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Mei Z, Jin S, Li W, Zhang S, Cheng X, Li Y, Wang M, Song Y, Tu W, Yin H, Wang Q, Bai Y, Xu G. Ethical risks in robot health education: A qualitative study. Nurs Ethics 2024:9697330241270829. [PMID: 39138639 DOI: 10.1177/09697330241270829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/15/2024]
Abstract
BACKGROUND As health education robots may potentially become a significant support force in nursing practice in the future, it is imperative to adhere to the European Union's concept of "Responsible Research and Innovation" (RRI) and deeply reflect on the ethical risks hidden in the process of intelligent robotic health education. AIM This study explores the perceptions of professional nursing professionals regarding the potential ethical risks associated with the clinical practice of intelligent robotic health education. RESEARCH DESIGN This study adopts a descriptive phenomenological approach, employing Colaizzi's seven-step method for data analysis. PARTICIPANTS AND RESEARCH CONTEXT We conducted semi-structured interviews with 17 nursing professionals from tertiary comprehensive hospitals in China. ETHICAL CONSIDERATIONS This study has been approved by the Ethics Committee of the Second Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Provincial Second Chinese Medicine Hospital. FINDINGS Nursing personnel, adhering to the principles of RRI and the concept of "person-centered" care, have critically reflected on the potential ethical risks inherent in robotic health education. This reflection has primarily identified six themes: (a) threats to human dignity, (b) concerns about patient safety, (c) apprehensions about privacy disclosure, (d) worries about implicit burdens, (e) concerns about responsibility attribution, and (f) expectations for social support. CONCLUSIONS This study focuses on health education robots, which are perceived to have minimal ethical risks, and provides rich and detailed insights into the ethical risks associated with robotic health education. Even seemingly safe health education robots elicit significant concerns among professionals regarding their safety and ethics in clinical practice. As we move forward, it is essential to remain attentive to the potential negative impacts of robots and actively address them.
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Affiliation(s)
- ZiQi Mei
- Nanjing University of Chinese Medicine
| | | | | | - SuJu Zhang
- The Second Affiliated Hospital of Nanjing University of Chinese Medicine
| | - XiRong Cheng
- The Second Affiliated Hospital of Nanjing University of Chinese Medicine
| | - YiTing Li
- Nanjing University of Chinese Medicine
| | - Meng Wang
- Nanjing University of Chinese Medicine
| | | | | | | | - Qing Wang
- Nanjing University of Chinese Medicine
| | - YaMei Bai
- Nanjing University of Chinese Medicine
| | - GuiHua Xu
- Nanjing University of Chinese Medicine
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Bevilacqua R, Stara V, Amabili G, Margaritini A, Benadduci M, Barbarossa F, Maranesi E, Rigaud AS, Dacunha S, Palmier C, Moller J, Browne R, Ogawa T, Wieching R. e-VITA study protocol: EU-Japan virtual coach for smart aging. Front Public Health 2024; 12:1256734. [PMID: 38544729 PMCID: PMC10968892 DOI: 10.3389/fpubh.2024.1256734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Accepted: 02/16/2024] [Indexed: 04/26/2024] Open
Abstract
Aim The aim of this study is to report a trial protocol for assessing the improvement of older adults' well-being, promoting active and healthy aging, and reducing the risks of social exclusion, using a virtual coach. Background Increased longevity brings with it reduced autonomy and independence, and it is therefore necessary to act with preventive measures that can promote active and healthy aging. With the development of technology, new tools have appeared, including virtual coaches, which can enable people to lead a healthy lifestyle by identifying individual needs and goals and providing personalized recommendations and advice. However, it is important that these coaches take into consideration the inter-individual and cross-cultural differences of each person. Design A randomized controlled trial is proposed. Methods This study will recruit 240 healthy subjects aged 65 years and older. Participants will be assigned to an experimental group that will receive the e-VITA system or to the control group that will receive an information booklet only. The primary outcome measure is the person's quality of life (QoL). Data will be collected at baseline, 3 months after the trial, and at the end of the trial, after 6 months. Discussion This study will evaluate the effectiveness of the e-VITA system, consisting of a virtual coach, several sensors for monitoring, a smartphone for use at home, and a booklet, in improving the older person's quality of life. The increased perceived well-being will also be linked to improvements in other areas of the person's life, psychological and cognitive status, the area of sociality, nutrition, and eHealth literacy.
