This guide explores virtual nursing in inpatient settings as a response to staffing shortages and rising nurse turnover. It outlines how hybrid care uses technology to extend nursing support through workflows such as tele‑monitoring, virtual admissions and discharges, medication second signatures, mentoring, rounding, rapid response, and tele‑sitting. The guide also covers strategic planning, implementation steps, data collection, reporting, and key performance indicators to evaluate success. IT enablement considerations are discussed to ensure seamless integration with hospital systems. Overall, virtual nursing is presented as an opportunity to improve care quality, nurse satisfaction, and operational efficiency while maintaining patient safety in hospital-based care.

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