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Factors Affecting the Implementation, Use, and Adoption of Real-Time Location System Technology for Persons Living With Cognitive Disabilities in Long-term Care Homes: Systematic Review
- Source :
- Journal of Medical Internet Research, Journal of Medical Internet Research, Vol 23, Iss 1, p e22831 (2021)
- Publication Year :
- 2021
- Publisher :
- JMIR Publications Inc., 2021.
-
Abstract
- Background As the aging population continues to grow, the number of adults living with dementia or other cognitive disabilities in residential long-term care homes is expected to increase. Technologies such as real-time locating systems (RTLS) are being investigated for their potential to improve the health and safety of residents and the quality of care and efficiency of long-term care facilities. Objective The aim of this study is to identify factors that affect the implementation, adoption, and use of RTLS for use with persons living with dementia or other cognitive disabilities in long-term care homes. Methods We conducted a systematic review of the peer-reviewed English language literature indexed in MEDLINE, Embase, PsycINFO, and CINAHL from inception up to and including May 5, 2020. Search strategies included keywords and subject headings related to cognitive disability, residential long-term care settings, and RTLS. Study characteristics, methodologies, and data were extracted and analyzed using constant comparative techniques. Results A total of 12 publications were included in the review. Most studies were conducted in the Netherlands (7/12, 58%) and used a descriptive qualitative study design. We identified 3 themes from our analysis of the studies: barriers to implementation, enablers of implementation, and agency and context. Barriers to implementation included lack of motivation for engagement; technology ecosystem and infrastructure challenges; and myths, stories, and shared understanding. Enablers of implementation included understanding local workflows, policies, and technologies; usability and user-centered design; communication with providers; and establishing policies, frameworks, governance, and evaluation. Agency and context were examined from the perspective of residents, family members, care providers, and the long-term care organizations. Conclusions There is a striking lack of evidence to justify the use of RTLS to improve the lives of residents and care providers in long-term care settings. More research related to RTLS use with cognitively impaired residents is required; this research should include longitudinal evaluation of end-to-end implementations that are developed using scientific theory and rigorous analysis of the functionality, efficiency, and effectiveness of these systems. Future research is required on the ethics of monitoring residents using RTLS and its impact on the privacy of residents and health care workers.
- Subjects :
- Data Analysis
Health Informatics
Context (language use)
Review
CINAHL
PsycINFO
lcsh:Computer applications to medicine. Medical informatics
03 medical and health sciences
wearable technology
0302 clinical medicine
Nursing
Computer Systems
assistive technology
Agency (sociology)
Health care
Humans
Cognitive Dysfunction
real-time location system
030212 general & internal medicine
implementation science
business.industry
lcsh:Public aspects of medicine
030503 health policy & services
lcsh:RA1-1270
Long-Term Care
ambulatory monitoring
Real-time locating system
Long-term care
lcsh:R858-859.7
Alzheimer disease
0305 other medical science
Psychology
business
qualitative research
dementia
Qualitative research
Subjects
Details
- ISSN :
- 14388871
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- Journal of Medical Internet Research
- Accession number :
- edsair.doi.dedup.....445b8576d50dca8c8f75e5f16db14d71