Användning av robot vid äldre personers ­läkemedelshantering – intervjustudie med sjuksköterskor inom hemsjukvård i Sverige

Författare

  • Dijana Hasanacevic Vård- och rehabteamet, Åtvidabergs kommun
  • Linda Johansson Institutet för gerontologi, Hälsohögskolan, Jönköping university

DOI:

https://doi.org/10.52585/icvs.v3i1.13

Abstract

Syftet med denna studie var att beskriva sjuksköterskors erfarenheter av att använda robotar vid läkemedelshantering bland äldre personer. Tolv sjuk­sköterskor intervjuades via telefon med hjälp av en fråge­guide. Insamlade data analyserades sedan genom en ­induktiv kvalitativ innehållsanalys.

Studien identifierade tre övergripande kategorier. Skapar självständighet handlar om hur roboten bidrar till äldre personers oberoende samt ökade ansvar, engagemang och trygghet i samband med läkemedelshantering. Ökad patientsäkerhet syftar på att rätt patient får rätt läke­medel i rätt tid, vilket bidrar till färre läkemedelsavvikelser. Resurssparande tydliggör såväl miljöbesparingar, som att mindre tid och personalresurser behöver läggas på läkemedelsadministrering.

Att använda läkemedelsrobot kan således generera vinster på både individ-, grupp- och organisatorisk nivå, men det är viktigt att införande och användande anpassas till varje enskild individ.

 

Robot use in older people’s medication ­management – an interview study with community nurses ­in Sweden

The aim of this study was to describe nurses’ experiences of using robots in medication management among older persons. Twelve nurses were interviewed by telephone, using an interview ­guide. Collected data were analysed using an inductive qualitative content analysis.

Three main categories were identified; Creating independence regards how the medicine dispensing robot contributes to the independence and autonomy of older people as well as increased responsibility, engagement, and feelings of security. Increased patient safety means that the right patient gets the right medicine at the right time, contributing to fewer adverse drug events. Saving resources highlights savings, both regarding the environment and human resources, as staff spend less time administering medication.

The use of medicine dispensing robots can generate profits on individual, group, and organizational levels. However, it is important that implementation and use are individually adjusted.

Referenser

Ahmad A, Chiu V, Arain MA. Users’ perceptions of an in-home electronic medication dispensing system: A qualitative study. Medical devices: Evidence and research. 2020;13:31-9. https://doi.org/10.2147/mder.s241062

Bainbridge L. Ironies of automation. Automatica. 1983;19(6):775-9. https://doi.org/10.1016/0005-1098(83)90046-8

Bardage C, Ekedahl A, Ring L. Health care professionals’ perspectives on automated multi­dose drug dispensing. Pharmacy practice. 2014;12(4):e470 [8 s]. https://doi.org/10.4321/s1886-36552014000400005

Brown J, Pope N, Maria A, Mason J, Morgan A. Issues affecting nurses’ capability to use digital technology at work: An integrative review. Journal of clinical nursing, 2020;29(15-16):2801-19. https://doi.org/10.1111/jocn.15321

Cabrita M, op den Akker H, Tabak M, Hermens HJ, Vollenbroek-Hutten MMR. Persuasive technology to support active and healthy ageing: An exploration of past, present, and future. Journal of biomedical informatics. 2018;84:17-30. https://doi.org/10.1016/j.jbi.2018.06.010

Cadogan CA, Ryan C, Hughes CM. Appropriate poly­pharmacy and medicine safety: When many is not too many. Drug safety. 2015;39(2):109-16. https://doi.org/10.1007/s40264-015-0378-5

Fiorini L, Esposito R, Bonaccorsi M, Petrazzuolo C, Saponara F, Giannantonio R m fl. Enabling personalised medical support for chronic disease management through a hybrid robot-cloud approach. Autonomous robots. 2016;41(5):1263-76. https://doi.org/10.1007/s10514-016-9586-9

Framtidens teknik i omsorgens tjänst (SOU 2020:14) [internet]. Fritze [citerad 2023-02-16]. Hämtad från: https://www.regeringen.se/contentassets/576aa4588db340b0ad052537ae90511d/framtidens-teknik-i-omsorgens-tjanst-sou-2020_14.pdf

Frennert S. Hitting a moving target: digital transformation and welfare technology in Swedish municipal eldercare. Disability and rehabilitation: Assistive technology. 2021;16(1):103-11. https://doi.org/10.1080/17483107.2019.1642393

Glomsås HS, Knutsen IR, Fossum M, Halvorsen K. ”They just came with the medication dispenser” – a qualitative study of elderly service users’ involvement and welfare technology in public home care services. BMC Health services research. 2021;21:e245 [11 s]. https://doi.org/10.1186/s12913-021-06243-4

