Department of Nursing Education, Tabriz University of Medical Sciences, Iran
Received date: December 31, 2016; Accepted date: January 26, 2017; Published date: February 3, 2017
Citation: Ghafourifard M (2017) Virtual Hospital: An Opportunity to Access the Heath Care Systems without Time and Place Constraints. J Nurs Care 6:379. doi:10.4172/2167-1168.1000379
Copyright: © 2017 Ghafourifard M. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
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The relationship among nurses’ work practice environment, organizational commitment, and work engagement was explored in this study. A Descriptive-correlation with modified qualitative validation was the research design utilized in the study. One hundred thirty-eight (138) Emergency Department (ED) staff nurses who have been working in the ED for more than six months in 13 tertiary hospitals in northern Philippines answered the questionnaires. The sample size was calculated using the G*Power® 184.108.40.206 program. Simple random sampling was used in selecting the respondents from May to August 2015. The Practice Environment Scale of the Nursing Work Index, the Organizational Commitment Questionnaire, and the Utrecht Work Engagement Scale were the tools used to obtain the data. Data were analyzed using mean, Pearson’s r Correlation, and multiple regression. In general, ED staff nurses describe their work practice environment in the Emergency Department as good. ED staff nurses are slightly committed to their department. ED staff nurses are highly engaged in their work. There is a weak and insignificant relationship between the work practice environment and organizational commitment, work practice environment and work engagement and organizational commitment and work engagement of nurses in the ED. Work practice environment significantly influences the work engagement of nurses in the ED, while organizational commitment does not significantly do so. The results of this study offer further inputs in the discourse regarding the relationship between the quality of the work practice environment, organizational commitment, and work engagement. The workplace should address any or all of the dimensions of opportunity, information, resources, and support to increase commitment and engagement.
Todays, use of the internet within health care system is growing rapidly. The internet as enabling technology for communication can be utilized from any office or household. Moreover, health care professionals appreciate patients' engagement in internet based education and interventions and they guide them to accurate and reliable information in virtual environment [1-3].
Virtual hospitals provide various services for patients and health care providers. It is an internet-based virtual environment in which patients and health care providers such as physicians, nurses, and other professional could communicate with each other and share their information in a virtual environment [4,5]. To use the service, customers must register with their own username and password and give some medical records such as weight, past medical history, laboratory results, or medication. Then they can log in the web page of the virtual hospital and use the services without any time and place constraints. Moreover, health care providers can use this system for consultations with other specialists and they could have an access to several digital libraries and valid resources about medical databases, such as drug interactions .
These hospitals are also used for medical and nurse educations. Students can move virtually around the hospital; they can communicate with peers and patients by using text chat; they can examine the patient (e.g. for interpretation of chest sounds); order radiology and laboratory tests; review the results of tests (e.g. X-ray images); share his/her information with peers (e.g., ECG); prescribe some medicines; and write patient admission/discharge/handover sheet. Moreover, there are some graphic-rich online textbooks, digital library in the field of Atlas of the human brain and digital anatomist for all students [5,7,8].
The most strength of virtual hospitals is related to the possibility to access these hospitals around the worldwide without any time and place constraints. However, much emphasis could be placed on reliable information and adherence to data security and confidentiality issues in the virtual hospitals and patients’ rights have to be considered carefully.