Core Category Research Articles

Research on Integrated Management Path of Comorbidity Based on Grounded Theory.

This study seeks to thoroughly investigate the generation mechanism of the integrated management pathway for comorbidities, as well as its implementation and execution in practical settings. The findings aim to offer insights for the development of an integrated mechanism for comorbidity services. The collected raw data was coded and analyzed in depth by utilizing grounded theory as the research methodology, in conjunction with NVivo 14.0 software for qualitative analysis, and by adhering to domestic and international guidelines and consensus on comorbidity management. Following the three-level coding process, a total of 49 initial categories, 14 main categories, and 4 core categories (supply-type, demand-type, collaboration-type, and environment-type) were identified. Subsequently, a four-dimensional comprehensive comorbidities management pathway model, referred to as the "Derivative driving force-management pathway-main body network-operation mechanism," was developed. The model integrates the four paths of supply-type, demand-type, collaboration-type, and environment-type with the derived dynamics, subject network, and operation mechanism of comorbidities management. This not only enhances the comprehensiveness and continuity of comorbidities management but also establishes clear direction and evaluation indices for future empirical research.

Role adaptation of nurses caring for older adults with terminal diseases in geriatric hospitals.

To understand the role adaptation process of nurses caring for older adult patients with terminal diseases in Chinese geriatric hospitals. The Chinese government has been encouraging the conversion of secondary general hospitals and some tertiary hospitals into specialized geriatric hospitals; however, research on nurses' adaptation to caring for older adult patients with terminal diseases in these hospitals is lacking. Individual in-depth interviews were conducted with 13 registered nurses with a minimum of two years of experience caring for older adults with terminal diseases. Following Glaserian grounded theory, open, selective, and theoretical coding were conducted for data analysis. The study followed the Consolidated Criteria for Reporting Qualitative Research checklist. "Guards of the shining sunset" emerged as the core category. Participants experienced three stages: "chaotic me," "rational me," and "inclusive me." They highlighted two causes, three contexts, two intervention conditions, three strategies, and two consequences. The study shows that nurses play a key role in "guarding the shining sunset" of older adult patients with terminal diseases. The observed role adaptation process provides theoretical support for interventions to assist nurses in becoming inclusive "guards of the shining sunset." Nurses play a unique role as guardians protecting the end-of-life quality of elderly patients. Their role needs to be expanded and strengthened via effective coping strategies and comprehensive legal, education, welfare, and professional promotion support policies. The substantive theory offered by this study may be applied by nurses, department leaders, geriatric hospital managers, and national-level institutions to underpin future interventions and improve role adaptation.

Nurses' and midwives' perception of the leadership skills and attributes required of future leaders.

Identify the skills and knowledge future nurse and midwife leaders might require in the next 6 years. Design/methodology/approach: An online questionnaire elicited health professionals' perspectives on the future requirements for nurse and midwife leaders. Qualitative data were generated in response on health care and the likely leadership skills for the future. Data were extracted and analysed using qualitative content analysis. Four generic categories were abstracted from the core category 'Nursing and Midwifery Leadership'. These were values/traits; creating positive healthcare cultures; digital capability/competence; and systems thinking. Limitations/implications. This first stage evaluation has gained a wide variety of perspectives regarding the perceived skills and knowledge future nurse and midwife leaders might need. This is important to enable those who deliver leadership development programmes to plan appropriately, ensuring their programmes are designed and adjusted in response to the needs of a shifting health and care landscape. However, over 50% of respondents were White, so the data may not be representative of the diversity of registered nurses and midwives. The findings may not have direct relevance to the global context due to geographical limitations.

