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A Pilot Study of a Virtual Discharge Nurse Program
LeeAnna Spiva1, Meriel McCollum2, Susan Thurman1
1Wellstar Health System, Marietta, Georgia (Drs Spiva, Thurman, Watson, and Gaddis).
Background:
Virtual nursing has gained attention as an innovative care delivery model to address workforce challenges. The virtual discharge nurse (VDN) program aimed to enhance patient care and nurse retention in acute care.
Purpose:
This pilot study evaluated the feasibility and early outcomes of the VDN program, focusing on discharge volume, costs, and patient and nurse feedback.
Methods:
A quasi-experimental, nonequivalent control groups, posttest-only design was employed in a 112-bed hospital. Intervention and control units were compared using surveys, discharge volume tracking, and qualitative feedback.
Results:
A total of 644 virtual discharges were conducted, with startup costs of $39 660 and annual operational costs estimated at $289 321. Staff reported initial workflow frustrations, with some noting time savings. Patient feedback highlighted convenience and discharge clarity.
Conclusions:
The VDN program is feasible and cost-effective, but addressing technological and logistical challenges is critical for successful implementation.
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