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Exploring the Role of Virtual Nurses in Inpatient Care Teams.
Jackeline Iseler1, Camille Jensen, Tricia Thomas
1Author Affiliations: Associate Professor and Program Director, Clinical Nurse Specialist Concentration (Dr Iseler), Michigan State University, East Lansing, MI; Assistant Professor, Graduate Programs (Dr Jensen), Michigan State University College of Nursing, East Lansing, MI; Nurse Executive Change Coach (Dr Jensen), Trinity Health System Office; Professor (Dr Thomas), Grand Valley State University, Grand Rapids, MI; Nurse Executive Change Coach, Trinity Health System Office; Librarian (Sender), Michigan State University, East Lansing, MI; Clinical Education Coordinator (Schauer), Trinity Health System Office; Clinical Nurse Specialist (Dr Iseler, Irwin), Trinity Health Grand Rapids, Grand Rapids, MI.
Virtual nursing models in adult inpatient care show promise for addressing workforce shortages and improving care delivery. Further research and standardized reporting are needed to optimize implementation and policy.
Area of Science:
- Nursing Science
- Health Services Research
- Digital Health
Background:
- Virtual nursing is an emerging solution to healthcare workforce shortages and care delivery challenges.
- Existing evidence on virtual nursing models is fragmented, necessitating a comprehensive review.
Purpose of the Study:
- To systematically map virtual nursing models in adult inpatient settings.
- To identify key characteristics, roles, and outcomes of virtual nursing.
- To inform policy, practice, and future research directions.
Main Methods:
- A systematic mapping review of peer-reviewed literature.
- Searches conducted in PubMed, CINAHL, and Web of Science.
- Inclusion of studies describing virtual registered nurses integrated into inpatient teams, categorizing data by structure, roles, experience, location, and outcomes.
Main Results:
- Virtual nursing models exhibit variability in structure, staffing, and coverage.
- Key responsibilities include patient monitoring, documentation, education, and interdisciplinary collaboration.
- Promising outcomes in staff turnover, satisfaction, and efficiency were observed, but reporting consistency is lacking.
Conclusions:
- Virtual nursing presents a flexible model with potential to mitigate workforce challenges in healthcare.
- Standardized reporting frameworks and rigorous evaluations are crucial for effective implementation and policy development.
- Further research is recommended to solidify the evidence base for virtual nursing.
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