Barefoot Walking (Earthing) Craze and Policy Support Among Community-Dwelling Older Adults in South Korea: A Grounded Theory Analysis

Barefoot walking is currently a craze in South Korean communities. In particular, the elderly are participating in barefoot walking (earthing) to improve their physical and mental health due to their increasing desire for a healthy life. The purpose of this study was to analyze causes, processes, and consequences of the barefoot walking craze among the elderly in Korean society. The research method used was the grounded theory method. Thirty-five elderly people participating in barefoot walking were selected as participants. Data were analyzed according to open coding, axial coding, and selective coding proposed by Strauss and Corbin. First, an open coding phase yielded 61 concepts, 18 subcategories, and 7 categories through continuous questioning and comparative analysis. Second, in the axial coding stage, causal, contextual, and mediating conditions, action/interaction strategies, and consequences were presented, centering on the phenomenon. Causal conditions and contextual conditions contributing to the phenomenon of barefoot walking were identified as “motivation to participate” and “barefoot walking environment,” respectively. “Participating in barefoot walking” was identified as a phenomenon in the axial coding paradigm. The intervening condition was analyzed as “information about barefoot walking.” The action/interaction strategy was analyzed as “spreading the value of barefoot walking.” In the axial coding paradigm, consequences that emerged through the action/interaction strategy were “restoring physical and mental health” and “community spread and nuisance.” Third, in the selective coding stage, “barefoot walking as a daily routine” was derived as the core category, and the narrative outline was presented. To create a sustainable barefoot walking environment in Korea, it is necessary to have a healthy civic consciousness that coexists and harmonizes with nature.

Positioning Ethics When Direct Patient Care is Prioritized: Experiences from Implementing Ethics Case Reflection Rounds in Childhood Cancer Care.

Caring for children with cancer involves complex ethical challenges. Ethics Case Reflection (ECR) rounds can be offered to support teams to reflect on challenges and what should be done in patient care. A training course, for facilitators of ECR rounds, has been offered to healthcare professionals (HCPs) in childhood cancer care by a Nordic working group on ethics. During/after the course, the trainees implemented and facilitated ECR rounds in their clinical setting. The aim was to explore the trainees' experiences of implementing ECR rounds in childhood cancer care. HCPs, who participated as trainees in the course, participated in 3 focus group interviews (n = 22) and 27 individual interviews (n = 17). Interview data were analysed concurrently with data collection following classic grounded theory. Positioning ethics is the core category in this study, used to resolve the main concern of doing ethics in a context where direct patient care is prioritized. Being able to take time for ethics reflections, not perceived as the key priority, was considered a luxury in the clinical setting. Strategies for positioning ethics include allying, promoting ethics reflection, scheduling ethics reflection, and identifying ethical dilemmas. These strategies can be more or less successful and vary in intensity. The prioritisation of direct patient care is not surprising, but polarisation between care and ethics needs to be questioned and ethics reflection need to be integrated in standard care. Ethical competence seems to be central in doing ethics and more knowledge on the promotion of ethical competence in practice and education is needed.

Getting sincere and efficient support: A grounded theory study of older spousal caregivers of people with alzheimer's disease

Despite the importance of supporting older spousal caregivers (OSCs) of people with Alzheimer's Disease (PWAD), little evidence is available about the process of its occurrence in Middle Eastern countries, such as Iran. Understanding this process will help support more effectively. This study explored the support process for OSCs of PWAD using the grounded theory approach of Corbin and Strauss (2015). A total of 16 participants (10 caregivers, six formal and informal resources) were recruited using purposive and theoretical sampling methods, and in-depth interviews were conducted with them. Getting sincere and efficient support was the core category and was achieved through four strategies, which were thoughtful support-seeking, informal support-getting, formal seasonal support-getting, and informal support-devoting. Despite OSCs' vital need for multiple support, specific factors and conditions impair the support process. Healthcare providers and policymakers can use the results to make informed decisions and provide more practical support for these older caregivers.

