Perspectives of Healthcare Providers to Inform the Design of an AI-Enhanced Social Robot in the Pediatric Emergency Department.

Perspectives of Healthcare Providers to Inform the Design of an AI-Enhanced Social Robot in the Pediatric Emergency Department.
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DOI:
10.3390/children10091511
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发表时间:
2023-09-06
期刊:
Children (Basel, Switzerland)
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其他
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儿童在医疗机构中通常会经历与血液检查和静脉注射 (IVI) 等医疗程序相关的疼痛和困扰。疼痛和困扰处理不当可能会导致短期和长期的负面后果。使用社交辅助机器人 (SAR) 来减少儿童医疗机构中与手术相关的痛苦和疼痛已显示出希望;然而,当前的选择缺乏自主适应性。本研究对加拿大两个儿科急诊科 (ED) 的医疗保健提供者 (HCP) 进行了描述性定性需求评估,为设计人工智能 (AI) 增强型社交机器人提供信息,该机器人将用作 ED 中的分散注意力工具,以促进 IVI。对 11 名 HCP 进行了半结构化虚拟个人访谈和焦点小组访谈。确定了四个主题:(1) IVI 期间的常见挑战(即儿童痛苦和资源限制),(2) IVI 期间疼痛和痛苦管理的可用工具(即药物和非药物),(3) 对 SAR 外观和功能的反应(即个性化情感支持、基于儿童偏好的适应性分心和积极强化),以及 (4) 急诊室中 SAR 的预期益处和挑战(即确保发育良好)适当的互动和空间限制)。医护人员认为人工智能增强型社交机器人是急诊科 IVI 期间分散注意力的一种很有前途的工具。
Children commonly experience pain and distress in healthcare settings related to medical procedures such as blood tests and intravenous insertions (IVIs). Inadequately addressed pain and distress can result in both short- and long-term negative consequences. The use of socially assistive robotics (SARs) to reduce procedure-related distress and pain in children’s healthcare settings has shown promise; however, the current options lack autonomous adaptability. This study presents a descriptive qualitative needs assessment of healthcare providers (HCPs) in two Canadian pediatric emergency departments (ED) to inform the design an artificial intelligence (AI)-enhanced social robot to be used as a distraction tool in the ED to facilitate IVIs. Semi-structured virtual individual and focus group interviews were conducted with eleven HCPs. Four main themes were identified: (1) common challenges during IVIs (i.e., child distress and resource limitations), (2) available tools for pain and distress management during IVIs (i.e., pharmacological and non-pharmacological), (3) response to SAR appearance and functionality (i.e., personalized emotional support, adaptive distraction based on child’s preferences, and positive reinforcement), and (4) anticipated benefits and challenges of SAR in the ED (i.e., ensuring developmentally appropriate interactions and space limitations). HCPs perceive AI-enhanced social robots as a promising tool for distraction during IVIs in the ED.
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