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Culture Breaks First, with Julie Tuel

Virtual nursing gets sold to hospital boards as a staffing patch. Put a camera in the room, put an experienced nurse behind it, and the math on the slide works. Almost nobody in that boardroom asks the question that decides whether it works on the actual unit: what does this do to a shift in week three? Julie Tuel is System Vice President of Nursing Care Transformation and Clinical Digital Care at CommonSpirit Health, a system with more than 2,200 care sites across 24 states. As of CommonSpirit's March 2026 reporting the virtually integrated care model covered 1,075 beds, on the way to…

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