Positive Leadership Development and Leadership Types in Finnish Leaders’ Narratives

This study focused on Finnish leaders who participated in a training program called “Positive Leadership Training”. The purpose of this study was to enhance the general understanding regarding the emergence of positive leadership in leaders, as they themselves described. A narrative research approach was chosen, and the data were collected from leaders’ diaries (N = 12) that they maintained and updated during the training program. The analysis of narratives and narrative analysis were conducted. The analysis of the narratives was divided into four categories, each representing the way leaders described the emergence and development of their positive leadership. While some leaders described strong empowerment, others seemed to be searching for their own identities as positive leaders. Furthermore, leaders also described positive leadership in terms of action, and deliberation and courage were the core categories in their leadership narratives. The narrative analysis revealed the following four leadership types: humane thinker, enthusiastic developer, courageous experimentalist, and identity worker, typifying the variations between empowered and emerging leadership narratives and between prudence and the active execution of leadership. The results highlighted the role of authenticity in leadership development and the benefits of positive leadership training for leaders with different backgrounds.

Designing a Human Resource Empowerment Model for Pharmacists in Pharmacies in Tehran

Background: One of the most effective strategies to gain a competitive advantage in the current business environment is to enhance the efficiency of employees within organizations. The purpose of this research was to design a human resource empowerment model for pharmacists in pharmacies in Tehran. Methods: The research's statistical population includes two qualitative and quantitative components. In the qualitative part, 35 elite pharmacists from universities, industry, and the Ministry of Health were included, while the quantitative part involved a statistical sample of 220 individuals. For data analysis, the Grandad process of Kolmogorov-Smirnov statistical tests, independent one-sample t-test, exploratory factor analysis, confirmatory factor analysis, and structural equation modeling were used. SPSS 25 and AMOS 24 software were used to analyze the research data Results: The findings showed that in the final development model of empowering pharmacists and personnel in Tehran courts, causal factors include psychological characteristics and training. The core category includes cultural and moral competence, as well as professional and technical competence. Background factors include commitment and skill. Intervening factors include moral values. Strategies include efficiency and speed. The consequences include creativity, innovation, and social responsibility.Results: The findings showed that in the final development model of empowering pharmacists and personnel in Tehran courts, causal factors include psychological characteristics and training. The core category includes cultural and moral competence, as well as professional and technical competence. Background factors include commitment and skill. Intervening factors include moral values. Strategies include efficiency and speed. The consequences include creativity, innovation, and social responsibility. Conclusion: It can be concluded that continuous training workshops should be organized for pharmacists in Tehran pharmacies to enhance their specialized knowledge. Periodic in-service courses should be provided to these individuals based on their professional activities. The organization should consider social activities and social behaviors as focal points.

The supervision of experienced secondary school‐based counsellors: A situational analysis constructivist grounded theory exploration of best practice

AbstractIntroduction and AimsSecondary school‐based counselling (SSBC) is used widely throughout the United Kingdom (UK) as an early mental health intervention, and clinical supervision is necessary for its safe and effective practice. Currently, there does not exist a body of research to inform best practice in this area of supervision. The purpose of this study was to explore the supervisory requirements of the experienced secondary school‐based counsellor and what best practice looks like.MethodThis study used situational analysis constructivist grounded theory methodology to explore and develop a grounded theory of best practice in supervising the experienced secondary school counsellor in the UK. The descriptions of best practice were examined from the interviews of 17 experienced secondary school counsellors and/or supervisors.FindingsFrom the data emerged one core category (‘a good fit’) which encapsulated four theoretical categories (‘the supervisory relationship’, ‘understanding the working context’, ‘safeguarding’ and ‘the shared supervisory journey’). The study indicates that the supervisor needs an understanding of the unique context of the secondary school as a therapist's working environment in order to support the supervisee with often complex work. There needs to be an awareness of how elements from within the school and/or counselling agency can impact on the supervision regarding boundaries, trust and containment so they do not impact the supervision in a detrimental way.ConclusionsSupervisor and supervisee need a shared understanding of the nature of supervision within this context for it to be a ‘good fit’ for both. This has implications for supervision training and the externality of supervision within this context.

'Between Inner Strength and Fighting Prejudice': Psycho-Social Processes Implemented by Women with Leukemia Along the Illness Trajectory: A Grounded Theory Study.

