Adeyemo Aminat, Coffey Alice, Kingston Liz
School of Nursing and Midwifery, Health Research Institute, Faculty of Education and Health Sciences, University of Limerick, Limerick, Ireland.
School of Nursing and Midwifery, Centre for Implementation Research, Health Research Institute, Faculty of Education and Health Sciences, University of Limerick, Limerick, Ireland.
BMC Nurs. 2025 Mar 4;24(1):247. doi: 10.1186/s12912-025-02842-2.
The provision of nursing care across the globe is confronted with a range of challenges, including the surge in the older persons population which amplifies the reliance on nursing services and exacerbates the shortage of nurses worldwide. A possible solution could be the broader implementation of robotics in nursing practice. Therefore, this umbrella review aimed to assess and synthesise systematically reviewed evidence on the utilisation of robots in nursing practice.
An extensive search of nine relevant databases was conducted for research syntheses. We included reviews that reported the experiences of nurses, perceived benefits and challenges of using robots in nursing practice in all care settings and published between the years 2012 and 2022. A supplementary search was conducted in October 2024 using the same criteria. Quality appraisal, data extraction and syntheses were carried out according to Joanna Brigg's Institute's guidelines for undertaking umbrella reviews. The protocol of this umbrella review was registered on PROSPERO prior to the commencement of the review (Registration ID CRD42022361835).
Thirteen reviews (representing 558 studies) were included following the quality appraisal. The evidence was summarised in narrative form with supporting quotes from the reviews. The findings were grouped into categories, which were further categorised into three main synthesised findings: 'Documented experiences of nurses in using robots', 'perceived benefits of using robots' and 'perceived challenges of using robots'. To the best of our knowledge, this is the first umbrella review that synthesised evidence on the experiences and perceptions of nurses regarding the use of robots. This umbrella review has limitations as it is not the primary source of evidence, relying on the quality of the included reviews and studies.
Evidence shows that there is a perception that robots can support nurses in their work. However, there is not enough experiential evidence from nurses who work with robots in practice to support this. There are also perceived challenges that are of concern to nurses, particularly in relation to liability, ethical dilemmas and patient safety. The authors have no competing interests to declare in the conduct of this review.
全球护理服务面临一系列挑战，包括老年人口激增，这增加了对护理服务的依赖，加剧了全球护士短缺的问题。一个可能的解决方案是在护理实践中更广泛地应用机器人技术。因此，本综合性综述旨在评估并系统综合关于机器人在护理实践中应用的已系统评价证据。
对九个相关数据库进行广泛检索以获取研究综述。我们纳入了2012年至2022年间发表的、报告了护士在所有护理环境中使用机器人的经验、感知到的益处和挑战的综述。2024年10月使用相同标准进行了补充检索。根据乔安娜·布里格斯研究所进行综合性综述的指南进行质量评估、数据提取和综合分析。本综合性综述的方案在综述开始前已在PROSPERO上注册（注册号CRD42022361835）。
经过质量评估后纳入了13篇综述（代表558项研究）。证据以叙述形式总结，并引用了综述中的支持性语句。研究结果分为几类，进一步归纳为三个主要综合结果：“护士使用机器人的记录经验”、“使用机器人的感知益处”和“使用机器人的感知挑战”。据我们所知，这是第一篇综合关于护士使用机器人的经验和看法的证据的综合性综述。本综合性综述有局限性，因为它不是证据的主要来源，依赖于所纳入综述和研究的质量。
证据表明，人们认为机器人可以在工作中支持护士。然而，在实际工作中与机器人合作的护士提供的经验证据不足，无法支持这一点。护士们也意识到一些令人担忧的挑战，特别是在责任、伦理困境和患者安全方面。作者在进行本综述时没有利益冲突需要声明。
