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An integrative review of nurse-led virtual clinics

He arotakenga hanumi i ngā tari hauora mariko nā te tapuhi i ārahi

Sandra Almeida, RN, MHPrac (Nursing), Auckland Hospital, Auckland, NZ
Jed Montayre, RN, MN, DipTchng, PhD, Lecturer, Auckland University of Technology, Auckland, NZ

Reference:  Almeida, S., & Montayre, J. (2019). An integrative review of nurse-led virtual clinics. Nursing Praxis in New Zealand,
35(1), 18-28.

Nurse-led virtual clinics are planned contact by a nurse to a patient for the purposes of clinical consultation, advice and treatment planning. It is a promising innovation yet to be fully utilised within models of health service delivery. Despite the increasing
popularity of virtual clinics, there is still a very limited understanding of how this platform could be fully integrated as part of day-to-day nursing practice in the future. This integrative review aimed to examine nurseled virtual clinic follow-up within chronic care services, particularly on clinical utility and clinical outcomes. An extensive literature search was undertaken from online databases: Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, PubMed, Science Direct, Ovid, Scopus and Google Scholar. Publications written in English on nurse-led virtual clinics for chronic or long-term conditions were included. A total of 43 articles published from 2000 to 2015 were initially found. Twelve articles satisfied the inclusion criteria and were selected for review. Three main themes were identified: technical aspects of nurse-led virtual clinics, outcomes of nurse-led virtual clinics, and the future application of nurse-led virtual clinics within the health industry. Results from studies indicate that nurse-led virtual clinics are patient-centred, cost effective and provide efficient delivery of care. Nurse-led virtual clinics have potential to effectively respond to increasing demands and pressures within New Zealand health care services.