Hasanacevic D. Sjuksköterskors uppfattningar kring användning av robotar vid läkemedelsbehandling bland äldre: En kvalitativ intervjustudie [magisteruppsats]. Jönköping university; 2022. http://hj.diva-portal.org/smash/record.jsf?pid=diva2%3A1656421

Hofmann B. Ethical challenges with welfare technology: a review of the literature. Science and engineering ethics. 2013;19(2):389-406. https://doi.org/10.1007/s11948-011-9348-1

Holmqvist M, Thor J, Ros A, Johansson L. Older persons’ experiences regarding evaluation of their medication treatment – An interview study in Sweden. Health expectations. 2019;22(6):1294-303. https://doi.org/10.1111/hex.12967

Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qualitative health research. 2005;15(9):1277-88. https://doi.org/10.1177/1049732305276687

Kangasniemi M, Karki S, Colley N, Voutilainen A. The use of robots and other automated devices in ­nurses’ work: An integrative review. International journal of nursing practice. 2019;25:e12739 [14 s]. https://doi.org/10.1111/ijn.12739

Kleiven HH, Ljunggren B, Solbjør M. Health professionals’ experiences with the implementation of a digital medication dispenser in home care services – a qualitative study. BMC Health services research. 2020;20:e320 [10 s]. https://doi.org/10.1186/s12913-020-05191-9

Kuoppamäki S. The application and deployment of welfare technology in Swedish municipal care: a qualitative study of procurement practices among municipal actors. BMC Health services research. 2021;21:e918 [12 s]. https://doi.org/10.1186/s12913-021-06944-w

Kvale S, Brinkmann S. Den kvalitativa forskningsintervjun. 3 uppl. Studentlitteratur; 2014.

Lag om etikprövning av forskning som avser människor (SFS 2003:460) [internet]. Utbildningsdepartementet [citerad 2023-02-16]. Hämtad från: https://www.riksdagen.se/sv/dokument-lagar/dokument/svensk-forfattningssamling/lag-2003460-om-etikprovning-av-forskning-som_sfs-2003-460

LeBlanc RG, Jacelon CS. Self-care among older people living with chronic conditions. International journal of older people nursing. 2018;13(3):e12191 [9 s]. https://doi.org/10.1111/opn.12191

Mahoney DF. An evidence-based adoption of technology model for remote monitoring of elders’ daily activities. Ageing international. 2011;36: 66-81. https://doi.org/10.1007/s12126-010-9073-0

Mertz L, Tornbjerg K, Nøhr C. User perception of automated dose dispensed medicine in home care: A scoping review. Healthcare. 2021;9(10):e1381 [11 s]. https://doi.org/10.3390/healthcare9101381

Mira JJ, Navarro I, Botella F, Borrás F, Nuño-Solinís R, Orozco D m fl (2014). A Spanish pillbox app for elderly patients taking multiple medications: Randomized controlled trial. Journal of medical internet rese­arch. 2014;16(4):e99 [14 s]. https://doi.org/10.2196/jmir.3269

Nakrem S, Solbjør M, Pettersen IN, Kleiven HH. Care relationships at stake? Home healthcare professionals’ experiences with digital medicine dispensers – a qualitative study. BMC Health services research. 2018;18:e26 [10 s]. https://doi.org/10.1186/s12913-018-2835-1

Novick G. Is there a bias against telephone interviews in qualitative research? Research in nursing and health. 2008;31(4):391-8. https://doi.org/10.1002/nur.20259

Pérez-Jover V, Mira J, Carratala-Munuera C, Gil-Guillen V, Basora J, López-Pineda A m fl. Inappropriate use of medication by elderly, polymedicated, or multipa­thological patients with chronic diseases. International journal of environmental research and public health. 2018;15:e310 [14 s]. https://doi.org/10.3390/ijerph15020310

Rantanen T, Lehto P, Vuorinen P, Coco K. Attitudes towards care robots among Finnish home care personnel – a comparison of two approaches. Scandinavian journal of caring sciences. 2017;32(2):772–82. https://doi.org/10.1111/scs.12508

Polit DF, Beck CT. Nursing research. Generating and assessing evidence for nursing practice. 11 uppl. Wolters Kluwer; 2021.

