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Updated: Jan 17, 2026

Development of a Virtual Reality Assessment of Everyday Living Skills
Published on: April 23, 2014
A Program Evaluation of Virtual RNs
Edward Olszewski1, Ryan J Shaw, Kay S Lytle
1Author Affiliations: Process and Technology Manager (Dr Olszewski), Cerner Acute Care, Ascension Technologies, St Louis, Missouri; Associate Professor (Dr Shaw), Duke University School of Nursing, Durham, North Carolina; Chief Nursing Informatics Officer (Dr Lytle), Duke University Health System, Durham, North Carolina; Consulting Associate Faculty (Dr Watson), Duke University School of Nursing, Durham, North Carolina; and Chief Vision Officer (Dr Watson), The Creating Collective, Rockwall, Texas.
None:
To support the nursing workforce and improve patient outcomes, the Duke University Health System implemented a virtual RN (VRN) program and evaluated its impact on 3 nursing units across 3 hospitals. Initial results indicate that the VRN program helped reduce length of stay and associated resource utilization. However, it had limited effects on patient satisfaction and clinical outcomes, such as healthcare-associated infections, highlighting areas for further program optimization.
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