叙事回顾:老年护理技术

S. Frennert, B. Östlund
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引用次数: 19

摘要

背景:福利技术是一个概念,它似乎是如何满足日益增长的老年人口对护理需求的答案之一。尽管技术在老年护理中已经使用了几十年,但它仍然存在问题,并且缺乏对其实际有效性的了解。该综述旨在总结和批判性地评估老年护理技术使用的重要方面。方法:采用叙述性回顾法对文献进行分析。通过运用叙事视角回顾老年护理技术的文献,对老年护理技术实施的背景因素和主要成功因素有了广泛的了解。结果:该综述产生了71篇与老年护理技术相关的出版物。确定了七个主题:(1)老年护理技术课程;(2) 技术;(3) 评价模型;(4) 关键成功因素;(5) 感知——护理人员;(6) 感知——老年用户;以及(7)争议和困境讨论和启示:审查结果表明,老年护理技术得到了推广,可以实现更无缝、高效、以患者为中心和安全的护理,但技术可能会使老年护理更加分散、耗时、以技术为中心和风险更大。老年护理技术只有在组织文化、基础设施和管理实践允许的情况下才是成功和合适的。
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Narrative Review: Technologies in Eldercare
Background: Welfare technology is a concept that appears as one of the answers to how to meet the need for care in growing older populations. Although technology has been used for decades in eldercare, it is under-problematized and there is a lack of knowledge about how effective it really is.   Objectives: This paper reviews the usage of technologies in eldercare and describes determinants of successful implementation of technologies in eldercare. The review aims to summarize and critically evaluate important aspects of technology usage in eldercare.   Method: A narrative review method was selected for analysis of the literature. Through applying a narrative perspective to review the literature on technologies in eldercare, a broad understanding is gained of the contextual factors and main key success factors of implementing technologies in eldercare.   Result: The review yield 71 publications related to technologies in eldercare. Seven themes were identified: (1) curriculum of technologies in eldercare; (2) on technologies; (3) evaluation models; (4) key success factors; (5) perception – care personnel; (6) perception – older users; and (7) controversies and dilemmas   Discussion and Implications: The result of the review shows that technologies in eldercare are promoted to enable more seamless, efficient, patient-centered and safe care, however technologies might be contributing to making eldercare more fragmented, time-consuming, technology-centered and risky. Technologies in eldercare are only as successful and suitable as organizational culture, infrastructure and management practice allow them to be.
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