使用智能家居技术的远程护理:平衡独生子女家庭决策中的道德优先事项。

IF 3 1区 哲学 Q1 ETHICS
Yi Jiao Angelina Tian, Michael Dunn, Silke Schicktanz, Julian Savulescu, Tenzin Wangmo
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引用次数: 0

摘要

背景:人口老龄化和国际移民的平行增长已经引入了一个独特的人口跨国照顾老人。特别是对于独生子女来说,他们面临着相互冲突的义务和减少的照顾资源,智能家居设备可以成为远程照顾年迈父母的技术工具。对这些技术使用的研究发现了隐私、自主、耻辱和慈善等伦理问题,但在远程医疗中尚未得到充分探讨。在本文中,我们探讨了一群独生子女在他们的跨国护理计划中整合辅助、监测和机器人技术时所表达的伦理问题。方法:采用有目的的滚雪球抽样方法,招募26名年龄在28 ~ 45岁之间的异地照顾者,均为父母的独生子女。他们在欧洲居住了至少5年,父母中至少有一方居住在母国。在半结构化访谈中,与会者讨论了可穿戴设备、环境和视觉远程监控技术的伦理问题,以及在远程照顾老年父母的背景下使用辅助机器人的可能性。我们采用应用主题分析方法对数据进行分析。结果:我们强调了两个伦理考虑。首先,与会者认为有必要在照顾年迈的父母和履行他们的责任以确保他们的健康和安全方面取得最大的良好成果,同时尊重父母的自主权、尊严和隐私。其次,他们权衡了远距离提供陪伴和支持的技术的利与弊,以及从独生子女那里得到照顾的内在价值。结论:讨论涉及远程老年人护理技术,促使复杂的决策过程,以平衡,权衡和合理化他们的伦理问题,由照顾者预见。最大限度地提高老年父母的健康和安全的重要性是以尊重自主权、隐私和尊严为代价的,这是不可避免的。参与者重视自己与父母的情感联系和关系,这比技术支持的工具价值更重要。我们进一步讨论了我们在护理伦理理论和跨国护理文献中的概念中的发现,以理解本实证研究的更广泛的伦理含义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Distance caregiving using smart home technologies: balancing ethical priorities in family decision-making by only children.

Background: The parallel growth of population ageing and international migration have introduced a unique population of transnational caregivers in elder care. Particularly for only children who face conflicting obligations and reduced caregiving resources, smart home devices could be technical tools to care for older parents from a distance. Research towards the use of these technologies has unearthed ethical issues such as privacy, autonomy, stigma and beneficence, but has not been fully explored in distance care. In this paper, we explore the ethical issues expressed by a group of only children towards integrating assistive, monitoring, and robotic technologies in their transnational care plans.

Methods: Purposive snowball sampling was used for the recruitment of 26 distance caregivers aged between 28 and 45, who were their parent's only children. They lived in Europe for at least 5 years, with at least one parent residing in the home country. In semi-structured interviews, participants discussed the ethical issues of wearable devices, ambient and visual remote monitoring technologies, as well as the possible use of one assistive robot in the context of distance caregiving for older parents. We used the applied thematic analysis methodology to analyze the data.

Results: We highlight two ethical considerations. First, participants saw the need for maximizing good outcomes in caring for their older parents and fulfilling their responsibilities to ensure their health and safety, balanced against the respect for the parents' autonomy, dignity, and privacy. Second, they weighed the benefits and harms of technologies at a distance to provide companionship and support against the intrinsic value placed on care received from one's only child.

Conclusions: Discussions to involve technologies in elder care at a distance prompted complex decision-making processes to balance, weigh, and rationalize their ethical concerns as foreseen by the caregivers. The importance of maximizing the health and safety of older parents came at an unavoidable cost of the respect to autonomy, privacy, and dignity. Participants valued their own emotional connection and relationship to their parents, which they prioritized above the instrumental value of technological support. We further discuss our findings within the ethics of care theory and concepts within transnational care literature to make sense of the broader ethical implications of this empirical study.

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来源期刊
BMC Medical Ethics
BMC Medical Ethics MEDICAL ETHICS-
CiteScore
5.20
自引率
7.40%
发文量
108
审稿时长
>12 weeks
期刊介绍: BMC Medical Ethics is an open access journal publishing original peer-reviewed research articles in relation to the ethical aspects of biomedical research and clinical practice, including professional choices and conduct, medical technologies, healthcare systems and health policies.
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