Author Affiliations: Administration (Drs Schwartz and Vozzella and Ms Maris); Center for Nursing Research, Education and Practice (Dr Hamlin); Virtual Medicine Department (Ms Randle and Mr Klahn); J. C. Walter Jr. Transplant Center and Department of Surgery (Dr Waterman), Houston Methodist, TX.
Comput Inform Nurs. 2024 Feb 1;42(2):151-157. doi: 10.1097/CIN.0000000000001097.
Hospitals are experiencing a nursing shortage crisis that is expected to worsen over the next decade. Acute care settings, which manage the care of very complex patients, need innovations that lessen nurses' workload burden while ensuring safe patient care and outcomes. Thus, a pilot study was conducted to evaluate the feasibility of implementing a large-scale acute care telenurse program, where a hospital-employed telenurse would complete admission and discharge processes for hospitalized patients virtually. In 3 months, almost 9000 (67%) of patient admissions and discharges were conducted by an acute care telenurse, saving the bedside nurse an average of 45 minutes for each admission and discharge. Preliminary benefits to the program included more uninterrupted time with patients, more complete hospital admission and discharge documentation, and positive patient and nurse feedback about the program.
医院正面临着护理人员短缺的危机，预计在未来十年内情况还会恶化。急症护理机构需要管理非常复杂的患者，需要创新，减轻护士的工作量负担，同时确保患者的安全和治疗效果。因此，进行了一项试点研究，以评估实施大规模急症护理远程护士项目的可行性，即由医院雇用的远程护士远程完成住院患者的入院和出院流程。在 3 个月内，近 9000 名（67%）患者的入院和出院由急症护理远程护士完成，为床边护士每次入院和出院节省了平均 45 分钟的时间。该项目的初步效益包括患者有更多的不间断时间，更完整的住院入院和出院记录，以及患者和护士对该项目的积极反馈。
