Barriers and facilitators in the implementation of mobilization robots in hospitals from the perspective of clinical experts and developers

BMC Nursing

Research

Angelika Warmbein¹  Janesca Seif¹  Uli Fischer¹  Ivanka Rathgeber¹  Ines Schroeder²  Michael Zoller²  Christina Scharf²  Lucas Hübner²  Johanna Biebl³  Marcus Gutmann³  Inge Eberl⁴  Amrei C. Mehler-Klamt⁴  Lena Schmidbauer⁴ 

[1] Clinical Nursing Research and Quality Management Unit, University Hospital LMU Munich, Marchioninistr. 15, 81377, Munich, Germany;Department of Anesthesiology, University Hospital LMU Munich, Marchioninistr. 15, 81377, Munich, Germany;Department of Orthopedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital LMU Munich, Munich, Germany;Professorship of Nursing Science, Faculty of Social Work, Catholic University of Eichstätt-Ingolstadt, Eichstätt, Germany;

关键词: Robotics;    Implementation;    Technology;    Inpatient setting;    Nursing;    Integration;    Innovation;    Hospital;   

DOI  :  10.1186/s12912-023-01202-2

 received in 2022-11-08, accepted in 2023-02-07,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundEarly mobilization can help reduce severe side effects such as muscle atrophy that occur during hospitalization. However, due to time and staff shortages in intensive and critical care as well as safety risks for patients, it is often difficult to adhere to the recommended therapy time of twenty minutes twice a day. New robotic technologies might be one approach to achieve early mobilization effectively for patients and also relieve users from physical effort. Nevertheless, currently there is a lack of knowledge regarding the factors that are important for integrating of these technologies into complex treatment settings like intensive care units or rehabilitation units.MethodsEuropean experts from science, technical development and end-users of robotic systems (n = 13) were interviewed using a semi-structured interview guideline to identify barriers and facilitating factors for the integration of robotic systems into daily clinical practice. They were asked about structural, personnel and environmental factors that had an impact on integration and how they had solved challenges. A latent content analysis was performed regarding the COREQ criteria.ResultsWe found relevant factors regarding the development, introduction, and routine of the robotic system. In this context, costs, process adjustments, a lack of exemptions, and a lack of support from the manufacturers/developers were identified as challenges. Easy handling, joint decision making between the end-users and the decision makers in the hospital, an accurate process design and the joint development of the robotic system of end-users and technical experts were found to be facilitating factors.ConclusionThe integration and preparation for the integration of robotic assistance systems into the inpatient setting is a complex intervention that involves many parties. This study provides evidence for hospitals or manufacturers to simplify the planning of integrations for permanent use.Trial registrationDRKS-ID: DRKS00023848; registered 10/12/2020.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 2