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Best Practices for Implementing Virtual Nursing: An Evidence-Based Practice Literature Review.
Wendi Poole1, Dori Reimert2, Kimberlie Paul3
1Wendi Poole is a neonatal intensive care unit nurse at The Johns Hopkins Hospital, Baltimore, Maryland.
Implementing virtual nursing in intensive care units (ICUs) can address nursing workforce shortages. Current literature offers limited guidance, highlighting the need for more research on operationalizing this role to support bedside nurses.
Area of Science:
- Nursing
- Healthcare Technology
- Intensive Care Unit Management
Background:
- Projected shortfalls in nursing workforce quality and quantity necessitate innovative solutions.
- Virtual nursing is an established model for advanced practice providers but lacks defined best practices for supporting bedside nurses in ICUs.
Purpose of the Study:
- To evaluate existing literature on the implementation of virtual nursing within intensive care unit settings.
Main Methods:
- Utilized the Johns Hopkins evidence-based practice model.
- Formulated a practice question to guide literature review and appraisal.
Main Results:
- Identified 17 reports, predominantly featuring anecdotal evidence.
- Key themes included operational aspects, staff attitudes and leadership strategies, and patient/staff education.
- Evidence provided low-level support for recommendations.
Conclusions:
- Virtual nursing represents an emerging healthcare technology.
- Limited guidance exists for implementing virtual nursing programs.
- Further implementation science research is crucial for robust best practices.
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