Virtual Healthcare Revolution: Understanding Nurse Competencies and Roles.

Introduction: Digital healthcare, especially virtual health, has changed nurses' jobs and skills. In the evolving healthcare landscape, nurses healthcare landscape is increasingly required to have diverse competencies to navigate the world of virtual health effectively. Objective: This study aims to qualitatively explore the role of nurses in virtual health and the competencies required to work in virtual health in Saudi Arabia, with a specific focus on SEHA virtual hospital. Methods: An online open survey with nursing experts was employed as the qualitative method approach during the initial phase of an online Delphi study design. Results: Twelve core competencies were identified: digital technology proficiency, professionalism, clinical expertise, leadership, legal and ethical considerations, care coordination, documentation, effective communication, patient assessment and diagnosis, patient safety, patient-centered care, and remote patient monitoring. Conclusions: The research emphasizes the crucial role of nurses in virtual hospitals and clinics, contributing to the expansion of the virtual healthcare environment. It presents a thorough competency framework that can guide the development of training programs and policies, enhancing the effectiveness of virtual healthcare delivery. Impact: The study provides a foundational competencies list that can guide the development of comprehensive training programs for nurses in virtual healthcare. Policymakers and educational leaders are encouraged to use these findings to create standardized practices and policies, enhancing the effectiveness and efficiency of virtual healthcare delivery.

Stress and Burnout Among Frontline Nurses During COVID-19 Pandemic in a Middle Eastern Country.

Introduction: The COVID-19 pandemic has resulted in an unanticipated shift in nursing practice to meet the sudden increase in demand for pandemic-related care, leaving nurses unable to provide acceptable services to patients in the way they were taught and expected to do. It put the nurses under more stress and most of them were dissatisfied with their work due to excessive burnout. Objectives: The study determined the level of stress and burnout among front-line nurses working at the Ministry of Health Hospitals in Najran, Saudi Arabia during the COVID-19 pandemic. Methods: A total of 1594 nurses were chosen using a convenience sampling approach. Google Forms were used to collect data from the nurses. COVID-19 stressors questionnaire and an abbreviated Maslach Burnout Inventory were used to assess stress and burnout among nurses. Results: Our study reported that the majority of nurses experienced extreme levels of stress as their colleagues became ill; that they would spread COVID-19 infection to their family and friends; upsetting to see COVID-19 patients dying in front of them; not knowing when the COVID-19 pandemic will be under control; and emotional exhaustion and physical fatigue. A vast majority of nurses felt there were not adequate protective measures; there was a shortage of staff at times; were nervous and scared and thought of quitting their job; and they would quit their job if a COVID-19 outbreak recur and they would fall sick. Likewise, 41.9% of the nurses experienced a high level of burnout. A significant association was found between the area of working and the level of burnout among nurses. Conclusion: As nurses experienced extreme levels of stress and severe burnout, it is vital to design regular programs to assist frontline nurses in maintaining their mental health.

Nurses' preparedness and response to COVID-19.

INTRODUCTION: Coronavirus disease is the most striking pandemic across the world that every country is addressing and talking about it now. Nurses deliver the highest level of functioning in the health care team. Nurses need to understand the COVID-19 preparedness and response process. Therefore, it becomes very important to assess a nurse's knowledge of preparedness and response to Corona Virus Disease (Covid-19). METHODS: The research approach was quantitative in nature by using the descriptive cross-sectional survey among nurses working under MOH Hospitals in Najran region, KSA. The sample participated in the survey was 594 and the tool used for the study was a modified questionnaire on Nurse's preparedness and response to COVID-19. The questionnaire contained five parts and the first part included basic information of the nurses and the second part was composed of yes or no questions assessing the nurse's Knowledge on COVID-19 preparedness and the third part composed of facility and response readiness to triage screening and the fourth part consist of nurses preparedness and readiness on COVID and fifth part composed of nurse's preparedness and readiness on peroneal protective equipment's and the study was approved by Institutional Review Board (IRB). Data was presented by using descriptive and inferential statistics. RESULTS: Our study results found that overall knowledge of COVID preparedness was adequate. However, the nurse's preparedness on personal protective equipment was moderate. Majority of respondents were Registered Nurses 587(98.9%)and most of the respondents were employed by the Ministry of Health 586(98.7%)and the nurse's knowledge of preparedness was 456(76.8%) and the facilities preparedness and response readiness was 549(92.4) and adequate supply of personal protective equipment (PPE) 519(87. 3%). CONCLUSION: The findings of the study exhibit that nurses have an adequate level of knowledge towards the preparedness and response to coronavirus diseases.