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1 – 4 of 4I. Martens, H. Verbeek, J. Aarts, W.P.H. Bosems, E. Felix and J. van Hoof
Over 8 per cent of the Dutch nursing home population is bedfast, and this number is slowly increasing. The quality of life (QoL) of this population is lower than that of residents…
Abstract
Purpose
Over 8 per cent of the Dutch nursing home population is bedfast, and this number is slowly increasing. The quality of life (QoL) of this population is lower than that of residents who are still mobile. Little research has been conducted on how to improve the QoL of this bedfast population, particularly through making technological adjustments to the bed and the direct surroundings. The purpose of this paper is to gain insight into the QoL of bedfast residents and how to improve this through technology.
Design/methodology/approach
A mixed-method multi-case study with thematic analysis was conducted in two nursing homes with seven participants based on semi-structured interviews and Short Form-12 questionnaire.
Findings
The major causes of the experienced low QoL were the limited opportunities for engaging in social contacts with others, and coping with the dependency on other people and having limited control. Participants suggested improvements of QoL through the application of modern communication technologies to engage in social contacts and to control the bed itself and environment around the bed.
Practical implications
The results may help improve the design of the bed and the direct environment in order to improve the QoL of bedfast nursing home residents.
Originality/value
The QoL of bedfast nursing home residents has not been studied before in relation to the bed itself and technological solutions that may help improve the QoL and level of control.
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Keywords
The COVID-19 pandemic has created a devastating effect on public health. As “social distance” is a highly effective preventive measure of this pandemic, close contact between a…
Abstract
Purpose
The COVID-19 pandemic has created a devastating effect on public health. As “social distance” is a highly effective preventive measure of this pandemic, close contact between a patient and physician is strongly discouraged where possible. Consequently, mobile health (mHealth) technology is taking its momentum to fulfil this gap. The purpose of this study is, therefore, to empirically investigate the moderating as well as the direct role of situational constraint and health consciousness in the unified theory of acceptance and use of technology (UTAUT) constructs to understand the adoption and use behavior of mHealth care services amid pandemic.
Design/methodology/approach
Data were collected from existing mHealth users using an online survey questionnaire in Bangladesh. SmartPLS 3.0 and SPSS 23.0 were used for partial least squares-structural equation modeling.
Findings
Situational constraint and health consciousness both have strong direct positive effects on both behavioral intention (in all models) and use behavior (in Models 2 and 3). Further, this study revealed that effort expectancy remains insignificant in both direct and interaction effects whereas social influence becomes insignificant in interaction effects from direct significant effect (Models 1 and 2). Besides, the study reported that the relationship between behavioral intention and use behavior is moderated by situational constraint.
Originality/value
To the best of the authors’ knowledge, this study is the first in terms of mHealth empirical investigation considering the current pandemic situation. The incorporation of the situational constraint and health consciousness into the UTAUT model provides a holistic framework to understand the influence of the adoption and use behavior of mHealth amid pandemic.
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C.E. Oude Weernink, E. Felix, P.J.E.M. Verkuijlen, A.T.M. Dierick-van Daele, J.K. Kazak and J. van Hoof
In the domain of healthcare, both process efficiency and the quality of care can be improved through the use of dedicated pervasive technologies. Among these applications are…
Abstract
Purpose
In the domain of healthcare, both process efficiency and the quality of care can be improved through the use of dedicated pervasive technologies. Among these applications are so-called real-time location systems (RTLS). Such systems are designed to determine and monitor the location of assets and people in real time through the use of wireless sensor networks. Numerous commercially available RTLS are used in hospital settings. The nursing home is a relatively unexplored context for the application of RTLS and offers opportunities and challenges for future applications. The paper aims to discuss these issues.
Design/methodology/approach
This paper sets out to provide an overview of general applications and technologies of RTLS. Thereafter, it describes the specific healthcare applications of RTLS, including asset tracking, patient tracking and personnel tracking. These overviews are followed by a forecast of the implementation of RTLS in nursing homes in terms of opportunities and challenges.
Findings
By comparing the nursing home to the hospital, the RTLS applications for the nursing home context that are most promising are asset tracking of expensive goods owned by the nursing home in order to facilitate workflow and maximise financial resources, and asset tracking of personal belongings that may get lost due to dementia.
Originality/value
This paper is the first to provide an overview of potential application of RTLS technologies for nursing homes. The paper described a number of potential problem areas that can be addressed by RTLS.
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Yvonne van Zaalen, Mary McDonnell, Barbara Mikołajczyk, Sandra Buttigieg, Maria del Carmen Requena and Fred Holtkamp
The purpose of this paper is to focus on ethical and judicial themes related to technology and the older adults.
Abstract
Purpose
The purpose of this paper is to focus on ethical and judicial themes related to technology and the older adults.
Design/methodology/approach
Different consecutive phases in technology design and allocation will be discussed from a range of perspectives.
Findings
Longevity is one of the greatest achievements of contemporary science and a result of development of social relations. Currently, various non-communicable diseases affect older adults and impose the greatest burden on global health. There is a great emphasis across Europe on caring for the older person in their own homes. Technology has a mediating role in determining the possibilities for good quality of life (QOL). The concept of assisting the older adult through the use of technology so as to access healthcare services has enormous potential. Although the potential of technology in healthcare is widely recognised, technology use can have its downsides. Professionals need to be aware of the risks, namely, those related to the privacy of the older person, which may accompany technology use.
Research limitations/implications
By 2050, there will be more people aged over 65 than there are children. This phenomenon of global ageing constitutes a massive challenge in the area of health protection.
Practical implications
Professionals need to be aware of the risks, for example, related to the privacy of the older person, that may accompany technology use.
Social implications
There is a great emphasis across Europe on caring for the older person in their own homes. Technology has a mediating role in determining the possibilities for QOL.
Originality/value
The concept of assisting the older adult through the use of technology to avail of healthcare has enormous potential. Assistive technology, social media use and augmentative and alternative communication can have a positive effect on the QOL of older people, as long as they are supported enough in use of these technologies. However, ethical and juridical considerations are at stake as well.
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