University of Jyväskylä, Kokkola University Consortium Chydenius, Talonpojankatu 2B, FI-67701, Finland.
University of Jyväskylä, Kokkola University Consortium Chydenius, Talonpojankatu 2B, FI-67701, Finland.
Int J Med Inform. 2019 Mar;123:29-36. doi: 10.1016/j.ijmedinf.2018.12.006. Epub 2018 Dec 21.
The healthcare system faces a major challenge in caring for an increasingly ageing population as this task requires more resources than are currently available. Adopting monitoring technologies could enable more efficient care practices and support ageing in place.
To investigate how the use of an in-home motion monitoring system can be integrated into home care nurses' workflows and to uncover the factors behind system adoption.
A single case study adopting a qualitative approach.
A home care unit serving older adults living in independent living residences within an apartment complex.
Multiple data collection methods were used including individual and group interviews, a questionnaire with open-ended questions, evaluation probes, and system log data. The qualitative material was analysed using a stepwise-deductive inductive approach.
A central factor behind system adoption was the perceived usefulness of gaining information about older adults' night-time activities. In particular, monitoring older adults suffering from memory disorders was considered advantageous. The information that the system provided supported nurses in health assessments and assisted in adjusting care decisions. Previous negative experiences with similar technologies initially influenced the time for adoption. Further, although nurses were closely involved in the system design process, they took some time to get acquainted with the system and to integrate its use into daily practice. System reliability and accuracy issues influenced nurses' trust in the sensory data.
The findings suggests that in a home care setting, focusing on motion pattern monitoring for older adults with memory disorders can provide significant benefits and therefore also facilitate system adoption among nurses. Involving nurses in the design of the technology and providing opportunities to trial the system in real practice also appear to be important in achieving system adoption.
医疗保健系统在照顾日益老龄化的人口方面面临着重大挑战，因为这项任务需要比目前更多的资源。采用监测技术可以实现更高效的护理实践，并支持老年人在家中安度晚年。
研究如何将家庭运动监测系统融入家庭护理护士的工作流程，并揭示系统采用背后的因素。
采用定性方法的单一案例研究。
为居住在公寓大楼内独立生活住宅中的老年人提供服务的家庭护理单位。
采用多种数据收集方法，包括个人和小组访谈、带有开放式问题的问卷、评估探针和系统日志数据。使用逐步演绎归纳法对定性材料进行分析。
系统采用的一个核心因素是获得有关老年人夜间活动信息的有用性。特别是，监测患有记忆障碍的老年人被认为是有利的。系统提供的信息支持护士进行健康评估，并有助于调整护理决策。以前对类似技术的负面经验最初影响了采用的时间。此外，尽管护士密切参与了系统设计过程，但他们需要一些时间来熟悉系统并将其使用整合到日常实践中。系统的可靠性和准确性问题影响了护士对感官数据的信任。
研究结果表明，在家庭护理环境中，专注于记忆障碍老年人的运动模式监测可以提供显著的益处，因此也有助于护士采用系统。让护士参与技术设计并提供机会在实际实践中试用系统，似乎也对实现系统采用至关重要。
