Sävenstedt Stefan, Sandman P O, Zingmark Karin
Department of Nursing, Luleå Technical University, Luleå, Sweden.
J Adv Nurs. 2006 Oct;56(1):17-25. doi: 10.1111/j.1365-2648.2006.03975.x.
The aim of this paper is to report a study illuminating values and perceptions held by professional carers of older people about the use of information and communication technology applications.
Various information and communication technology applications have successfully been developed to help solve a variety of problems in elder care. Beside different technical barriers and the assumed negative attitudes among older people, staff values and attitudes have been found to be an important cause of resistance to change and slowness in introduction of information and communication technology in health care of older people.
An interview study was conducted in 2004 with 10 healthcare personnel with 3-26 years experience of working in home care and nursing homes in Northern Sweden. Qualitative content analysis was used to identify recurring themes in the data.
The interpretation of values and perceptions among carers revealed a duality where the carers perceived information and communication technology as a promoter of both inhumane and humane care, a duality that seemed to make them defensive and resistant to change. Within the overall duality, other dualities were embedded that described both perceptions about the care of older people and about being a carer. There was evidence of resistance among professional carers towards an introduction of information and communication technology applications in elder care. Carers considered that the same attributes of information and communication technology that could promote humane care could also lead to dehumanized care.
There should be an ethical discussion when introducing information and communication technology applications in elder care. The best caring alternative for all those concerned should be considered. It should promote aspects of wellbeing and dignity for frail older people and fears of inhumane care among carers must be recognized and discussed.
本文旨在报告一项研究，该研究揭示了老年护理专业人员对信息通信技术应用的价值观和看法。
已经成功开发了各种信息通信技术应用程序，以帮助解决老年护理中的各种问题。除了不同的技术障碍以及老年人中假定的消极态度外，工作人员的价值观和态度已被发现是在老年人医疗保健中抵制变革和信息通信技术引入缓慢的一个重要原因。
2004年对瑞典北部从事家庭护理和养老院工作3至26年的10名医护人员进行了访谈研究。采用定性内容分析法确定数据中反复出现的主题。
对护理人员价值观和看法的解读揭示了一种二元性，即护理人员将信息通信技术视为非人道护理和人道护理的促进因素，这种二元性似乎使他们产生防御心理并抵制变革。在整体二元性中，还嵌入了其他二元性，这些二元性描述了对老年人护理以及作为护理人员的看法。有证据表明专业护理人员抵制在老年护理中引入信息通信技术应用。护理人员认为，信息通信技术能够促进人道护理的相同属性也可能导致非人性化护理。
在老年护理中引入信息通信技术应用时应进行伦理讨论。应考虑对所有相关人员而言最佳的护理选择。它应促进体弱老年人的幸福和尊严，并必须认识到并讨论护理人员对非人道护理的担忧。
