Robotic Assistance in Nursing Care: Survey on Challenges and Scenarios

Authors: Pascal Gliesche, Kathrin Seibert, Christian Kowalski, Dominik Domhoff, Max Pfingsthorn, Karin Wolf-Ostermann, Andreas Hein

Abstract:

Robotic assistance in nursing care is an increasingly important area of research and development. Facing a shortage of labor and an increasing number of people in need of care, the German Nursing Care Innovation Center (Pflegeinnovationszentrum, PIZ) aims to address these challenges from the side of technology. Little is known about nurses experiences with existing robotic assistance systems. Especially nurses perspectives on starting points for the development of robotic solutions, that target recurring burdensome tasks in everyday nursing care, are of interest. This paper presents findings focusing on robotics resulting from an explanatory mixed-methods study on nurses experiences with and their expectations for innovative technologies in nursing care in stationary and ambulant care facilities and hospitals in Germany. Based on the findings, eight scenarios for robotic assistance are identified based on the real needs of practitioners. An initial system addressing a single use-case is described to show perspectives for the use of robots in nursing care.

Keywords: Robotics and automation, engineering management, engineering in medicine and biology, medical services, public healthcare.

References:

[1] B. Karsh, “Beyond usability: designing effective technology implementation systems to promote patient safety,” BMJ Quality & Safety, vol. 13, no. 5, pp. 388–394, 2004.
[2] U. H¨ubner, T. Shaw, J. Thye, N. Egbert, H. F. Marin, and M. J. Ball, “Towards an international framework for recommendations of core competencies in nursing and inter-professional informatics: The tiger competency synthesis project.” in MIE, 2016, pp. 655–659.
[3] BMBF, “Technik zum Menschen bringen.” (Online). Available: https://www.technik-zum-menschen-bringen.de/
[4] T. Krick, K. Huter, D. Domhoff, A. Schmidt, H. Rothgang, and K. Wolf-Ostermann, “Digital technology and nursing care: a scoping review on acceptance, effectiveness and efficiency studies of informal and formal care technologies,” BMC Health Services Research, vol. 19, no. 1, p. 400, dec 2019. (Online). Available: https://bmchealthservres. biomedcentral.com/articles/10.1186/s12913-019-4238-3
[5] H. Becker, M. Scheermesser, Y. Treusch, H. Auerbach, and F. Meier, Robotik in Betreuung und Gesundheits- versorgung.
[6] T. L. Chen and C. C. Kemp, “A direct physical interface for navigation and positioning of a robotic nursing assistant,” Advanced Robotics, vol. 25, no. 5, pp. 605–627, 2011.
[7] G. Nejat, Y. Sun, and M. Nies, “Assistive robots in health care settings,” Home Health Care Management & Practice, vol. 21, no. 3, pp. 177–187, 2009.
[8] M. H¨ulsken-Giesler and S. Daxberger, Robotik in der Pflege aus pflegewissenschaftlicher Perspektive. Wiesbaden: Springer Fachmedien Wiesbaden, 2018, pp. 125–139.
[9] S. Dubowsky, F. Genot, S. Godding, H. Kozono, A. Skwersky, Haoyong Yu, and Long Shen Yu, “PAMM - a robotic aid to the elderly for mobility assistance and monitoring: a ”helping-hand” for the elderly,” in Proceedings 2000 ICRA. Millennium Conference. IEEE International Conference on Robotics and Automation. Symposia Proceedings (Cat. No.00CH37065), vol. 1. IEEE, 2000, pp. 570–576. (Online). Available: http://ieeexplore.ieee.org/document/844114/
[10] H. K. Park, H. S. Hong, H. J. Kwon, and M. J. Chung, “A Nursing Robot System for the Elderly and the Disabled,” International Journal of Assistive Robotics and Mechatronics, vol. 2, no. 4, pp. 11–16, 2001.
[11] R. Schraft, C. Schaeffer, and T. May, “Care-O-bot/sup TM/: the concept of a system for assisting elderly or disabled persons in home environments,” IECON ’98. Proceedings of the 24th Annual Conference of the IEEE Industrial Electronics Society (Cat. No.98CH36200), vol. 4, pp. 2476–2481, 1998.
[12] R. Kittmann, T. Frhlich, J. Schfer, U. Reiser, F. Weihardt, and A. Haug, “Let me introduce myself: I am care-o-bot 4, a gentleman robot,” in Mensch und Computer 2015 Proceedings, S. Diefenbach, N. Henze, and M. Pielot, Eds. Berlin: De Gruyter Oldenbourg, 2015, pp. 223–232.
[13] F. Michaud, P. Boissy, D. Labonte, H. Corriveau, A. Grant, M. Lauria, R. Cloutier, M. Roux, D. Iannuzzi, and M.-P. Royer, “Telepresencerobot for home care assistance,” 01 2007, pp. 50–55.
[14] I. Papadopoulos, A. Sgorbissa, and C. Koulouglioti, “Caring robots are here to help,” arXiv preprint arXiv:1803.11243, 2018.
[15] M.-T. Chu, R. Khosla, S. M. S. Khaksar, and K. Nguyen, “Service innovation through social robot engagement to improve dementia care quality,” Assistive Technology, vol. 29, no. 1, pp. 8–18, 2017.
[16] J. Glaser and T. H¨oge, Probleme und L¨osungen in der Pflege aus Sicht der Arbeits-und Gesundheitswissenschaften. Baua, 2005.
[17] M. J¨ager, C. Jordan, A. Theilmeier, S. Kuhn, N. Wortmann, and A. Luttmann, “V39 biomechanische belastungsanalysen zur pr¨avention von ¨uberlastungen der lendenwirbels¨aule bei patiententransfers,” Arbeitsmedizin Sozialmedizin Umweltmedizin, vol. 45, no. 6, p. 296, 2010.
[18] S. H. Tak, L. E. Benefield, D. F. Mahoney et al., “Technology for long-term care,” Research in gerontological nursing, vol. 3, no. 1, pp. 61–72, 2010.
[19] U. Kuckartz, Mixed Methods: Methodologie, Forschungsdesigns und Analyseverfahren. Springer Fachmedien Wiesbaden, 2014. (Online). Available: https://books.google.de/books?id=iQJYBAAAQBAJ
[20] F. J. Neyer, J. Felber, and C. Gebhardt, “Kurzskala zur Erfassung von Technikbereitschaft (technology commitment),” in Zusammenstellung sozialwissenschaftlicher Items und Skalen, 2016.
[21] M. Schulz, B. Mack, and O. Renn, Fokusgruppen in der empirischen Sozialwissenschaft: Von der Konzeption bis zur Auswertung. Springer-Verlag, 2012.
[22] S. Freitag, I. Fincke-Junod, R. Seddouki, M. Dulon, I. Hermanns, J. F. Kersten, T. J. Larsson, and A. Nienhaus, “Frequent bendingan underestimated burden in nursing professions,” Annals of occupational hygiene, vol. 56, no. 6, pp. 697–707, 2012.
[23] J. Al-Abtah, A. Ammann, S. Bensch, B. D¨orr, and D. Elbert-Maschke, I care Pflege. Thieme, 2015. (Online). Available: https://books.google. de/books?id=LtJ7BwAAQBAJ