Shadarevian John, Chan Cheryl, Berndt Annette, Son Cathy, Gregorio Mario, Horne Neil, Mann Jim, Wallsworth Christine, Chow Bryan, O'Neill Ryan, Hung Lillian
Faculty of Medicine, The University of British Columbia, Vancouver, BC, Canada.
School of Nursing, University of Victoria, Victoria, BC, Canada.
J Rehabil Assist Technol Eng. 2020 Nov 23;7:2055668320960385. doi: 10.1177/2055668320960385. eCollection 2020 Jan-Dec.
People with dementia may refuse care because they feel overwhelmed by an unfamiliar environment. Everyday technology such as tablets have the potential to support person-centred dementia care in hospitals.
We aimed to identify barriers and enabling factors in order to develop a toolkit to support the use of tablets in engaging individual and group activities, especially to play family videos, for hospitalized older people with dementia.
A participatory action research approach was employed. We facilitated staff focus groups and conducted interviews with stakeholders. A toolkit was developed based on participants' perspectives on how to support successful adoption.
Our analysis identified two enabling factors: users' engagement in developing a toolkit for support and adapting implementation to meet local needs. Barriers included staff and family inexperience, mechanical instability of hardware, issues around privacy and data access, technology use and personalization of messages. The toolkit includes short videos, a brochure for family caregivers, and a pocket card for staff. Staff, family and patients start with varying levels of experience with the use of tablets, making education and support vitally important to implementation. Health organizations should involve staff, patients, and families to find practical solutions.
患有痴呆症的人可能会拒绝护理，因为他们会因陌生的环境而感到不知所措。平板电脑等日常技术有潜力在医院中支持以患者为中心的痴呆症护理。
我们旨在确定障碍和促成因素，以便开发一套工具包，以支持使用平板电脑开展个人和团体活动，特别是为住院的痴呆症老年人播放家庭视频。
采用参与式行动研究方法。我们组织了工作人员焦点小组，并与利益相关者进行了访谈。根据参与者对如何支持成功采用的看法，开发了一套工具包。
我们的分析确定了两个促成因素：用户参与开发支持工具包以及根据当地需求调整实施方式。障碍包括工作人员和家属缺乏经验、硬件机械不稳定、隐私和数据访问问题、技术使用以及信息的个性化。该工具包包括短视频、给家庭护理人员的手册以及给工作人员的袖珍卡片。工作人员、家属和患者在使用平板电脑方面的经验水平各不相同，因此教育和支持对实施至关重要。卫生组织应让工作人员、患者和家属参与进来，以找到切实可行的解决方案。
