Implementing Virtual Wards: A Case Study on Doccla’s Acute Hospital Care Transformation

Loading...
Thumbnail Image
Authors
Mullaney, John
Issue Date
2025-05
Type
Thesis
Language
Keywords
Research Projects
Organizational Units
Journal Issue
Alternative Title
Abstract

This research study demonstrated that successful implementation of virtual wards in Ireland requires addressing a combination of factors. These factors span across technical, organisational, individual and process related considerations. Virtual wards were designed to deliver hospital level care to suitable patients in the comfort of their own homes, enabled through remote monitoring and digital technologies. It explored how virtual wards could be introduced effectively into the Irish healthcare system, including what lessons could be drawn from existing models of delivery elsewhere. This was enabled through a comprehensive literature review. Doccla was chosen as the focus of the case study, as they are the current supplier of the virtual ward service being piloted in Ireland. The research employed a qualitative case study methodology, situated within an interpretivist paradigm. Data collection involved semi-structured interviews with five strategically selected healthcare professionals, representing diverse clinical and technical roles. Two participants had direct experience with virtual wards, while three offered perspectives from adjacent areas. Purposive sampling ensured participants possessed relevant expertise and insight. To identify patterns and relationships across responses, data was systematically analysed using Braun and Clarke’s six-phase thematic analysis framework. Eight key themes were identified, Patient Experience and Access, Resource Allocation, Staffing and Training, Technology and Infrastructure, Communication and Engagement, Clinical Governance, Integration of Care, and Implementation Strategy. Participants highlighted benefits such as high patient satisfaction, earlier discharge, and reduced hospital pressure. However, they also identified key challenges, including digital literacy gaps, poor internet connectivity, limited staff capacity, and the need for clear governance procedures and training for both staff and patients. Based on these findings, seven recommendations were developed to support healthcare providers and decision makers, in planning and delivering a successful virtual ward implementation in Ireland. The research offered practical guidance for expanding digital models of care, with the aim of improving system capacity while maintaining patient safety and quality of care.

Description
Citation
Publisher
License
Journal
Volume
Issue
PubMed ID
DOI
ISSN
EISSN