老年人使用远程护理的安全性：家庭护理专业人员的看法。
Safety for older adults using telecare: Perceptions of homecare professionals.
作者信息
Johannessen Torunn Beate, Storm Marianne, Holm Anne Lise
机构信息
Faculty of Health and Social Sciences Western Norway University of Applied Sciences Haugesund Norway.
Department of Public Health, Faculty of Health Sciences University of Stavanger Stavanger Norway.
出版信息
Nurs Open. 2019 Jul 1;6(3):1254-1261. doi: 10.1002/nop2.328. eCollection 2019 Jul.
Abstract
AIM
The aim of this study was to explore homecare professionals' perceptions of safety related to the use of telecare by older adults.
DESIGN
An exploratory qualitative design was employed.
METHODS
Two focus group interviews with ten female homecare professionals (nine Registered Nurses and one occupational therapist) were carried out between June-December 2017. The participants were recruited from six community homecare services in two Norwegian municipalities. Data were analysed using qualitative content analysis.
RESULTS
The participants perceived that the use of telecare protects older adults against injury and insecurity by preventing harm and giving them a feeling of safety. However, they also stated that the use of telecare involves challenges that could lead to harm to older adults due to technological limitations and difficulties managing and understanding the technology. Although telecare can enhance safety, it is necessary to develop reliable technology and adapt it to the user's abilities, skills and resources.
摘要
目的
本研究旨在探讨家庭护理专业人员对老年人使用远程护理安全性的看法。
设计
采用探索性定性设计。
方法
2017年6月至12月间，对10名女性家庭护理专业人员（9名注册护士和1名职业治疗师）进行了两次焦点小组访谈。参与者来自挪威两个城市的六个社区家庭护理服务机构。采用定性内容分析法对数据进行分析。
结果
参与者认为，远程护理的使用通过预防伤害并给予老年人安全感，保护他们免受伤害和不安全因素的影响。然而，他们也指出，远程护理的使用存在一些挑战，由于技术限制以及管理和理解技术的困难，可能会对老年人造成伤害。尽管远程护理可以提高安全性，但有必要开发可靠的技术，并使其适应用户的能力、技能和资源。
相似文献
1
Safety for older adults using telecare: Perceptions of homecare professionals.老年人使用远程护理的安全性：家庭护理专业人员的看法。
Nurs Open. 2019 Jul 1;6(3):1254-1261. doi: 10.1002/nop2.328. eCollection 2019 Jul.
2
Perceptions of telecare training needs in home healthcare services: a focus group study.居家医疗服务中远程护理培训需求的认知：一项焦点小组研究
BMC Health Serv Res. 2017 Feb 23;17(1):164. doi: 10.1186/s12913-017-2098-2.
3
Understanding the Value of a Proactive Telecare System in Supporting Older Adults' Independence at Home: Qualitative Interview Study Among Key Interest Groups.理解主动式远程护理系统在支持老年人居家独立方面的价值：关键利益相关群体的定性访谈研究。
J Med Internet Res. 2023 Dec 14;25:e47997. doi: 10.2196/47997.
4
Experiences of community-dwelling older adults with the use of telecare in home care services: a qualitative systematic review.社区居家老年人在家居护理服务中使用远程护理的体验：一项质性系统综述
JBI Database System Rev Implement Rep. 2017 Dec;15(12):2913-2980. doi: 10.11124/JBISRIR-2017-003345.
5
Homecare professionals' observation of deteriorating, frail older patients: A mixed-methods study.家庭护理专业人员对病情恶化、虚弱的老年患者的观察：一项混合方法研究。
J Clin Nurs. 2020 Jul;29(13-14):2429-2440. doi: 10.1111/jocn.15255. Epub 2020 Apr 13.
6
Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature.与远程护理相关的患者安全风险：文献的系统评价与叙述性综合分析
BMC Health Serv Res. 2014 Nov 25;14:588. doi: 10.1186/s12913-014-0588-z.
7
A nation-wide cross-sectional study of variations in homecare nurses' assessments of informational continuity - the importance of horizontal collaboration and municipal context.一项关于家庭护理护士信息连续性评估差异的全国性横断面研究——横向协作和市政背景的重要性。
BMC Health Serv Res. 2020 May 25;20(1):464. doi: 10.1186/s12913-020-05313-3.
8
A qualitative study of what care workers do to provide patient safety at home through telecare.通过远程医疗在家中提供患者安全护理的Care Workers 的定性研究。
BMC Health Serv Res. 2021 Jun 5;21(1):553. doi: 10.1186/s12913-021-06556-4.
9
National registry-based data of adverse events in Finnish long-term professional homecare in 2009-2019.2009 - 2019年芬兰长期专业家庭护理中基于全国登记处的不良事件数据。
J Clin Nurs. 2023 Feb;32(3-4):548-557. doi: 10.1111/jocn.16312. Epub 2022 Apr 3.
10
Safer@home-Simulation and training: the study protocol of a qualitative action research design.居家更安全——模拟与培训：一项定性行动研究设计的研究方案
BMJ Open. 2014 Jul 29;4(7):e004995. doi: 10.1136/bmjopen-2014-004995.
引用本文的文献
1
Identifying the challenges of a telecare system establishment for older adults and providing a solution: a qualitative study.识别为老年人建立远程护理系统的挑战并提供解决方案：一项定性研究。
BMC Geriatr. 2025 Apr 17;25(1):256. doi: 10.1186/s12877-025-05890-0.
