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Evaluating Nurse Demands and Resources with Virtual Nursing to Mitigate Burnout

Award Number: R01NR021711
ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 02/02/2026
PERIOD OF PERFORMANCE END DATE: 11/30/2030

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Evaluating Nurse Demands and Resources with Virtual Nursing to Mitigate Burnout - PROJECT ABSTRACT Importance: Healthcare settings are struggling to provide enough nurses to meet patients’ needs. About 40% of nurses reported high rates of burnout and leaving their positions prematurely. Burnout is driven by high job demands and limited organizational resources. Virtual nursing (VN), an organizational strategy borne of necessity to deliver patient care during the pandemic, was also viewed as an approach to potentially mitigate nurse burnout. To date, 43% of US hospitals have already implemented some form of VN, where remote nurses engage in team-based care using telehealth. Hypothetically, VN is expected to reduce the job demands for bedside nurses. However, little is known about the relationship between the use of VN and nurse job demands and resources. To address this knowledge gap, we will use a multi-site, natural experiment across nine diverse hospitals. Objective: Generate real-world, data-driven evidence on the job demands and resources, drivers of burnout, for bedside nurses who do and do not use VN. Specific aims: (1) Determine the association between the use of virtual nursing and workplace job demands among bedside nurses using EHR and survey data. (2) Determine the association between the use of virtual nursing and individual job demands among bedside nurses using eye-tracking technology and wearable devices. (3) Determine the job resources required to support VN and identify organizational solutions to mitigate nurse burnout using Design Thinking workshops. Methods: Guided by the Job Demands-Resources (JD-R) framework and using a mixed-methods sequential design, we will examine the relationship between VN use and the job demands and resources that drive nurse burnout. First, we will use novel quantitative data (EHR and physiologic) to gain data-driven, real-world insights on job demands (e.g., time pressure, mental demand). Second, we will apply design thinking to understand the job resources needed to support VN and design organizational solutions that address systemic aspects of burnout. Expected outcomes: On successful completion of our research, we expect contributions to include to (1) understand the association between using VN and workplace job demands, (2) understand the association of using VN and nurse job demands for bedside nurses using physiologic data, and (3) determine the required organizational resources to better support bedside nurses using virtual nursing.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $668,153 )
2026	2026	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Nursing Research	001	1	2/19/2026	NEW	$0
2026	2026	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Nursing Research	000	1	2/2/2026	NEW	$668,153
														Subtotal = $668,153

Grand Total All Awards = $668,153

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Evaluating Nurse Demands and Resources with Virtual Nursing to Mitigate Burnout

Award Number: R01NR021711

ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 02/02/2026

PERIOD OF PERFORMANCE END DATE: 11/30/2030

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