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Affiliation(s)
| | - Vera Stara
- Scientific Direction, IRCCS INRCA, Ancona, Italy
| | | | | | | | | | | | - Anne-Sophie Rigaud
- Université de Paris, Maladie d’Alzheimer, Paris, France
- Services de Gériatrie 1 & 2, AP-HP, Hôpital Broca, Paris, France
| | - Sébastien Dacunha
- Université de Paris, Maladie d’Alzheimer, Paris, France
- Services de Gériatrie 1 & 2, AP-HP, Hôpital Broca, Paris, France
| | - Cecilia Palmier
- Université de Paris, Maladie d’Alzheimer, Paris, France
- Services de Gériatrie 1 & 2, AP-HP, Hôpital Broca, Paris, France
| | - Johanna Moller
- Diocesan Caritas Assosiation of the Archdiocese of Cologne e.V., Cologne, Italy
| | - Ryan Browne
- Smart-Aging Research Center, Tohoku University, Sendai, Japan
| | - Toshimi Ogawa
- Smart-Aging Research Center, Tohoku University, Sendai, Japan
| | - Rainer Wieching
- Institute for New Media & Information Systems, University Siegen, Siegen, Germany
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Contrada M, Cerasa A, Pucci C, Ciancarelli I, Pioggia G, Tonin P, Calabrò RS. Talking about Sexuality in Stroke Individuals: The New Era of Sexual Rehabilitation. J Clin Med 2023; 12:3988. [PMID: 37373681 PMCID: PMC10299413 DOI: 10.3390/jcm12123988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Revised: 06/05/2023] [Accepted: 06/09/2023] [Indexed: 06/29/2023] Open
Abstract
One of the largest causes of mortality and disability worldwide is stroke. In the last twenty years significant objectives have been achieved in the early and chronic treatment of motor and cognitive dysfunctions, increasing the quality of life in patients and their caregivers. However, there is an unresolved clinical issue that remains: sexual dysfunctions. Multiple etiologies, including organic (such as lesion localization, premorbid medical problems, and drugs) and psychosocial (such as fear of recurrences, loss of self-esteem, role shifts, anxiety, and depression), are associated with sexual deficits. In this perspective review, we reported the last piece of evidence about this crucial topic which drastically affects the quality of life of these patients. Indeed, although patients may often not disclose their sexual concerns, literature demonstrates that they seek help concerning this issue. On the other side, clinicians working in the rehabilitation field are not always comfortable or prepared to deal with sexuality and sexual function in neurological patients. A new phase of the training course should be launched including different physicians, nurses, rehabilitation specialists, and social workers, to learn how to deal with topics related to sexuality. As a result, professional sexual counselors should now become a structured part of stroke settings and rehabilitation with new effective tools (i.e., PLISSIT model; TDF program) for improving quality of life.
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Affiliation(s)
| | - Antonio Cerasa
- S. Anna Institute, Via Siris 11, 88900 Crotone, Italy
- Institute for Biomedical Research and Innovation (IRIB), National Research Council of Italy, 98164 Messina, Italy
- Pharmacotechnology Documentation and Transfer Unit, Preclinical and Translational Pharmacology, Department of Pharmacy, Health Science and Nutrition, University of Calabria, 87036 Rende, Italy
| | | | - Irene Ciancarelli
- Department of Life, Health and Environmental Sciences, University of L'Aquila, 67100 L'Aquila, Italy
| | - Giovanni Pioggia
- Institute for Biomedical Research and Innovation (IRIB), National Research Council of Italy, 98164 Messina, Italy
| | - Paolo Tonin
- S. Anna Institute, Via Siris 11, 88900 Crotone, Italy
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Schroeder T, Dodds L, Georgiou A, Gewald H, Siette J. Older Adults and New Technology: Mapping Review of the Factors Associated With Older Adults' Intention to Adopt Digital Technologies. JMIR Aging 2023; 6:e44564. [PMID: 37191976 DOI: 10.2196/44564] [Citation(s) in RCA: 12] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Revised: 01/19/2023] [Accepted: 03/18/2023] [Indexed: 05/17/2023] Open
Abstract
BACKGROUND Ongoing advancements in digital solutions support older adults' healthy aging and well-being. However, a unified synthesis of sociodemographic, cognitive, attitudinal, emotional, and environmental factors that influence older adults' intention to use these new digital technologies is still lacking. Understanding the salient factors that influence older adults' intention to use digital technologies will help to ensure that technology is developed appropriately and contextually. This understanding is also likely to contribute to developing technology acceptance models specifically for the aging generation, by reorganizing principles and constructing objectivity criteria for future research studies. OBJECTIVE This review aims to identify the key factors associated with older adults' intention to use digital technologies and to provide a comprehensive conceptual framework to describe the relationships between these key factors and older adults' intention to use digital technologies. METHODS A mapping review was conducted using 9 databases from inception to November 2022. Articles were selected for review if they had an evaluative component of older adults' intention to use digital technologies. Three researchers independently reviewed the articles and extracted the data. Data synthesis was performed via narrative review and quality appraisal was measured using 3 different tools based on each article's study design. RESULTS We identified a total of 59 articles investigating older adults' intention to use digital technologies. The majority (40/59, 68%) of articles did not use an existing framework or model for technology acceptance. Studies mostly adopted a quantitative research design (27/59, 46%). We found 119 unique factors reported to influence older adults' intention to use digital technologies. These were categorized into 6 distinct themes: Demographics and Health Status, Emotional Awareness and Needs, Knowledge and Perception, Motivation, Social Influencers, and Technology Functional Features. CONCLUSIONS Given the importance of global demographic change toward an aging society, there is surprisingly limited research on the factors that influence older adults' intention to use digital technologies. Our identification of the key factors across different types of digital technology and models supports the future integration of a comprehensive perspective encompassing environmental, psychological, and social determinants for older adults' intention to use digital technologies.
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Affiliation(s)
- Tanja Schroeder
- Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, Macquarie Park, Australia
- Centre for Research on Service Sciences (CROSS), Neu-Ulm University, Neu-Ulm, Germany
| | - Laura Dodds
- The MARCS Institute for Brain, Behaviour and Development, Western Sydney University, Westmead, Australia
| | - Andrew Georgiou
- Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, Macquarie Park, Australia
| | - Heiko Gewald
- Centre for Research on Service Sciences (CROSS), Neu-Ulm University, Neu-Ulm, Germany
| | - Joyce Siette
- Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, Macquarie Park, Australia
- The MARCS Institute for Brain, Behaviour and Development, Western Sydney University, Westmead, Australia
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