Nursing shortages are a significant problem that affects healthcare access, outcomes, and costs and challenges the delivery of care in hospitals. The virtual nursing delivery model enables the provision of expert nursing care from a remote location, using technology such as audio/video communication, remote monitoring devices, and access to the electronic health record. However, little is known about the structure and processes supporting the implementation of virtual nursing in healthcare systems. This study examined the requirements for implementing a virtual nursing care team by characterizing the structure and processes of virtual nursing, using the Donabedian framework. The study conducted an observational and qualitative evaluation of a virtual nursing care team at a major Southeastern health center in the United States. The study found that key aspects for implementing a virtual nursing program include the number of available virtual nurses per shift, the availability of appropriate virtual nursing equipment, the physical layout of the virtual nursing center, the training of virtual nursing nurses on best practices of virtual encounters, simultaneous use of electronic health record, creation, and training of nurses on policies and procedures such as escalation of technical issues, and available support resources for problem resolution. The study provides valuable insights into the structure and processes of virtual nursing care that can be used to improve healthcare delivery and address nursing shortages.

Saif Khairat

Jennifer Morelli

Barbara S. Edson

Julia Aucoin

Cheryl B. Jones

CIN Computers Informatics Nursing

30 多年来，CIN: COMPUTERS, INFORMATICS, NURSING 一直处于信息科学和护理艺术的交汇处，发表有关护理信息学、研究、教育和健康信息技术管理最新发展的文章。 CIN 将您与同事联系起来，因为他们分享有关电子健康记录系统实施的知识、设计决策支持系统、将循证医疗保健纳入实践、探索实践和教育中的床旁计算，并在概念上整合护理语言和标准数据集。每期都有继续教育的联系时间。

CIN: COMPUTERS, INFORMATICS, NURSING has been at the intersection of information science and the art of nursing for over 30 years, publishing articles on the latest developments in nursing informatics, research, education, and health information technology management. CIN connects you with colleagues who share knowledge about the implementation of electronic health record systems, designing decision support systems, integrating evidence-based healthcare into practice, exploring bedside computing in practice and education, and conceptually integrating nursing languages and standard datasets. Each issue includes continuing education contact hours.

CIN: COMPUTERS, INFORMATICS, NURSING 期刊已在信息科学与护理艺术的交汇处运作超过 30 年，发表关于护理信息学、研究、教育和健康信息技术管理的最新发展文章。CIN 旨在连接同行，分享有关电子健康记录系统实施的知识、设计决策支持系统、将循证医疗纳入实践、探索实践与教育中的床旁计算，并在概念上整合护理语言和标准数据集。每期均提供继续教育的联系时间。

Category	Quartile
医学	4
医学, 计算机跨学科应用	4
医学, 医学信息	4
医学, 护理	4

Needs Assessment of Virtual Nursing Implementation Using the Donabedian Framework

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