An Assessment of an Inpatient Robotic Nurse Assistant: A Mixed-Method Study.

IF 3.5 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Yee Wei Lim, Shi Wei Tan, Cherylanne Yan Bing Tan, Dong Hee Michael Lee, Wen Ting Siow, Doreen Gek Noi Heng, Amartya Mukhopadhyay, Joo Cheng Lim, Sunil Sivadas, Ee Lin Kimberly Teo, Lawrence Khek Yu Ho, Jason Phua
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Abstract

The worldwide nursing shortage has led to the exploration of using robotics to support care delivery and reduce nurses' workload. In this observational, mixed-method study, we examined the implementation of a robotic nurse assistant (RNA) in a hospital ward to support vital signs measurements, medication, and item delivery. Human-robot interaction was assessed in four domains: usability, social acceptance, user experience, and its societal impact. Patients in a general medicine ward were recruited to participate in a one-time trial with the RNA and a post-trial 75-question survey. Patients' interactions with the RNA were video recorded for analysis including patients' behaviours, facial emotions, and visual attention. Focus group discussions with nurses elicited their perceptions of working with the RNA, areas for improvement, and scalability. Sixty-seven patients aged 21-79 participated in the trial. Eight in 10 patients reported positive interactions with the RNA. When the RNA did not perform to expectations, only 25% of patients attributed fault to the RNA. Video analysis showed patients at ease interacting with the RNA despite some technical problems. Nurses saw potential for the RNA taking over routine tasks. However, they were sceptical of real time savings and were concerned with the RNA's ability to work well with older patients. Patients and nurses suggested greater interactivity between RNA and patients. Future studies should examine potential timesaving and whether time saved translated to nurses performing higher value clinical tasks. The utility of improved RNA's social capability in a hospital setting should be explored as well.

对住院病人机器人护士助理的评估:一项混合方法研究。
全球范围内的护士短缺问题促使人们开始探索使用机器人技术来支持护理工作并减轻护士的工作量。在这项观察性混合方法研究中,我们考察了机器人护士助理(RNA)在医院病房的应用情况,以支持生命体征测量、药物和物品递送。我们从四个方面对人机互动进行了评估:可用性、社会接受度、用户体验及其社会影响。研究人员招募了普通内科病房的病人参与一次性的 RNA 试用和试用后的 75 个问题的调查。对患者与 RNA 的互动进行了录像分析,包括患者的行为、面部情绪和视觉注意力。与护士进行了焦点小组讨论,了解他们对使用 RNA 的看法、需要改进的地方以及可扩展性。67 名年龄在 21-79 岁之间的患者参加了试验。每 10 位患者中就有 8 位表示与 RNA 进行了积极的互动。当 RNA 的表现未达到预期时,只有 25% 的患者将错误归咎于 RNA。视频分析表明,尽管存在一些技术问题,但患者仍能自如地与 RNA 互动。护士们看到了 RNA 接管常规任务的潜力。不过,她们对是否能节省时间持怀疑态度,并担心 RNA 能否很好地与老年患者配合。病人和护士建议加强 RNA 与病人之间的互动。未来的研究应探讨节省时间的可能性,以及节省的时间是否会转化为护士执行更高价值的临床任务。此外,还应探讨在医院环境中提高 RNA 社交能力的实用性。
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来源期刊
Journal of Medical Systems
Journal of Medical Systems 医学-卫生保健
CiteScore
11.60
自引率
1.90%
发文量
83
审稿时长
4.8 months
期刊介绍: Journal of Medical Systems provides a forum for the presentation and discussion of the increasingly extensive applications of new systems techniques and methods in hospital clinic and physician''s office administration; pathology radiology and pharmaceutical delivery systems; medical records storage and retrieval; and ancillary patient-support systems. The journal publishes informative articles essays and studies across the entire scale of medical systems from large hospital programs to novel small-scale medical services. Education is an integral part of this amalgamation of sciences and selected articles are published in this area. Since existing medical systems are constantly being modified to fit particular circumstances and to solve specific problems the journal includes a special section devoted to status reports on current installations.
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