Implementation of robotic devices in nursing care. Barriers and facilitators: an integrative review.
Implementation of robotic devices in nursing care. Barriers and facilitators: an integrative review.
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DOI：
10.1136/bmjopen-2020-038650
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发表时间：
2020-09-21
期刊：
影响因子：
2.9
通讯作者：
Mueller M
中科院分区：
文献类型：
--
作者：
Servaty R;Kersten A;Brukamp K;Möhler R;Mueller M
医疗保健中的机器人越来越受到关注;然而，由于干预本身和实施环境的复杂性，它们的实施具有挑战性。这一综合性审查的目的是确定的障碍和便利的机器人系统在护理中的实施。在Medline（通过PubMed），CINAHL和资助研究项目的数据库（社区研究和开发信息服务和技术信息库）以及2017年11月和2019年7月的机器人研究期刊中检索了2002年至2019年发表的报告在护理中实施机器人设备的项目的文章。对研究设计没有任何限制。所有纳入的文章都使用设计特定的关键评价工具进行了质量评估。使用复杂干预措施框架的背景和实施对实施的障碍和促进因素进行了分类。在删除所有重复研究后，检索发现了11204项研究，其中17项符合纳入标准并被纳入综合研究。大多数研究涉及旨在支持个人的机器人的实施，无论是住在家里还是养老院（n=11）。这些研究在欧洲、美国和新西兰进行，在疗养院、个人生活环境、医院单位和实验室进行。大多数研究的报告质量和证据质量都很低。报告最多的障碍是在社会经济和道德领域，并在执行成果领域。报告最多的促进因素与社会文化背景、执行进程和执行战略有关。这篇综述确定了在不同维度内实施机器人设备的障碍和促进因素。评估结果可作为制定适当执行战略的基础，以减少潜在障碍，促进整合各种要素，以便利执行工作。CRD 42018073486。
Robots in healthcare are gaining increasing attention; however, their implementation is challenging due to the complexity of both interventions themselves and the contexts in which they are implemented. The objective of this integrative review is to identify barriers to and facilitators of the implementation of robotic systems in nursing. Articles published from 2002 to 2019 reporting on projects to implement robotic devices in nursing care were searched on Medline (via PubMed), CINAHL and databases on funded research projects (Community Research and Development Information Services and Technische Informationsbibliothek) and in journals for robotic research in November 2017 and July 2019 for an update. No restrictions regarding study designs were imposed. All included articles underwent quality assessments with design-specific critical appraisal tools. Barriers to and facilitators of implementation were classified using the Context and Implementation of Complex Interventions framework. After removing all duplicates, the search revealed 11 204 studies, of which 17 met the inclusion criteria and were included in the synthesis. The majority of the studies dealt with the implementation of robots designed to support individuals, either living at home or in nursing homes (n=11). The studies were conducted in Europe, the USA and New Zealand and were carried out in nursing homes, individual living environments, hospital units and laboratories. The quality of reporting and quality of evidence were low in most studies. The most frequently reported barriers were in socioeconomic and ethical domains and were within the implementation outcomes domain. The most frequently reported facilitators were related to the sociocultural context, implementation process and implementation strategies. This review identified barriers to and facilitators of the implementation of robotic devices in nursing within different dimensions. The results serve as a basis for the development of suitable implementation strategies to reduce potential barriers and promote the integration of elements to facilitate implementation. CRD42018073486.
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DOI：
10.1080/10447318.2013.873278
发表时间：
2014-05-04
影响因子：
4.7
作者：
Kachouie, Reza;Sedighadeli, Sima;Chu, Mei-Tai
通讯作者：
Chu, Mei-Tai
影响因子：
2.7
作者：
Kirschling, Thomas E.;Rough, Steve S.;Ludwig, Brad C.
通讯作者：
Ludwig, Brad C.
影响因子：
4.7
作者：
Broadbent, E.;Stafford, R.;MacDonald, B.
通讯作者：
MacDonald, B.
制定和评估复杂的干预措施：新的医学研究委员会指南。
DOI：
10.1136/bmj.a1655
发表时间：
2008-09-29
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Craig P;Dieppe P;Macintyre S;Michie S;Nazareth I;Petticrew M;Medical Research Council Guidance
通讯作者：
Medical Research Council Guidance
影响因子：
2.8
作者：
Huisman, Chantal;Kort, Helianthe
通讯作者：
Kort, Helianthe