Mei ZiQi, Jin ShengJi, Li WeiTong, Zhang SuJu, Cheng XiRong, Li YiTing, Wang Meng, Song YuLei, Tu WenJing, Yin HaiYan, Wang Qing, Bai YaMei, Xu GuiHua
Nanjing University of Chinese Medicine.
The Second Affiliated Hospital of Nanjing University of Chinese Medicine.
Nurs Ethics. 2025 May;32(3):913-930. doi: 10.1177/09697330241270829. Epub 2024 Aug 13.
BackgroundAs health education robots may potentially become a significant support force in nursing practice in the future, it is imperative to adhere to the European Union's concept of "Responsible Research and Innovation" (RRI) and deeply reflect on the ethical risks hidden in the process of intelligent robotic health education.AimThis study explores the perceptions of professional nursing professionals regarding the potential ethical risks associated with the clinical practice of intelligent robotic health education.Research designThis study adopts a descriptive phenomenological approach, employing Colaizzi's seven-step method for data analysis.Participants and research contextWe conducted semi-structured interviews with 17 nursing professionals from tertiary comprehensive hospitals in China.Ethical considerationsThis study has been approved by the Ethics Committee of the Second Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Provincial Second Chinese Medicine Hospital.FindingsNursing personnel, adhering to the principles of RRI and the concept of "person-centered" care, have critically reflected on the potential ethical risks inherent in robotic health education. This reflection has primarily identified six themes: (a) threats to human dignity, (b) concerns about patient safety, (c) apprehensions about privacy disclosure, (d) worries about implicit burdens, (e) concerns about responsibility attribution, and (f) expectations for social support.ConclusionsThis study focuses on health education robots, which are perceived to have minimal ethical risks, and provides rich and detailed insights into the ethical risks associated with robotic health education. Even seemingly safe health education robots elicit significant concerns among professionals regarding their safety and ethics in clinical practice. As we move forward, it is essential to remain attentive to the potential negative impacts of robots and actively address them.
背景
由于健康教育机器人未来可能会成为护理实践中的重要支持力量,因此必须遵循欧盟的“负责任的研究与创新”(RRI)理念,并深入思考智能机器人健康教育过程中潜藏的伦理风险。
目的
本研究探讨专业护理人员对智能机器人健康教育临床实践相关潜在伦理风险的看法。
研究设计
本研究采用描述性现象学方法,运用科莱齐的七步法进行数据分析。
参与者与研究背景
我们对来自中国三级综合医院的17名护理专业人员进行了半结构化访谈。
伦理考量
本研究已获得南京中医药大学第二附属医院、江苏省第二中医院伦理委员会的批准。
研究结果
护理人员秉持RRI原则和“以患者为中心”的护理理念,对机器人健康教育中固有的潜在伦理风险进行了批判性反思。这种反思主要确定了六个主题:(a)对人类尊严的威胁;(b)对患者安全的担忧;(c)对隐私泄露的顾虑;(d)对隐性负担的担心;(e)对责任归属的忧虑;(f)对社会支持的期望。
结论
本研究聚焦于被认为伦理风险极小的健康教育机器人,并对与机器人健康教育相关的伦理风险提供了丰富而详细的见解。即使是看似安全的健康教育机器人,也引发了专业人员对其在临床实践中的安全性和伦理问题的重大担忧。随着我们不断前进,必须持续关注机器人的潜在负面影响并积极应对。