Virtual Nursing in Residential Aged Care: What Is Known? A Rapid Review.
S J Haines, J FitzGerald, S Clune and 9 others
PMID 40726070WHAT IT FOUND
Virtual nursing in residential aged care showed mixed effects on emergency presentations and hospital admissions.
Nurses and staff reported better confidence and communication, but technology, records, training and missing resident feedback limit certainty.
Key findings
01The effect of virtual nursing on emergency department presentations and hospitalisations was mixed.
02In the pressure injury randomised controlled trial, no difference was found between control and intervention periods on primary or secondary outcomes, including pressure injuries, emergency department visits or cost effectiveness.
03Qualitative studies reported improved staff confidence and communication, but technology and training barriers were common.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only 13 studies were included, and they used very different designs, settings and interventions, so they cannot be compared directly. Most studies did not report resident or family perspectives, so it is unclear how residents experienced virtual nursing. The role of nurses was often not separated from other clinicians in multidisciplinary virtual care teams. Time needed by onsite staff and virtual nurses was usually not reported. The review was rapid: it searched six databases, excluded grey literature and had fewer researchers involved than a full systematic review. The two randomised controlled trials had equivocal findings, and one raised concerns about statistical power. Many studies were conducted during the COVID-19 pandemic, when infection control may have made virtual care more acceptable or necessary than usual. Marginalised or vulnerable groups were often absent from reporting.
Declared interests
The authors declared no conflicts of interest. The review was funded by the Department of Health and Aged Care, Australian Government.
The easy way to misread this
Do not read this review as proof that virtual nursing works for residents. The evidence was mixed, many studies were descriptive or qualitative, and resident perspectives were missing.