Comparison of stakeholder's perceptions of mandatory CCTV installation in long-term care facilities: A descriptive study

Purpose: This study aimed to investigate the status of closed-circuit television (CCTV) installation and operation in long-term care facilities and to compare the differences in stakeholders' perceptions of CCTV mandatory installation.Methods: The participants included 743 heads of facilities, 802 care workers, and 864 family caregivers. The questionnaire included CCTV installation and operation status and perceptions on CCTV installation in long-term care facilities. For the data analysis, descriptive statistics and chi-squared tests were performed through SAS Enterprise Guide 7.1.Results: For the mandatory installation of CCTV in long-term care facilities, 96.5% of family caregivers, 83.2% of care workers, and 65.0% of heads of facilities agreed (x2=273.71, p<.001). There was no difference in opinion among the stakeholders that a living room and program room should have CCTV installed. All stakeholders agreed that the items to punish CCTV information leakage should be included in the guidelines for installation and operation of CCTV in long-term care facilities. In addition, more than 90% agreed on the preparation of confidentiality obligation for viewing CCTV in all groups. However, there were differences in opinions among stakeholders on composing the guidelines in accordance with the Child Care Act and restricting CCTV installation to the outside of bedrooms.Conclusion: This study confirms that there was a difference in stakeholders’ perceptions of mandatory CCTV installation in long-term care facilities. To increase the effectiveness of mandatory CCTV installation in long-term care facilities, it is necessary to strengthen education on human rights and safety for older adults and improve care workers’ working environment.