Implementing the Hybrid Virtual Nursing Care Model in Acute Care Settings for Discharge Tasks: a Pilot Study

Hospitals nationwide are grappling with escalating nursing shortages, primarily driven by burnout and the educational gap between experienced nurses and recent graduates. To address this challenge, this pilot study aims to introduce the hybrid virtual nursing care model, with a focus on examining discharge tasks. The hybrid virtual nursing care model was implemented on two units within a rural hospital in the southeastern United States. The study's core methodology involved conducting time studies to identify and measure various tasks performed by both virtual and bedside nurses. Detailed time-stamped flowcharts were developed based on observations, capturing the flow and duration of key tasks associated with discharges. The research findings indicate a reduction in the time required for discharges with the implementation of the hybrid virtual nursing care model using TV kits. Communication exchanges revealed distinct patterns within this model, involving at least four communication exchanges between the bedside and virtual nurse, in contrast to traditional bedside care. Additionally, the study highlighted the importance of pre-existing workplace culture and the presence of project champions. Moreover, qualities essential for virtual nurses emerged, for example multitasking skills and effective communication, both emotionally and clearly, to convey the appropriate message to patients and caregivers virtually. The impact of the hybrid virtual nursing care model is vast and promising in the world of healthcare. The implications of the hybrid virtual nursing care model could expand far beyond discharges to include admissions, deliver comprehensive education to patients and caregivers, and can expedite medication confirmations without burdening bedside nurses.