

Contribution rate of variance(%)

23.697

20.733

18.988

10.679

10.406

Cumulative variance contribution rate(%)

23.697

44.431

63.418

74.098

84.504

Risk Outcome Part

Item

Practice risk

F37. I have observed instances where patients or family members used false or others’ identity information due to incorrect information from the Internet platform/hospital, resulting in refusal to pay and posing personal safety risks.

0.314

F34. In some cases, I noticed the risk of patient or family behavioral violence due to inadequate communication with the patient/family.

0.315

F32. I identified the risk of accidental bites or scratches by pets in the patient’s home.

0.273

F33. The unsafe factors in the patient’s community and home environment could lead to physical injuries, such as tripping on uneven floors or slipping.

0.295

F35. I perceived the risk of verbal violence from patients or their families due to poor communication in certain situations.

0.393

F36. I am aware of personal safety risks associated with long travel distances, inappropriate travel times, and adverse weather conditions.

0.395

G41. There is a perceived risk of medical disputes arising from emergencies when providing home care without the support of a medical team.

0.848

G40. I feel that there might be a risk of medical disputes during home care services due to the patients’ poor physical condition.

0.807

G42. I perceive the risk of conducting multisite practices that are not permitted by the law.

0.775

G38. I identified the risk of medical disputes resulting from delays or errors in home care due to incomplete or incorrect data collected by Internet platforms/hospitals.

0.774

G39. I perceive the risk of medical disputes in home care due to the unreasonable use of resources (e.g., insufficient or expired supplies) provided by the Internet platform/hospital.

0.738

H43. I am concerned about the risk of economic damage due to imperfect payment operations or supervision by Internet platforms/hospitals, such as theft of account and password.

0.468

H44. I observed the potential risk of financial damage resulting from punitive measures (e.g., bonus deductions) when the medical institution does not endorse nursing staff engaging in home-based care work outside of the facility.

0.449

H45. I have apperceived the risk of economic harm arising from the disparity between the service time or economic cost and the income generated from the service.

0.469

characteristic root

38.721

Contribution rate of variance(%)

31.604

Cumulative variance contribution rate(%)

20.571