Advancing Pediatric Care: The virtualKIDS Experience in Nursing-Led Audio-Visual Clinical Services.

IF 0.6 Q4 NURSING

Creative Nursing Pub Date : 2024-04-11 DOI:10.1177/10784535241245667

Eunice Toriola, Lyn Biviano, Christine Lau, Natalie Hooke, Amie Donnelly, E. Dickins, Sandra Pengilly, Joanne Ging, Nadine Shaw, Jagdev Singh

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引用次数: 0

Abstract

During the COVID-19 pandemic, the escalating trend of pediatric patients, particularly non-urgent cases, going to the emergency departments (EDs) in New South Wales, Australia, prompted the establishment of virtualKIDS, a nursing-led telehealth service. This service, initiated in June 2021, operates 24/7 and provides comprehensive care through audio-visual consultations emphasizing a patient-centered approach. Three elements-COVID-19 Outpatient Response Team (CORT), virtualKIDS Acute Review (vKAR), and Virtual Urgent Care (VUC)-addressed specific needs during and beyond the pandemic, showcasing the adaptability and impact of virtual care. vKAR focuses on post-discharge support, allowing families access to telehealth for up to three days. Preliminary data indicates a 44% reduction in ED visits within 48 h. VUC employs nursing-led triaging paired with audiovisual assessment, demonstrating a 69% hospitalization avoidance rate. Hybrid ambulatory models such as a sleep study at home project, day-only tonsillectomies, and arthroscopic knee surgeries showcase innovative approaches to reducing hospital admissions and enhancing patient outcomes. This paper presents the evolution and diverse models of care implemented by the virtualKIDS service, offering insights into its potential as a nursing-led alternative to ED visits in acute-care pediatrics.

查看原文本刊更多论文

推进儿科护理：虚拟 KIDS 体验护理视听临床服务。

在 COVID-19 大流行期间，澳大利亚新南威尔士州急诊科（ED）的儿科病人（尤其是非急诊病人）呈上升趋势，这促使建立了以护理为主导的远程保健服务虚拟儿童（virtualKIDS）。这项服务于 2021 年 6 月启动，全天候运行，通过视听咨询提供全面护理，强调以患者为中心的方法。三项内容--COVID-19 门诊病人响应小组 (CORT)、virtualKIDS Acute Review (vKAR) 和虚拟紧急护理 (VUC)--满足了大流行期间及之后的特定需求，展示了虚拟护理的适应性和影响力。初步数据显示，48 小时内急诊室就诊人数减少了 44%。VUC 采用护理人员主导的分流与视听评估相结合的方法，显示出 69% 的住院避免率。混合门诊模式，如在家进行睡眠研究项目、仅需一天的扁桃体切除术和膝关节镜手术，展示了减少住院和提高患者疗效的创新方法。本文介绍了虚拟儿童医院服务的发展历程和实施的各种护理模式，深入探讨了其作为急诊儿科急诊室就诊的护理替代方案的潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Creative Nursing NURSING-

CiteScore

1.50

自引率

14.30%

发文量

期刊介绍： Creative Nursing is an issue focused journal, unique in its recognition of the values inherent in the nursing profession. Excellence and professionalism are not exclusive to any one discipline or specialty, and the editors of Creative Nursing are dedicated to developing nursing leaders at all levels and in all settings. Today"s health care institutions need creative and innovative solutions. Nurses need to think creatively, to experiment, to take risks, and to innovate. Creative Nursing promotes best practices in all aspects of caring--caring for self, patients, families, colleagues, and communities.