Disease trajectories in leukemia are often unpredictable and recurrent, and patients' experiences can impact their quality of life. Studies in the literature often do not explore gender-related illness experiences from an intersectional approach and throughout the illness trajectory. This comprehensive study aims to explore the full spectrum of experiences lived by women with leukemia throughout the disease trajectory, from diagnosis to treatments and post-stem cell transplant follow-up. A grounded theory approach was meticulously developed to analyze semi-structured interviews with 13 women with leukemia in the post-transplant follow-up phase at a hospital in Northern Italy. The data analysis was an iterative process, conducted concurrently using a constant comparative method. Data collection concluded when data saturation was reached. The core category identified is women's inner strength during the disease trajectory, which was identified for its recurrence and cross-cutting nature, according to the women. This core category interconnects with five main categories: 1. Facing the disease: Between resistance and surrender. 2. Living for today and moving forward. 3. Unexpected elements in relationships. 4. Changes that shape women. 5. Demystifying the body and embracing 'diminished beauty'. An explanatory model of the disease trajectory of women with leukemia was defined as: 'Women with leukemia, between inner strength and fighting prejudice'. An in-depth analysis of the disease experiences revealed aspects that are not easily understood through a purely biological perspective of gender differences, often overlooking the psycho-social and relational peculiarities of women.

Factors for Consideration for Hematological Cancer Patients When Planning for Place of Death: A Constructive Grounded Theory Study.

Planning for place of death is considered troublesome for patients with hematological cancer. Qualitative studies have focused on healthcare professionals and caregivers. To date, no study has been conducted from the patient's perspective of planning for place of death in the last year of life. To develop an understanding of how patients with hematological cancer experience planning for place of death in their last year of life. The study used constructivist grounded theory, semistructured interviews, a constant comparison technique, and memoing to collect and analyze data. The 21 participants were attending a cancer center, cancer unit, or hospice in the United Kingdom. This article describes one core category, factors influencing planning for death, within the incurable hematology cancer illness trajectory through the following 2 subcategories: personal factors-driving away, developing a legacy, designing a death plan, and disease determining; and environmental factors-dependent determination, displacement of the home, and discernment of services. This critical study illustrates that planning for place of death is complex and multifaceted in conjunction with an unpredictable incurable illness trajectory. Preferences for the place of death will change over time depending on the illness trajectory experienced by patients with hematological cancer and the level of physical and emotional energy and independence afforded to discuss and plan.

Encounters of hesitant politics and an unwavering energy transition. Media reflections in Romania

The paper examined how political hesitancy shaped the energy transition in Romania. Aiming to reveal the contribution of the media to (re)frame energy transition, we employed topic modelling to identify the core categories that marked the interplay of actors and institutions, value systems, contingent power and resources, and the underlying policy setting. Results revealed eight major categories covering institutional setting and power struggle; the wider economic context; incumbent energy fossil fuels companies – repositioning; emerging green energy actors – positioning; geopolitics; heating and energy distribution; corporate social responsibility; energy market liberalisation, and a residual category related to press verbosity. Through these results we contributed to a finely-grained identification of specific themes on Romanian energy, added insights on how hesitancy is enacted through delays, circumventing the rules, establishing non-compliance, and denials. Our approach showed that the power transmitted by various actors through the media was politically marked and incongruent to the holistic paradigm that energy transition should embrace. Aside from its empirical focus, this paper also contributes by engaging with the hesitant politics concept that provided a flawed solution that while looked counterproductive it also proved invaluable in dodging the complex and uncertain paths of energy transition.

