Evidence map›Paper›PMID 39987629›Full record

ArticleThe American journal of emergency medicine2025

Effect of Virtual Nursing Implementation on Emergency Department Efficiency and Quality of Care.

Saif Khairat, Jennifer Morelli, Qiyao Qin, Xiaoyu Wu, Randy Fakhreddin, Barbara S Edson, Mauri Williams

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The American journal of emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Saif KhairatSchool of Nursing, University of North Carolina at Chapel Hill, NC, USA; Carolina Health Informatics Program, University of North Carolina at Chapel Hill, NC 27514, USA; Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, NC 27514, USA. Electronic address: Saif@unc.edu.
Jennifer MorelliSchool of Nursing, University of North Carolina at Chapel Hill, NC, USA.
Qiyao QinGillings School of Global Public Health, University of North Carolina at Chapel Hill, NC, USA.
Xiaoyu WuGillings School of Global Public Health, University of North Carolina at Chapel Hill, NC, USA.
Randy FakhreddinGillings School of Global Public Health, University of North Carolina at Chapel Hill, NC, USA.
Barbara S EdsonUNC Health, Morrisville, NC, USA.
Mauri WilliamsUNC Health, Morrisville, NC, USA.

Funding

Center for Virtual Care Value and Excellence (ViVE). RC2TR004380 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Saif Khairat · 2023 to 2026
$3.0M
HRSA HHS U3GRH40003NCATS NIH HHS RC2 TR004380
6 · The paper itself

Abstract

importanceNursing shortages lead to longer emergency department (ED) wait times and incomplete documentation. US health systems are rapidly implementing virtual nursing, a new care delivery model, to improve care and alleviate nursing burden by providing nursing care and expertise via telehealth.

objectiveTo evaluate the association of using virtual nursing for patients admitted via the ED with quality outcomes, namely, wait time, admission assessment duration, documentation completeness, and number of interruptions. MATERIALS AND

methodsNon-randomized retrospective cohort study of adult patients over the age of 18 seen in the ED and subsequently admitted to one of six hospitals.

resultsPatients who had in-person admission assessments median wait time was 525.5 min (IQR: 332.9-969.8), while the median wait time for patients using virtual nursing for admission assessments was 429.5 min (IQR: 292.6-954.5). In-person admissions had a median duration of 24.0 min (IQR: 15.0-36.0), while virtual nursing admissions median duration was 29.0 min (IQR: 18.0-42.0). The average number of uncompleted documentation fields for in-person admissions was 0.4 ± 1.5, while the average for virtual nursing admissions was 0.2 ± 0.5. Finally, the average number of interruptions during admission for in-person was 1.8 ± 1.5 interruptions, while virtual nursing admissions averaged 1.4 ± 1.3 interruptions. DISCUSSION: Virtual nursing was associated with shorter wait times, more complete nursing documentation, and fewer interruptions during admission assessments for patients admitted via the ED.

conclusionVirtual nursing is a promising care delivery model that may lead to reduced nursing burnout and enhanced patient care coordination.

Indexed as

Efficiency, OrganizationalEmergency NursingEmergency Service, HospitalQuality of Health CareTelemedicineAdultAgedFemaleHumansMaleMiddle AgedPatient AdmissionRetrospective StudiesTime FactorsWaiting ListsPatient admissionTelehealthTime-to-treatmentVirtual nursing

Identifiers

PMID39987629
PMCPMC11984786

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.