关键词: Dementia Formal caregivers Implementation science Institutional care Patients Residents Technology

来  源:   DOI:10.1186/s12912-024-01983-0   PDF(Pubmed)

Abstract:
Although there is a growing literature on the use of telepresence robots in institutional dementia care settings, limited research focused on the perspectives of frontline staff members who deliver dementia care. Our objective was to understand staff perspectives on using telepresence robots to support residents with dementia and their families. Guided by the Consolidated Framework for Implementation Research, we conducted four focus groups and 11 semi-structured interviews across four long-term care (LTC) homes and one hospital in Canada. We included 22 interdisciplinary staff members (e.g., registered nurses, social workers, occupational therapists, recreational therapists) to understand their experiences with telepresence robots. Thematic analysis identified three key themes: 1) Staff Training and Support; 2) Robot Features; 3) Environmental dynamics for Implementation. Our results underscore the imperative of structural support at micro-, meso- and macro-levels for staff in dementia care settings to effectively implement technology. This study contributes to future research and practice by elucidating factors facilitating staff involvement in technology research, integrating staff voices into technology implementation planning, and devising strategies to provide structural support to staff, care teams, and care homes.
摘要:
尽管越来越多的文献关于在机构痴呆症护理环境中使用远程临场机器人,有限的研究集中在提供痴呆症护理的一线工作人员的观点上。我们的目标是了解员工对使用远程呈现机器人支持痴呆症患者及其家人的看法。在《实施研究综合框架》的指导下,我们在加拿大的四家长期护理(LTC)家庭和一家医院进行了4个焦点小组和11个半结构化访谈.我们包括22名跨学科工作人员(例如,注册护士,社会工作者,职业治疗师,娱乐治疗师),以了解他们对远程呈现机器人的体验。主题分析确定了三个关键主题:1)人员培训和支持;2)机器人功能;3)实施的环境动态。我们的结果强调了微观结构支持的必要性,为痴呆症护理环境中的工作人员提供中观和宏观层面,以有效实施技术。本研究通过阐明促进员工参与技术研究的因素,为未来的研究和实践做出了贡献。将员工的声音纳入技术实施计划,并制定战略为员工提供结构性支持,护理团队,和护理之家。
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