Evidence map›Paper›PMID 40262176›Full record

ArticleJMIR human factors2025

Association of Virtual Nurses' Workflow and Cognitive Fatigue During Inpatient Encounters: Cross-Sectional Study.

Saif Khairat, Jennifer Morelli, Wan-Ting Liao, Julia Aucoin, Barbara S Edson, Cheryl B Jones

Abstract read
In one paragraph

Article in JMIR human factors, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
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

6 authors.

Saif Khairat *Carolina Health Informatics Program, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.ORCID 0000-0002-8992-2946
Jennifer Morelli *School of Nursing, University of North Carolina at Chapel Hill, 438 Carrington Dr, CB 7460, Chapel Hill, NC, 27519, United States, 1 919-843-6761.ORCID 0009-0005-2399-7880
Wan-Ting Liao *School of Nursing, University of North Carolina at Chapel Hill, 438 Carrington Dr, CB 7460, Chapel Hill, NC, 27519, United States, 1 919-843-6761.ORCID 0009-0001-5070-5610
Julia Aucoin *Virtual Care Center, UNC Health, Chapel Hill, NC, United States.ORCID 0000-0001-6062-6329
Barbara S Edson *Virtual Care Center, UNC Health, Chapel Hill, NC, United States.ORCID 0000-0002-4818-9573
Cheryl B Jones *School of Nursing, University of North Carolina at Chapel Hill, 438 Carrington Dr, CB 7460, Chapel Hill, NC, 27519, United States, 1 919-843-6761.ORCID 0000-0002-0200-3438

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
Health Resources and Services Administration (HRSA) 6 U3GRH40003-01-01NCATS NIH HHS RC2 TR004380
6 · The paper itself

Abstract

Background: The virtual nursing delivery model enables the provision of expert nursing care from a remote location, using technology such as audio and video communication, remote monitoring devices, and access to electronic health records. Virtual nurses spend an extensive amount of time on computers to provide care, and little is known about how this workflow may affect and contribute to cognitive fatigue. Objective: This study aimed to use eye tracking technology and pupil size variation to determine instances of virtual nurse cognitive fatigue during their typical workflow. Methods: This study examined the virtual nursing workflow by recording and analyzing virtual nurse encounters using eye tracking. This cross-sectional study was conducted during regular 12-hour shifts at a major Southeastern health center in the United States. Results: The study found that 75% (22/29) of virtual nursing encounters demonstrated a first fatigue instance at 9.8 minutes during patient discharges and at 11.9 minutes during patient admissions. Conclusions: This study provides valuable insights into virtual nursing workflow design and how it may impact the cognitive fatigue levels of nurses providing inpatient virtual care.

Indexed as

InpatientsMental FatigueNursing Staff, HospitalWorkflowAdultCross-Sectional StudiesFemaleHumansMaleMiddle Agedcognitivecognitive fatiguecommunicationcross-sectional studydelivery modeldesignEHRelectronic health recordeyeeye trackingeye-tracking technologyfatigueinpatientnursenursingpupilpupil sizetechnologytelemedicinetrackingUnited StatesUSAvirtualvirtual carevirtual nursevirtual nursingworkflow

Identifiers

PMID40262176
PMCPMC12040296

What OpenQuestion holds

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LicenceCC BY
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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.