Lee Hyeong Suk, Kim Jeongeun
College of Nursing, Seoul National University, Seoul, Korea.
Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
Healthc Inform Res. 2018 Jan;24(1):12-21. doi: 10.4258/hir.2018.24.1.12. Epub 2018 Jan 31.
This study aimed to derive specific user requirements and barriers in a real medical environment to define the essential elements and functions of two types of point-of-care (POC) robot: a telepresence robot as a tool for teleconsultation, and a bedside robot to provide emotional care for patients.
An analysis of user requirements was conducted; user needs were gathered and identified, and detailed, realistic scenarios were created. The prototype robots were demonstrated in physical environments for envisioning and evaluation. In all, three nurses and three clinicians participated as evaluators to observe the demonstrations and evaluate the robot systems. The evaluators were given a brief explanation of each scene and the robots' functionality. Four major functions of the teleconsultation robot were defined and tested in the demonstration. In addition, four major functions of the bedside robot were evaluated.
Among the desired functions for a teleconsultation robot, medical information delivery and communication had high priority. For a bedside robot, patient support, patient monitoring, and healthcare provider support were the desired functions. The evaluators reported that the teleconsultation robot can increase support from and access to specialists and resources. They mentioned that the bedside robot can improve the quality of hospital life. Problems identified in the demonstration were those of space conflict, communication errors, and safety issues.
Incorporating this technology into healthcare services will enhance communication and teamwork skills across distances and thereby facilitate teamwork. However, repeated tests will be needed to evaluate and ensure improved performance.
本研究旨在得出真实医疗环境中的特定用户需求和障碍，以定义两种类型的即时护理（POC）机器人的基本要素和功能：一种是作为远程会诊工具的远程呈现机器人，另一种是为患者提供情感护理的床边机器人。
进行了用户需求分析；收集并确定了用户需求，并创建了详细、现实的场景。在物理环境中展示了原型机器人，以供设想和评估。共有三名护士和三名临床医生作为评估人员参与，观察演示并评估机器人系统。向评估人员简要解释了每个场景和机器人的功能。在演示中定义并测试了远程会诊机器人的四项主要功能。此外，还评估了床边机器人的四项主要功能。
在远程会诊机器人的期望功能中，医疗信息传递和通信具有高度优先级。对于床边机器人，患者支持、患者监测和医疗服务提供者支持是期望的功能。评估人员报告称，远程会诊机器人可以增加来自专家和资源的支持以及获取途径。他们提到床边机器人可以提高住院生活质量。演示中发现的问题包括空间冲突、通信错误和安全问题。
将这项技术纳入医疗服务将提高远距离的沟通和团队协作技能，从而促进团队合作。然而，需要进行反复测试以评估并确保性能得到改善。
