关键词: barriers digital technology facilitators implementation science intellectual disability long‐term care

Mesh : Humans Intellectual Disability / rehabilitation Cross-Sectional Studies Adult Male Female Middle Aged Attitude of Health Personnel Health Personnel Netherlands Long-Term Care

来  源:   DOI:10.1111/jar.13262

Abstract:
BACKGROUND: Implementation issues often hinder reaching the potential of care technology to improve daily lives of people with intellectual disabilities. We investigated barriers to and facilitators of implementing different technology modalities (app/social robot/sensor/domotics) in long-term care.
METHODS: Care professionals (N = 83) from 12 Dutch disability care organisations completed a customised measurement instrument for determinants of innovations (MIDI) questionnaire.
RESULTS: Out of 27 determinants, 20 were identified as facilitators and 16 as barriers. We highlight common barriers: few colleagues who work with the technology; no (awareness of) formal ratification of technology use; no arrangements regarding turnover of staff using the technology; unsettling organisational changes; technological defects and limited IT preconditions.
CONCLUSIONS: The results, which could be combined and compared across study sites, provide insight into which implementation determinants were already well addressed, and where there is ground to gain when implementing care technology in disability care organisations.
摘要:
背景:实施问题通常会阻碍实现护理技术改善智障人士日常生活的潜力。我们调查了在长期护理中实施不同技术模式(应用程序/社交机器人/传感器/domotics)的障碍和促进者。
方法:来自12个荷兰残疾护理组织的护理专业人员(N=83)完成了针对创新决定因素的定制测量工具(MIDI)问卷。
结果:在27个决定因素中,20人被确定为促进者,16人被确定为障碍。我们强调了常见的障碍:很少有使用该技术的同事;没有(意识到)正式批准技术使用;没有关于使用该技术的员工流失的安排;令人不安的组织变革;技术缺陷和有限的IT先决条件。
结论:结果,可以在研究地点进行组合和比较,深入了解哪些实施决定因素已经得到很好的解决,以及在残疾护理组织中实施护理技术时取得的进展。
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