Impacts of robot implementation on care personnel and clients in elderly-care institutions

Impacts of robot implementation on care personnel and clients in elderly-care institutions
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DOI:
10.1016/j.ijmedinf.2019.104041
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发表时间:
2020-02-01
影响因子:
4.9
通讯作者:
Kyrki, Ville
Kyrki, Ville
中科院分区:
医学2区
文献类型:
--
作者:
Melkas, Helina;Hennala, Lea;Kyrki, Ville

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背景:包括机器人在内的数字技术越来越多地用于老年人护理。它们对用户的影响对成功地将技术创新纳入护理产生了影响。本研究的目的是确定护理机器人实施对老年人护理服务stakeholders.Methods的影响:护理机器人实施对用户的影响-护理人员和老年客户-确定从为期10周的实地研究期间收集的数据的护理机器人“佐拉”在芬兰的市政老年人护理服务的实施过程。数据是从半参与式观察(27届会议)的机器人从事康复工作,在两个护理院和老年康复医院,和焦点小组访谈进行了40护理工作者和clients.Results:机器人在老年人护理中的使用与多种类型的影响,积极的,消极的,和中性的尺寸。这些包括对客户的互动和活动的影响,以及对工作氛围,工作内容的意义和护理人员的专业发展的影响。对人员的影响有关的方向,时间使用的问题,以及对新奇和更新的护理服务的整体态度的需要。机器人的出现刺激了客户进行锻炼和互动。护理工作者认为客户的幸福都是学习如何使用机器人的动机,以及一个理由为negative views.Conclusions:护理机器人像佐拉有潜力的多方面的康复功能,并可以成为护理服务的一部分,仔细的系统规划,特别注重方向。许多已确定的影响与机器人如何适应服务流程有关。区分不同影响的积极、消极或中性维度很重要。
Background: Digital technologies, including robots, are being increasingly used in elderly care. Their impact on users carries implications for successfully integrating technological innovations into care. This study aims to identify the impacts of care-robot implementation on elderly-care service stakeholders.Methods: Impacts of care-robot implementation on users - care personnel and elderly clients - are identified from the data collected during a 10-week field study of the implementation process of the care robot 'Zora' in municipal elderly care services in Finland. The data were obtained from semi-participatory observation (27 sessions) of the robot engaging in rehabilitation efforts in two care homes and a geriatric rehabilitation hospital, and focus-group interviews conducted with 40 care workers and clients.Results: Robot use in elderly care is associated with multiple types of impacts with positive, negative, and neutral dimensions. These include impacts on interaction and activity for clients, and impacts on the work atmosphere, meaningfulness of work content, and professional development for care personnel. Impacts on personnel were related to the need for orientation, problems of time usage, and overall attitudes toward novelty and renewing of care service. The robot's presence stimulated the clients into exercising and interacting. The care workers perceived the clients' well-being both as a motivation to learn how to use robots as well as a justification for negative views.Conclusions: Care-robots like Zora have the potential for multi-faceted rehabilitative functions and can become part of care service with careful systemic planning with a specific focus on orientation. Many of the identified impacts were related to how the robot fits into the service processes. Distinguishing between positive, negative, or neutral dimensions of different impacts is important.