Learning to be mindful ─ experiences of mindfulness-based stress reduction for young adults with moderate to severe mental disorders

IntroductionMental disorders among young adults are a major health challenge. Mindfulness-based stress reduction (MBSR) has in previous research shown positive effects on mental health. However, research evaluating MBSR for young adults with mental disorders is insufficient and qualitative research exploring experiences of the programme is scarce. The aim of this study was to explore experiences of MBSR as a supplementary treatment in psychiatric outpatient care among young adults with moderate to severe mental disorders, from a short- and long-term perspective. MethodEleven young adults (aged 18–27 years) who had participated in an MBSR programme were interviewed approximately three months or two years later. The analytic method was Grounded Theory. ResultsThe analysis resulted in a theoretical model including one core category and five categories. The model illustrated a learning process, explaining the participants’ short- and long-term experiences of learning to pay attention to the body, regulate emotions, a change of attitude towards oneself, and still using skills two years after the programme. DiscussionThe MBSR programme was experienced as a learning process which improved the longstanding ability to cope with emotional stress in daily life. Tailoring MBSR to individual needs may further enhance its effectiveness. ConclusionThe experienced short- and long-term health-promotion benefits of an MBSR programme among young adults with mental disorders support its implementation in psychiatric and primary health care. Future research should investigate how to optimise implementation and tailor to individual needs.

Explaining the Family-Centred Care of Young People With Depressive Disorders and Suicidal Ideations: A Grounded Theory Study.

This study aimed to develop a theory to guide family members caring for young people with depressive disorders and suicidal ideations. Strauss and Corbin's Grounded Theory. Theoretical sampling was used to recruit primary family caregivers (aged 22-60) of young people experiencing depressive disorders and suicidal ideations from hospitals and psychiatric clinics in Taiwan. Data were collected using interviews (n = 23) in 2023. Data were analysed using Corbin & Strauss' analytical framework, including open, axial and selective coding until theoretical saturation was reached. A paradigm model was used to link the 13 categories and develop a substantive theory to help guide family members in the care of their young persons with depressive disorders and suicidal ideations. The core category that emerged was 'Struggling to contain the young person's life by adjusting, assisting, and protecting them from diving into depression'. Other key categories interconnected with this core category were-creating a nurturing environment, adjusting to changes, protecting the young person's safety and assisting with their medical treatment. Family caregivers could use this theory as a guide to enhance the care of young persons experiencing depressive disorders and suicidal ideations and accompany them alongside the healing process. Nursing professionals could provide psychoeducation to family caregivers on how to hold the young person gently and acquire compassion for the young persons' lived experience, thoughts and emotions, by creating a nurturing environment, adjusting to changes, protecting their safety and assisting with their medical treatment. This theory provides valuable guidance for future intervention research aimed at improving family caregivers' ability to care for young persons with depressive disorders and suicidal ideations. The COREQ guidelines were utilised. No patient or public contribution.

Ramadan fasting experience of pregnant women with gestational diabetes mellitus

Background: Gestational diabetes mellitus (GDM) affects >50% of pregnancies in many Arab countries. However, few studies have explored the impact of Ramadan fasting on pregnant women with GDM and no such study has been conducted in Oman. Therefore, this is the first study in Oman which aimed to examine the experience of pregnant women with GDM during Ramadan fasting. Methods: This study employed a rigorous qualitative design, guided by a constructivist grounded theory approach. Semi-structured interviews were conducted with women with GDM in the North Batinah Governorate of Oman at four primary health-care institutions. Purposive and theoretical sampling was utilized. Results: The experiences of 20 women were discussed during the interviews. Two main themes, “encouraging experiences” and “worrying experiences” emerged from the constant comparative analysis. Encouraging experiences included belief, family influence, embarrassment, sharing spiritual moments, and coping approaches. Worrying experiences included health problems, fear of harming babies, and advice from health-care professionals. This led to the development of the core category “Finding A Balance,” which means that women with GDM who fasted and did not fast during Ramadan were attempting to maintain their blood sugar to avoid harming themselves and their fetus. Conclusion: The insights gained from understanding the experiences of pregnant women with GDM are crucial as they guide the development of the best approaches to health education and supportive programs for pregnant women with GDM. Pregnant women with GDM who wish to fast should be informed about the potential risks associated with fasting during pregnancy.

