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机器人进入医院病房之旅:期望、探索与新兴的以机器人为中心的护理

's voyage on to a hospital ward: Expectations, explorations and emergent robocentric nursing care.

作者信息

Nettleton Sarah, Brown Nik, Atkin Karl, Dolezal Luna, Metsäketo Sanna, Robins Daniel

机构信息

University of York, UK.

University of Exeter, UK.

出版信息

Health (London). 2025 Jul;29(4):569-588. doi: 10.1177/13634593241303610. Epub 2024 Dec 4.

DOI:10.1177/13634593241303610
PMID:39628366
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12235063/
Abstract

Drawing on ethnographic fieldwork in Finland, we report on the trial of a teleoperated care robot named Välkky introduced onto a fully operational hospital neurological ward. Our data revealed a narrative arc where participants' early expectations of the hospital-based trial altered as the project unfolded. Greeted with techno-excitement and experimental enthusiasm about the place of robotics in reshaping roles within clinical care, Välkky became the focus for collaborative in situ learning, adaptation and redesign amongst the roboticists, designers, nurses, patients, and managers. Välkky acted as an 'attractor' provoking thinking about, and a reimagining of, future arrangements of care. Our empirically informed insights seek to pave the way for real-world nuanced thinking that pushes beyond human/non-human and success/failure binaries. Building on debates in STS and feminist posthumanism, we propose a , which encourages us to 'queer' health care robots, and to understand them as fluid, hybrid, distributed and relational figures, rather than purely as inert, mechanical, non-human objects that might replace humans. Nursing care practices by and with robots will generate new meanings and practices of care that will emerge iteratively, as caring relations, relationships and practices develop within the context of operational ward environments. Robots may or may not be able support care, but they will invariably challenge what care is.

摘要

基于在芬兰的人种志实地调查,我们报告了一款名为瓦尔基(Välkky)的远程操作护理机器人在一家全面运营的医院神经科病房进行的试验情况。我们的数据揭示了一个叙事弧线,随着项目的展开,参与者对基于医院的试验的早期期望发生了变化。瓦尔基带着人们对机器人技术在重塑临床护理角色方面的技术兴奋感和实验热情被引入,它成为了机器人专家、设计师、护士、患者和管理人员之间进行协作式现场学习、调整和重新设计的焦点。瓦尔基起到了一种“吸引物”的作用,引发了人们对未来护理安排的思考和重新想象。我们基于实证的见解旨在为超越人类/非人类以及成功/失败二元对立的现实世界细致入微的思考铺平道路。基于科学技术研究(STS)和女性主义后人类主义的辩论,我们提出了一种观点,鼓励我们对医疗保健机器人进行“酷儿化”理解,并将它们视为流动的、混合的、分布式的和具有关联性的实体,而不是仅仅看作可能取代人类的惰性、机械的非人类物体。由机器人参与并与之合作的护理实践将产生新的护理意义和实践,随着护理关系、人际关系和实践在运营病房环境中不断发展,这些新的意义和实践将迭代出现。机器人可能支持也可能不支持护理工作,但它们必然会挑战护理的本质。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a75/12235063/b502329dc2fe/10.1177_13634593241303610-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a75/12235063/82f94115fb74/10.1177_13634593241303610-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a75/12235063/b502329dc2fe/10.1177_13634593241303610-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a75/12235063/82f94115fb74/10.1177_13634593241303610-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a75/12235063/b502329dc2fe/10.1177_13634593241303610-fig2.jpg

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本文引用的文献

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Robotics in Nursing: Protocol for a Scoping Review.护理中的机器人技术:一项范围综述的方案
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Caring for robots: How care comes to matter in human-machine interfacing.关爱机器人:人机交互中关怀的重要性
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