Transforming Models of Care Through Comprehensive Hospital-Wide Virtual-Integrated Nursing Practice and Collaborative Redesign.

چکیده اصلی

OBJECTIVE: To evaluate the impact of implementing a hospital-wide virtual-integrated nursing care model on teamwork, communication, operational efficiency, and clinical outcomes. BACKGROUND: Organizations have implemented virtual nursing to improve workflow efficiency and patient outcomes. Yet variation in care models, inconsistent role definitions, and a limited leadership infrastructure have left organizations struggling to achieve consistent, measurable outcomes after adopting virtual care. METHODS: This mixed-methods quality improvement study employed the TeamSTEPPS® survey across acute inpatient, intensive care, and emergency settings. The study also analyzed operational, quality, and workforce outcomes measures to evaluate the impact of the intervention on virtual nursing. RESULTS: A significant improvement was observed in the supervisor/manager's behavior pre-model and post-model implementation (P=0.022). Improvement in operational outcomes included gains in patient admission documentation, discharge timeliness, and falls reduction, and staffing efficiency without the addition of full-time equivalent staff. CONCLUSIONS: Hospital-wide virtual-integrated nursing improved workflow efficiency, enhanced operational outcomes, and demonstrated a scalable model for clinical outcomes.

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