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Implementación de enfermería virtual en una unidad de telemetría MedSurg en un hospital comunitario
Devika Kandhai1, Iskra Gillis, Crystal Crosell
1Author Affiliations: University of Maryland Baltimore Washington Medical Center, Glen Burnie, Maryland (Mrs Kandhai); Acute Care Services University of Maryland Baltimore Washington Medical Center, Abingdon, Maryland (Mrs Gillis); and University of Maryland Baltimore Washington Medical Center, Glen Burnie, Maryland (Mrs Crosell).
Nursing administration quarterly
|August 28, 2025
Resumen
La enfermería virtual ofrece una solución a la crisis de atención médica al apoyar a las enfermeras de cabecera. Este enfoque innovador utiliza la tecnología para mejorar la comunicación y la atención al paciente en medio de la escasez de personal.
Área de la Ciencia:
- Gestión de la asistencia sanitaria
- Informática de enfermería
- Tecnología para el cuidado del paciente
Sus antecedentes:
- La pandemia de COVID-19 exacerbó la escasez de enfermeras existente, lo que provocó un agotamiento significativo y salidas de la profesión.
- La disminución futura proyectada de la fuerza laboral de enfermería no se ve compensada por el número de nuevas enfermeras que ingresan al campo.
- El aumento de la carga en las enfermeras de cabecera requiere soluciones innovadoras de personal.
Objetivo del estudio:
- Evaluar la implementación de la enfermería virtual como un recurso alternativo en los entornos de atención aguda.
- Evaluar el impacto de la enfermería virtual en los retos de la dotación de personal y la carga de trabajo de las enfermeras.
- Explorar las percepciones de los pacientes y el personal sobre el apoyo de enfermería virtual.
Principales métodos:
- Un programa piloto de 3 meses que introduce la enfermería virtual en un hospital comunitario.
- Las enfermeras virtuales utilizaron tecnología de pantalla inteligente (tablets con altavoces en carritos) para el apoyo remoto al paciente.
- La recopilación de datos incluyó encuestas de Press Ganey y comentarios anecdóticos de pacientes.
Principales resultados:
- El programa piloto demostró mejoras en la comunicación entre enfermeras.
- Se observó una comunicación mejorada con respecto a la información de alta del paciente.
- Se informó de una mejor comunicación sobre el manejo de la medicación.
- Los pacientes informaron que se sentían más valorados y escuchados por el equipo de atención.
Conclusiones:
- La enfermería virtual es una estrategia viable para aliviar la presión sobre las enfermeras de cabecera y mejorar la prestación de atención.
- La integración de la tecnología en la enfermería puede mejorar la comunicación y la satisfacción del paciente.
- La enfermería virtual es prometedora para abordar los desafíos actuales de la fuerza laboral de la salud.
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