2
Multicomponent telerehabilitation program for veterans with multimorbidity: A randomized controlled feasibility study.针对患有多种疾病的退伍军人的多组分远程康复计划：一项随机对照可行性研究。
PM R. 2025 May;17(5):548-562. doi: 10.1002/pmrj.13299. Epub 2025 Jan 8.
3
Patient safety and sense of security when telemonitoring chronic conditions at home: the views of patients and healthcare professionals - a qualitative study.居家远程监测慢性病时的患者安全和安全感：患者和医疗保健专业人员的观点——一项定性研究。
BMC Health Serv Res. 2023 Jun 6;23(1):581. doi: 10.1186/s12913-023-09428-1.
4
Access to, use of, and experiences with social alarms in home-living people with dementia: results from the LIVE@Home.Path trial.居家痴呆症患者使用社交警报的情况、体验及获取途径：LIVE@Home.Path试验结果
Front Aging Neurosci. 2023 May 22;15:1167616. doi: 10.3389/fnagi.2023.1167616. eCollection 2023.
5
Factors That Influence the Use of eHealth in Home Care: Scoping Review and Cross-sectional Survey.影响家庭护理中电子健康使用的因素：范围综述和横断面调查。
J Med Internet Res. 2023 Mar 9;25:e41768. doi: 10.2196/41768.
6
Trends in Telecare Use among Community-Dwelling Older Adults: A Scoping Review.社区居住的老年人远程医疗使用趋势：范围综述。
Int J Environ Res Public Health. 2022 Dec 12;19(24):16672. doi: 10.3390/ijerph192416672.
7
Benefits of a Wearable Activity Tracker with Safety Features for Older Adults: An Intervention Study.带安全功能的可穿戴活动追踪器对老年人的益处：一项干预研究。
Int J Environ Res Public Health. 2022 Nov 25;19(23):15723. doi: 10.3390/ijerph192315723.
8
Informal Caregivers' Perceptions of Self-Efficacy and Subjective Well-Being When Using Telecare in the Home Environment: A Qualitative Study.居家环境中非正式照护者使用远程照护时对自我效能感和主观幸福感的认知：一项定性研究
Geriatrics (Basel). 2022 Aug 23;7(5):86. doi: 10.3390/geriatrics7050086.
9
Service users' experiences with mobile safety alarms in home care: A qualitative study.服务用户在家庭护理中使用移动安全警报器的体验：一项定性研究。
Nurs Open. 2022 Jul;9(4):2063-2072. doi: 10.1002/nop2.1217. Epub 2022 Apr 18.
10
Integrating Welfare Technology in Long-term Care Services: Nationwide Cross-sectional Survey Study.将福利技术融入长期护理服务中：全国性横断面调查研究。
J Med Internet Res. 2021 Aug 16;23(8):e22316. doi: 10.2196/22316.
本文引用的文献
1
Methodological challenges in qualitative content analysis: A discussion paper.定性内容分析中的方法学挑战：一篇讨论论文。
Nurse Educ Today. 2017 Sep;56:29-34. doi: 10.1016/j.nedt.2017.06.002. Epub 2017 Jun 17.
2
Rethinking presence: a grounded theory of nurses and teleconsultation.重新思考临场感：关于护士与远程会诊的扎根理论
J Clin Nurs. 2017 Oct;26(19-20):3088-3098. doi: 10.1111/jocn.13656. Epub 2017 Mar 24.
3
The everyday use of assistive technology by people with dementia and their family carers: a qualitative study.痴呆症患者及其家庭护理人员对辅助技术的日常使用：一项定性研究。
BMC Geriatr. 2015 Jul 24;15:89. doi: 10.1186/s12877-015-0091-3.
4
Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature.与远程护理相关的患者安全风险：文献的系统评价与叙述性综合分析
BMC Health Serv Res. 2014 Nov 25;14:588. doi: 10.1186/s12913-014-0588-z.
5
Using Information and Communication Technology in Home Care for Communication between Patients, Family Members, and Healthcare Professionals: A Systematic Review.在家居护理中使用信息通信技术促进患者、家庭成员与医疗保健专业人员之间的沟通：一项系统综述。
Int J Telemed Appl. 2013;2013:461829. doi: 10.1155/2013/461829. Epub 2013 Apr 10.
6
Principle-based analysis of the concept of telecare.基于原则的远程医疗概念分析。
J Adv Nurs. 2012 Dec;68(12):2802-15. doi: 10.1111/j.1365-2648.2012.06038.x. Epub 2012 May 20.
7
How places matter: telecare technologies and the changing spatial dimensions of healthcare.场所的重要性：远程医疗技术与医疗保健空间维度的变化。
Soc Stud Sci. 2012 Feb;42(1):121-42. doi: 10.1177/0306312711431817.
8
Computer decision support tools in primary care.初级保健中的计算机决策支持工具。
Work. 2012;41 Suppl 1(Suppl 1):4474-8. doi: 10.3233/WOR-2012-0747-4474.
9
My, your and our needs for safety and security: relatives' reflections on using information and communication technology in dementia care.我、你和我们对安全保障的需求：亲属对在痴呆症护理中使用信息通信技术的看法。
Scand J Caring Sci. 2012 Mar;26(1):104-12. doi: 10.1111/j.1471-6712.2011.00916.x. Epub 2011 Aug 15.
10
The impact of eHealth on the quality and safety of health care: a systematic overview.电子健康对医疗保健质量和安全的影响：系统综述。
PLoS Med. 2011 Jan 18;8(1):e1000387. doi: 10.1371/journal.pmed.1000387.
Zotero 插件