[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-446284-105":59,"doc-detail-446284-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","virtual-nursing-and-the-future-of-workforce-sustainability","Virtual Nursing and the Future of Workforce Sustainability","","Severe nursing shortages strain health systems, and virtual nursing—remote technology supporting bedside staff through communication and collaboration—has been proposed to maintain care quality. A survey of nearly 900 bedside nurses across 10 U.S. states found virtual nurses most often supported observation, admissions, discharges, and patient education. Respondents reported mostly neutral workload effects, some quality improvements, and mixed experiences, highlighting implementation, trust, documentation, and equity considerations, including risks of increased screen time.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/virtual-nursing-and-the-future-of-workforce-sustainability/446284/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/virtual-nursing-and-the-future-of-workforce-sustainability/446284.png","ImageObject",300,407,{"name":92,"@type":93},"Aditya","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",14,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What role does virtual nursing play in responding to nursing shortages?","Question",{"text":113,"@type":114},"Virtual nursing extends telehealth by using remote technology to support bedside staff through communication and collaboration, aiming to maintain safe, high-quality care even with fewer registered nurses at the bedside.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How did bedside nurses describe virtual nursing’s impact on workload and care quality?",{"text":118,"@type":114},"More than half reported no change in workload. Over half perceived some improvement in quality of care, while a smaller minority experienced relief or described large benefits.",{"name":120,"@type":111,"acceptedAnswer":121},"What challenges did nurses report about virtual nursing?",{"text":122,"@type":114},"Open-ended responses included duplication, delays, and patient skepticism. The text also notes that lack of seamless documentation and escalation privileges may create additional burden rather than relief.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},446284,1790892064,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":52,"preview_page_count":4},962085564549,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","Author Manuscript Author Manuscript Author Manuscript Author Manuscript  \n\n| | HHS Public Access\u003Cbr>Author manuscript\u003Cbr>JAMA Netw Open. Author manuscript; available in PMC 2026 January 06. |\n| --- | --- |\n\nPublished in final edited form as:  \nJAMA Netw Open. ; 8(12): e2545603 . doi:10.1001/jamanetworkopen.2025.45603 .  \nVirtual Nursing and the Future of Workforce Sustainability  \nSaif Khairat, PhD, MPH,  \nUniversity of North Carolina at Chapel Hill  \nBonnie Clipper, DNP,MA, MBA, RN  \nInnovation Advantage, Bastrop, Texas  \nSevere nursing shortages are straining health systems in the US and globally. The workforce crisis remains among the most acute in modern US history. Burnout, turnover, and retirements accelerated by the COVID-19 pandemic have left hospitals struggling to deliver safe care with fewer registered nurses at the bedside.1 In this context, virtual nursing, an emerging extension of telehealth that uses remote technology to provide safe, high-quality care through communication and collaboration, has emerged as a strategy to support bedside staff and maintain care quality.2 However, a central question remains: do bedside nurses actually feel that virtual nursing helps?  \nIn this study, Muir and colleagues3 surveyed nearly 900 bedside nurses across 10 states whose hospitals had implemented virtual nursing. They found that virtual nurses most often assisted with observation, admissions, discharges, and patient education. More than half of respondents reported no change in workload, over half perceived some improvement in quality of care, and a minority experienced relief, while a few described a large benefit. Open-ended responses reflected both advantages, such as an extra set of eyes and help with routine tasks, and drawbacks, including duplication, delays, and patient skepticism.  \nThe study did not describe how virtual nurses were integrated into hospital systems, such as whether they documented directly in the electronic health record (EHR) or required bedside staff to re-enter information. It also did not indicate whether virtual nurses were employed internally or supplied through third-party vendors. Both factors could plausibly shape how bedside staff experienced virtual nursing. For instance, without seamless documentation and escalation privileges, virtual nurses may introduce duplication rather than relief.  \nWhen remote colleagues are viewed as external rather than part of the team, trust and accountability may be harder to establish.  \nThis is an open access article distributed under the terms of the CC-BY License.  \nCorresponding Author: SaifKhairat, PhD, MPH, University of North Carolina at Chapel Hill, 428 Carrington Hall, Chapel Hill, NC 27514 ([saif@unc.edu](saif@unc.edu)).  \nConflict of Interest Disclosures: Dr Khairat reported grants from the National Institutes of Health (NIH) National Library of Medicine and grants from United States Department of Health and Human Services (HRSA) outside the submitted work. Dr Clipper reported serving as founder and as a paid advisor with Collette Health outside the submitted work; she reported serving as founder of the Virtual Nursing Academy outside the submitted work. No other conflicts were reported.  \nDisclaimer: The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.  \nAuthor Manuscript Author Manuscript Author Manuscript Author Manuscript  \nKhairat and Clipper Page 2  \nAs with all survey-based studies, the results capture perception rather than causal impact on outcomes. Yet in practice, perception is an essential factor. Adoption of emerging technologies depends on whether frontline clinicians feel supported. The study findings indicated that many nurses reported neutral effects on workload, with only a small minority describing substantial benefits, underscoring that virtual nursing’s effects are not uniform and likely depend on local implementation and environmen","cbCaif5iHkoCgD1B","https://ap.wps.com/l/cbCaif5iHkoCgD1B","pdf",41241,"English","# Virtual Nursing and Workforce Sustainability\n## Nursing shortages and rationale for virtual care\n## Survey findings from bedside nurses\n## Implementation factors affecting experience\n## Trust, relationships, and patient acceptance\n## Workforce risks and planning considerations\n## Lessons from EHRs and telehealth","[{\"question\":\"What role does virtual nursing play in responding to nursing shortages?\",\"answer\":\"Virtual nursing extends telehealth by using remote technology to support bedside staff through communication and collaboration, aiming to maintain safe, high-quality care even with fewer registered nurses at the bedside.\"},{\"question\":\"How did bedside nurses describe virtual nursing’s impact on workload and care quality?\",\"answer\":\"More than half reported no change in workload. Over half perceived some improvement in quality of care, while a smaller minority experienced relief or described large benefits.\"},{\"question\":\"What challenges did nurses report about virtual nursing?\",\"answer\":\"Open-ended responses included duplication, delays, and patient skepticism. The text also notes that lack of seamless documentation and escalation privileges may create additional burden rather than relief.\"}]","Virtual Nursing and the Future of Workforce Sustainability | PDF",1790714762]