명예퇴직 여성 교원이 경험하는 삶의 적응 과정에 관한 근거이론적 접근

Purpose: The purpose of this study was to explore and explain the experiences that honorably retired female teachers have after retirement and the process by which they adapt to life. Accordingly, the research questions are: First, what is the life experienced by honorably retired female teachers, and what are the difficulties? Second, what are the adaptation processes and types of adaptation experienced by honorably retired female teachers? Methods: To this end, we used the grounded theory methodology of Strauss and Corbin (1998), selected research participants through theoretical sampling, conducted semi-structured questionnaires and in- depth interviews with eleven female teachers who had experienced honorable retirement within the past three years, and analyzed the raw data. Results: Open coding resulted in 483 concepts, 118 subcategories, and 21 categories. As a result, the causal condition was 'experiencing the limits of maintaining a teaching career', the central phenomenon was 'living as an ordinary person without any affiliation', and the contextual condition was 'accepting and transitioning to life as a retiree', action/interaction strategy was 'entering the process of self- integration', and the result was 'gradually satisfying the need for self-actualization'. The core categories derived from selective coding are 'entering a stable old age through acceptance of changes in life and self-reflection and then advancing to the stage of mature self-realization'. It was found to go through an adaptation stage of 'introduction period', 'confusion period', 'change period', and 'actualization period'. Conclusion: By presenting a theoretical framework for the post-retirement adaptation of honorably retired female teachers, it is expected to be used as a useful tool in active research on honorably retired female teachers and in the development of retirement adaptation programs.

애착외상경험을 가진 내담자의 상담과정에 대한 근거이론 연구

The purpose of this study is to understand what clients with attachment trauma experience experienced in short-term counseling with an integrated approach, explore the process of change, and build a substantive theory based on this. I'm doing it. For the purpose of the study, among adult clients aged 18 or older who had past attachment trauma experiences and who visited a local counseling center for various superficial complaints and received counseling, 13 people who voluntarily expressed their willingness to participate in the study were selected as final participants. The data collected through in-depth interviews using a semi-structured questionnaire were analyzed according to the grounded theory method suggested by Strauss and Corbin, and as a result of the analysis, 114 concepts, 40 subcategories, and 18 categories were ultimately derived. The research results based on data analysis are summarized as follows. First, the central phenomenon experienced by participants who experienced attachment trauma during short-term counseling in an integrated approach was ‘struggling to face a torn heart.’ Second, the core category of the counseling process of participants who experienced attachment trauma was ‘reconstructing attachment trauma into a story of acceptance and change.’ This study provides clues to a more in-depth understanding of people who have experienced attachment trauma and appropriate and effective treatment intervention, and provides a paradigm to approach attachment trauma research at an ontological level. It is significant in that it can provide basic data and practical knowledge to centers or public institutions that provide consultation.

Designing the Model of Human Resources Analytics in Health System with Grounded Theory

Background: Given the necessity of attracting, retaining, and developing human capital within the health system, the process of human resources analytics in this context is of paramount importance, and it plays a significant role in evidence-based decision-making and policy formulation. Therefore, the aim of the present study was to design a model for human resources analytics in the health system. Methods: This research is practical in nature and utilized a qualitative approach based on grounded theory. In 2023, semi-structured interviews were conducted with 14 experts and managers from Kerman University of Medical Sciences, using purposive sampling until theoretical saturation was achieved. Throughout the process, interviews were continuously compared, and notes were taken during and after the interviews. The collected data from each interview were then analyzed using open, axial, and selective coding with the assistance of MaxQDA20 software. Through categorizing the open codes, axial categories were identified and in the final step, relationships among core categories were established through selective coding. Additionally, the validity and reliability of the findings were assessed and confirmed based on the four criteria of credibility, dependability, confirmability and transferability. Results: In identifying the codes and categories related to human resources analytics, a total of 370 open codes, 61 subcategories, and 24 main categories were generated. These were ultimately examined across 6 main axes, including the central phenomenon, causal conditions, contextual conditions, intervening conditions, strategies and consequences. Conclusion: It is recommended that in order to enhance and develop the human resources analytics process within the health system, attention be paid to the extracted model and its dimensions and components, particularly the identified causal conditions, contextual conditions, and strategies