Riegel B, Jaarsma T, Strömberg A. A middle-range theory of self-care of chronic illness. Advances in nursing science. 2012;35(3):194-204. https://doi.org/10.1097/ans.0b013e318261b1ba

Saarijärvi M, Bratt E-L. When face-to-face interviews are not possible: tips and tricks for video, telephone, online chat, and email interviews in qualitative research. European journal of cardiovascular nursing. 2021;20(4):392-6. https://doi.org/10.1093/eurjcn/zvab038

Saborowski M, Kollak I. ”How do you care for technology?”– Care professionals’ experiences with assistive technology in care of the elderly. Technological forecasting and social change. 2015;93:133-140. https://doi.org/10.1016/j.techfore.2014.05.006

Shu S, Woo BK. Use of technology and social media in dementia care: Current and future directions. World journal of psychiatry. 2021;11(4):109-23. https://doi.org/10.5498/wjp.v11.i4.109

Sino C, van Dooren A, Haverkamp A, Schuurmans M. Recognition of drug related problems by home healthcare employees: A Dutch observational study with self-reports. Medication management in homecare patients. 2013;3(8):41-9. https://doi.org/10.5430/jnep.v3n8p41

Socialdepartementet och SKR. Överenskommelse mellan staten och Sveriges kommuner och regioner om äldreomsorg – teknik, kvalitet och effektivitet med den äldre i fokus [internet]. Socialdepartementet och SKR; 2021 [citerad 2023-02-16]. Hämtad från: https://skr.se/download/18.3c9f9e1e17db3f33e525f2b3/1640264883641/Overenskommelse%20_aldreomsorg_teknik_kvalitet_effektivetet_2022.pdf

Socialstyrelsen. Välfärdsteknik inom socialtjänsten och hälso-och sjukvården [internet]. Socialstyrelsen. Meddelandeblad 2019;3 [citerad 2023-02-16]. Hämtad från: https://www.socialstyrelsen.se/globalassets/sharepoint-dokument/artikelkatalog/meddelandeblad/2019-5-16.pdf

Socialstyrelsen. E-hälsa och välfärdsteknik i kommunerna 2022. Uppföljning av den digitala utvecklingen i socialtjänsten och den kommunala hälso- och sjukvården [internet]. Socialstyrelsen; 2022 [citerad 2023-02-16]. Hämtad från: https://www.socialstyrelsen.se/globalassets/sharepoint-dokument/artikelkatalog/ovrigt/2022-5-7897.pdf

Socialstyrelsen. Vård och omsorg för äldre. Lägesrapport 2022 [internet]. Socialstyrelsen; 2022 [citerad 2023-02-16]. Hämtad från: https://www.socialstyrelsen.se/globalassets/sharepoint-dokument/artikelkatalog/ovrigt/2022-3-7791.pdf

Socialstyrelsens termbank [internet]. Socialstyrelsen [citerad 2023-02-16]. Hämtad från: https://termbank.socialstyrelsen.se

Sveriges kommuner och regioner. Omställning till nära vård [internet]. Sveriges kommuner och regioner; 2022 [uppdaterad 2022-08-15; citerad 2023-02-16]. Hämtad från: https://skr.se/skr/halsasjukvard/utvecklingavverksamhet/naravard/omstallningtillnaravard.57446.html

Taché SV, Sönnichsen A, Ashcroft DM. (2011). Prevalence of adverse drug events in ambulatory care: A systematic review. Annals of pharmacotherapy. 2011;45(7-8):977-89. https://doi.org/10.1345/aph.1p627

Tiwari P, Warren J, Day K. Empowering older patients to engage in self care: Designing an interactive robotic device. AMIA Annual symposium proceedings. 2011:1402-11.

Världshälsoorganisationen WHO. Medication without harm [internet]. Världshälsoorganisationen WHO; 2017 [citerad 2023-02-16]. Hämtad från: https://www.who.int/initiatives/medication-without-harm

Världshälsoorganisationen WHO. Ageing and health [internet]. Världshälsoorganisationen WHO; 2021 [uppdaterad 2022-10-01; citerad ­2023-02-16]. Hämtad från: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health

Wastesson JW, Cedazo Minguez A, Fastbom J, Maioli S, Johnell K. The composition of polypharmacy: A register-based study of Swedes aged 75 years and older. Plos one. 2018;13(3):e0194892 [11 s]. https://doi.org/10.1371/journal.pone.0194892

World medical association. WMA declaration of Hel­sinki – Ethical principles for medical research involving human subjects [internet]. World medical association; 2018 [citerad 2023-02-16]. Hämtad från: https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects

Yap AF, Thirumoorthy T, Kwan YH. Medication adherence in the elderly. Journal of clinical gerontology and geriatrics. 2016;7(2), 64-7. https://doi.org/10.1016/j.jcgg.2015.05.001

Titelsida Hasanacevic och Johansson

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Publicerad

2023-05-01

Referera så här

Hasanacevic, D., & Johansson, L. (2023). Användning av robot vid äldre personers ­läkemedelshantering – intervjustudie med sjuksköterskor inom hemsjukvård i Sverige. Äldre I Centrum Vetenskapligt Supplement, 3(1), 21–34. https://doi.org/10.52585/icvs.v3i1.13

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