Bradwell H L, Edwards K J, Baines R, Page T, Chatterjee A, Jones R B
Centre for Health Technology, University of Plymouth, Devon, United Kingdom.
Front Digit Health. 2023 Mar 3;5:1066327. doi: 10.3389/fdgth.2023.1066327. eCollection 2023.
There is limited literature on security and access for social care settings despite policy highlighting importance, and no published research exploring facial recognition lock technology (FRLT) for potential improvements. This study explored FRLT device implementation, use, barriers and benefits.
One residential care home with 43 older adults and 68 staff members (Site A), and one supported living facility caring for six individuals with mental health issues with 18 staff members (Site B) were provided with FRLT for six months. Nine pre-implementation staff interviews explored existing access and security perceptions. Ten post-implementation staff interviews and one staff focus group were conducted; all were analysed using content analysis to understand, alongside process mapping, the use and impact of the FRLT. Interview participants included site care staff and other visiting healthcare professionals. We additionally report feedback from the technology developers to demonstrate impact of industry-academia collaboration.
Pre-implementation interviews highlighted issues with current pin-pad or lock-box systems, including; code sharing; code visibility, ineffective code changes, security issues following high staff turnover, lack of efficiency for visitors including NHS staff and lack of infection control suggesting requirement for innovation and improvement. Pre-implementation interviews showed openness and interest in FRLT, although initial queries were raised around cost effectiveness and staff skills. Following implementation, good levels of adoption were achieved with 72% and 100% (49/68 and 18/18) of staff members uploading their face at the two sites, and 100% of residents at Site B using the system (6/6). Additionally, Site B made a positive procurement decision and continues to discuss wider rollout. Post implementation interviews suggested FRLT was useful and acceptable for improving security and access. Benefits identified included staff/visitor time saving, enhanced security, team ease of access, resident autonomy and fewer shared touch points. Integration was suggested including with fire alarm systems, staff clocking in/out, and Covid monitoring to improve usefulness. The developers have since responded to feedback with design iterations.
We identified concerns on security and access in social care settings, which warrant further exploration and research. FRLT could increase resident autonomy and reduce staff burden, particularly considering frequent multi-agency health and care visits.
尽管政策强调了社会护理场所安全与出入管理的重要性，但相关文献有限，且尚无已发表的研究探讨面部识别锁技术（FRLT）以寻求潜在改进。本研究探讨了FRLT设备的实施、使用、障碍和益处。
为一家有43名老年人和68名工作人员的养老院（A地）以及一家为6名有心理健康问题的人提供支持性生活设施且有18名工作人员的机构（B地）配备FRLT，为期6个月。在实施前对9名工作人员进行访谈，以了解现有的出入和安全认知。实施后进行了10次工作人员访谈和1次工作人员焦点小组讨论；所有访谈均采用内容分析法进行分析，同时结合流程映射，以了解FRLT的使用和影响。访谈参与者包括现场护理人员和其他来访的医疗保健专业人员。我们还报告了技术开发者的反馈，以展示产学研合作的影响。
实施前的访谈突出了当前密码键盘或锁箱系统存在的问题，包括：密码共享；密码可见性、密码更改无效、员工流动率高后的安全问题、包括国民保健服务体系工作人员在内的访客效率低下以及缺乏感染控制，这表明需要创新和改进。实施前的访谈显示工作人员对FRLT持开放态度并感兴趣，尽管最初有人对成本效益和员工技能提出疑问。实施后，采用率较高，两个场所分别有72%和100%（49/68和18/18）的工作人员上传了面部信息，B地100%的居民（6/6）使用了该系统。此外，B地做出了积极的采购决定，并继续讨论更广泛的推广。实施后的访谈表明，FRLT对于提高安全性和出入便利性是有用且可接受的。确定的益处包括节省工作人员/访客时间、增强安全性、团队出入更便捷、居民自主性提高以及减少共享接触点。建议进行整合，包括与火灾报警系统、工作人员打卡上下班以及新冠监测系统整合，以提高实用性。此后，开发者已根据反馈进行了设计迭代。
我们确定了社会护理场所中安全和出入管理方面的问题，值得进一步探索和研究。FRLT可以提高居民的自主性并减轻工作人员的负担，特别是考虑到频繁的多机构健康和护理探访。