Mothers of Children with Stuttering and Their Daily Concerns: A Qualitative Study

Background: Stuttering is one of the most important speech disorders in children, which causes anxiety and worry in parents, especially mothers. The present study sought to investigate and identify the types of anxiety experienced by mothers of children with stuttering. Methods: This qualitative study adopted reflexive thematic analysis (Brown & Clark) to investigate the anxiety and concerns experienced by mothers of children with stuttering. The participants were 15 mothers of children with stuttering who visited speech therapy centers in Isfahan and were selected through homogenous purposive sampling. The data were collected through interviews with the participants for 45 days and analyzed by the thematic analysis method. Results: Data analysis revealed two core categories, four organizing themes, and nineteen subthemes. The two core categories identified in this study were mother-centered anxiety (anxiety about public judgments on the mother and anxiety about the appropriateness of the mother’s behavior with the child who stutters) and child-centered anxiety (concerns about public reactions to the child’s stuttering and the concerns about the child’s future life and treatment). Conclusion: The findings indicated that the mothers of children with stuttering were mostly concerned about public reactions to the stuttering child and their judgments about the mother. Thus, promoting a sense of self-worth in these mothers can reduce such concerns. Moreover, raising public awareness about how to treat children with stuttering and their parents can make social life easier for such children and their mothers.

Perceptions and Satisfaction With the Use of Digital Medical Services in Urban Older Adults of China: Mixed Methods Study.

In an aging and information-driven society, older adults have distinct perceptions of and specific demands for digital medical services. It is essential for society to understand these needs and develop a more thoughtful approach to digital health care. This study aims to evaluate the behavioral intention and satisfaction of older adults with digital medical services by identifying the perceived factors and the pathways through which these factors influence their behavior. This study used a mixed methods approach, combining qualitative and quantitative analyses. A focus group interview was conducted with 30 randomly selected older adults, and the interviews were transcribed verbatim and coded using grounded theory. In addition, 876 valid questionnaires were collected to describe older adults' perceptions of and satisfaction with digital medical care. Then, t tests and ANOVA were used to explore differences among various demographic groups, while hierarchical multiple regression was conducted to identify the factors most closely related to satisfaction. Structural equation modeling was used to identify multiple mediating effects. The qualitative study identified the core category of "medical service relief and transformation paths for older adults in the context of digital reform." Quantitative analysis revealed that more than half of the older adults were satisfied with digital medical services, and behavioral intentions were higher among those with higher incomes and education levels. Structural equation modeling confirmed that external variables, such as digital skills training, positively influenced perceived ease of use (β=.594, P<.001), perceived usefulness (β=.544, P<.001), and promoted digital medical behavioral intentions (β=.256, P<.001), while also reducing perceived risk (β=-.295, P<.001). Additionally, perceived ease of use (β=.168, P<.001) and perceived usefulness (β=.508, P<.001) positively impacted behavioral intention, whereas perceived risk (β=-.05, P=.037) exerted a negative influence. Furthermore, behavioral intention (β=.641, P<.001) significantly and positively affected older adults' satisfaction with digital medical care. The mediation test identified 4 significant paths: (1) external variables → perceived ease of use → behavioral intention (effect size of 13.9%); (2) external variables → perceived usefulness → behavioral intention (effect size of 38.4%); (3) external variables → perceived ease of use → perceived usefulness → behavioral intention (effect size of 10.1%); and (4) a direct effect (35.5%) from external variables to behavioral intention. Based on the study's findings, addressing the needs of older adults and enhancing perceived usefulness are the most effective ways to encourage the use of digital health care devices. Community support plays a crucial role in helping older adults integrate into digital health care, and adapting the design of services and products to suit their needs improves their perceptions of digital health care. This, in turn, promotes usage behavior and satisfaction, while the negative impact of perceived risk remains minimal.