Implementing Virtual Nursing on a MedSurg Telemetry Unit in a Community Hospital

The COVID pandemic was undeniably one of the most challenging times for health care with more than 100 000 nurses leaving the profession due to burnout and pandemic-related stress. Unfortunately, the nursing shortage is predicted to worsen, with the number of new nurses entering the workforce not measuring up to the rate of decline. To decrease some of the burden and burnout of the bedside nurses, an alternative nursing resource was implemented. Virtual nursing is an emerging strategy utilized to support safe and effective staffing in acute care amid the continued nursing workforce challenges. Virtual nursing is a team approach that leverages advanced technology such as smart screens (tablets with speakers installed on a cart), previously used for Telehealth, to support specific aspects of care. The Virtual Nurse functions from a remote location in real time, working in tandem with the bedside care team. A 3-month virtual nurse pilot at a community hospital improved communication with nurses, discharge information, and communication about medication, according to a Press Ganey survey. Anecdotally, patients reported feeling more valued and heard by the care team.