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Virtual connection between older people with dementia and families during COVID-19 pandemic

机译:在Covid-19大流行期间,老年人与痴呆症和家庭之间的虚拟联系

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Abstract People staying in hospitals need more support to cope with the lockdown and visitor restriction during the COVID-19 pandemic, especially for older people with cognitive or physical impairment. Everyday technology such as a touchscreen tablet has great potential to support person-centred care. We aimed to support the adoption of tablets for hospitalized people with dementia to connect with families and friends. A patient-oriented research approach was employed to co-produce the toolkit. We are a transdisciplinary team, including a medical student, physicians, nurses, patients, and family partners. We facilitated staff focus groups (n=3), and conducted stakeholders’ interviews (n=4) to gain a more comprehensive understanding of users’ needs. The sample included ten patients, ten family members, 40 staff members, nurses, care workers, physicians, and unit clerks (n=40). The Consolidated Framework for Implementation Research (CFIR) guided the research design and qualitative analysis. A toolkit was developed based on participants’ perspectives on what needs to be in place to support successful adoption. We developed a mobile tablet with one mechanical arm and one leg on wheels. Participants reported impacts: (a) it puts a smile on the patient’s face, (b) it alleviates anxiety and worries on both sides, and (c) it reduces responsive behaviors. The conceptual framework CFIR provides helpful guidance in identifying barriers to implementation. Working with users including patient and family partners to explore possible solutions was key to our success. Future research should engage patient and family partners to seek proactive strategies to address obstacles to advance the science of technology implementation.
机译:摘要留在医院的人需要更多的支持,以应对Covid-19大流行期间的锁定和访客限制,特别是对于具有认知或身体损伤的老年人。触摸屏平板电脑等日常技术具有巨大的潜力,可以支持以人为本的护理。我们旨在支持与痴呆症的住院人员使用平板电脑,以与家庭和朋友联系。采用面向患者的研究方法共同生产工具包。我们是一个跨学科团队,包括医学生,医生,护士,患者和家庭合作伙伴。我们促进了员工焦点小组(n = 3),并进行了利益相关者的访谈(n = 4),以更全面地了解用户需求。该样品包括十名患者,十名家庭成员,40名员工,护士,护理工作者,医生和单位职员(n = 40)。实施研究综合框架(CFIR)引导了研究设计和定性分析。基于参与者的角度开发了一个工具包,就需要在需要到位以支持成功的收养方面。我们开发了一种带有一个机械臂和一条腿的移动平板电脑。参与者报告的影响:(a)它对患者的脸部笑容,(b)它减轻了对双方的焦虑和担忧,(c)减少了响应行为。概念框架CFIR在识别实施障碍方面提供有用的指导。与包括患者和家庭合作伙伴在内的用户一起探索可能的解决方案是我们成功的关键。未来的研究应该参与患者和家庭合作伙伴寻求主动策略,以解决推进技术实施科学的障碍。

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