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在医院和长期护理机构中与机器人合作:工作人员的体验。

Working with a robot in hospital and long-term care homes: staff experience.

作者信息

Ren Lily Haopu, Wong Karen Lok Yi, Wong Joey, Kleiss Sarah, Berndt Annette, Mann Jim, Hussein Ali, Hu Grace, Wong Lily, Khong Ruth, Fu Jason, Ahmed Nazia, Nolte Julia, Hung Lillian

机构信息

Innovation in Dementia and Aging Lab, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada.

Universitätsmedizin Göttingen, Robert-Koch-Straße 40, 37075, Göttingen, Germany.

出版信息

BMC Nurs. 2024 May 8;23(1):317. doi: 10.1186/s12912-024-01983-0.

Abstract

Although there is a growing literature on the use of telepresence robots in institutional dementia care settings, limited research focused on the perspectives of frontline staff members who deliver dementia care. Our objective was to understand staff perspectives on using telepresence robots to support residents with dementia and their families. Guided by the Consolidated Framework for Implementation Research, we conducted four focus groups and 11 semi-structured interviews across four long-term care (LTC) homes and one hospital in Canada. We included 22 interdisciplinary staff members (e.g., registered nurses, social workers, occupational therapists, recreational therapists) to understand their experiences with telepresence robots. Thematic analysis identified three key themes: 1) Staff Training and Support; 2) Robot Features; 3) Environmental dynamics for Implementation. Our results underscore the imperative of structural support at micro-, meso- and macro-levels for staff in dementia care settings to effectively implement technology. This study contributes to future research and practice by elucidating factors facilitating staff involvement in technology research, integrating staff voices into technology implementation planning, and devising strategies to provide structural support to staff, care teams, and care homes.

摘要

尽管关于远程临场感机器人在机构性痴呆症护理环境中的应用的文献越来越多,但针对提供痴呆症护理的一线工作人员的观点的研究却很有限。我们的目标是了解工作人员对于使用远程临场感机器人来支持痴呆症患者及其家人的看法。在实施研究综合框架的指导下,我们在加拿大的四个长期护理(LTC)机构和一家医院开展了四个焦点小组讨论和11次半结构化访谈。我们纳入了22名跨学科工作人员(如注册护士、社会工作者、职业治疗师、娱乐治疗师),以了解他们使用远程临场感机器人的经历。主题分析确定了三个关键主题:1)工作人员培训与支持;2)机器人功能;3)实施的环境动态。我们的研究结果强调了在微观、中观和宏观层面提供结构性支持对于痴呆症护理环境中的工作人员有效实施技术的必要性。本研究通过阐明促进工作人员参与技术研究的因素、将工作人员的意见纳入技术实施规划以及制定为工作人员、护理团队和护理机构提供结构性支持的策略,为未来的研究和实践做出了贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e121/11080152/1329c78bf008/12912_2024_1983_Fig1_HTML.jpg

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