Infection prevention and control challeneges of using a therapeutic robot

This work was part of a National Institute for Health Research participatory action research and practice development study, which focused on the use of a therapeutic, robotic baby seal (PARO, for personal assistive robot) in everyday practice in a single-site dementia unit in Sussex. From the beginning of January 2017 until the end of September 2017, the cleaning and cleanliness of PARO was monitored through a service audit process that focused on the cleaning, amount of use and testing of contamination of PARO being used in everyday clinical practice with individuals and in group sessions. Its use and cleaning followed protocols developed by the study team, which incorporated hand hygiene and standard precaution policies. Its cleanliness was determined using an adenosine triphosphate (ATP) luminometer, with a benchmark of 50 relative light units (RLU). A reading of ATP below 50RLU is the level of cleanliness recommended for social areas in hospital settings. Throughout the study period, monitoring showed that all swab zones on PARO were within the benchmark of the 50RLU threshold for cleanliness. PARO has an emerging evidence base as a useful therapeutic device. However, introducing such devices into clinical practice may encounter barriers or concerns from an infection prevention and control (IPC) perspective. This study of PARO in clinical practice aims to address the IPC concerns raised and offers cleaning and testing protocols and results

Views of nurses and other health and social care workers on the use of assistive humanoid and animal-like robots in health and social care: a scoping review

Background: Robots are introduced and used in many health and social care settings, from the operating room to the care of older adults with dementia. Objectives: The goal of this scoping review is to provide an overview of the existing evidence related to the views of nursing staff and other health and social care workers about the use of assistive humanoid and animal-like robots in the health and social care sector. Methods: Using the Joanna Briggs Institute guidelines we searched MEDLINE, PUBMED, CINHAL, EMBASE, PsycInfo, Web of Science, and IEEE Xplore digital library. Nineteen (19) articles met the inclusion and exclusion criteria and were retrieved, reviewed and summarised. Results: Health and social care workers reported mixed views regarding the use of robots in a healthcare setting. They mainly focused on the impact that robots could have on their patients and not to themselves. They considered an array of tasks that robots could perform; they addressed the issue of patient safety and raised concerns about privacy. Conclusions: A limited number of studies have explored the views of health and social care workers about the use of robots. Considering the fast pace with which technology is advancing in the care field, and with professionals in health and social care increasingly being asked to use such technologies, it is critical to conduct more research in this area Impact Statement: Robots will increasingly have a role to play in nursing, health and social care. The potential impact will be challenging for the healthcare workforce. It is therefore important for nurses and other health and social care workers to engage in discussion regarding the contribution of robots and their impact not only on nursing care but also on future roles of health and social care workers

What makes a social robot good at interacting with humans?

This paper discusses the nuances of a social robot, how and why social robots are becoming increasingly significant, and what they are currently being used for. This paper also reflects on the current design of social robots as a means of interaction with humans and also reports potential solutions about several important questions around the futuristic design of these robots. The specific questions explored in this paper are: “Do social robots need to look like living creatures that already exist in the world for humans to interact well with them?”; “Do social robots need to have animated faces for humans to interact well with them?”; “Do social robots need to have the ability to speak a coherent human language for humans to interact well with them?” and “Do social robots need to have the capability to make physical gestures for humans to interact well with them?”. This paper reviews both verbal as well as nonverbal social and conversational cues that could be incorporated into the design of social robots, and also briefly discusses the emotional bonds that may be built between humans and robots. Facets surrounding acceptance of social robots by humans and also ethical/moral concerns have also been discussed

What makes a social robot good at interacting with humans?

This paper discusses the nuances of a social robot, how and why social robots are becoming increasingly significant, and what they are currently being used for. This paper also reflects on the current design of social robots as a means of interaction with humans and also reports potential solutions about several important questions around the futuristic design of these robots. The specific questions explored in this paper are: “Do social robots need to look like living creatures that already exist in the world for humans to interact well with them?”; “Do social robots need to have animated faces for humans to interact well with them?”; “Do social robots need to have the ability to speak a coherent human language for humans to interact well with them?” and “Do social robots need to have the capability to make physical gestures for humans to interact well with them?”. This paper reviews both verbal as well as nonverbal social and conversational cues that could be incorporated into the design of social robots, and also briefly discusses the emotional bonds that may be built between humans and robots. Facets surrounding acceptance of social robots by humans and also ethical/moral concerns have also been discussed

Involving patients and families in a social robot study

Innovative research in care practice for older people can benefit from the active involvement of patient and family partners. Involvement may begin with identifying priorities, then move to formulate research questions and to plan the research methods, to data collection, and finally to analysis and knowledge dissemination. However, in the field of dementia care, actively engaging patients and families in co-research is a novel practice that needs exploration. This paper describes the experiences and perspectives of two patient researchers and three family researchers, along with four clinicians (two physicians, a nurse, and an occupational therapist) within a social robot project in dementia care. Meeting notes, team reflection focus groups, follow–up interviews, and a research journal were used to document the research process. The results are presented in three themes: (a) identify challenges and lessons learned, (b) co-inquire enriched learning, (c) co-produce knowledge for care improvement. All team members agreed that an inclusive environment was important to facilitate meaningful partnerships for undertaking research together. Trust and respect were seen as vital for a rewarding and productive experience in the co-inquiry journey. Some of the challenges to sustaining participant engagement were competing priorities and a risk of tokenism. This article provides a rich description as well as practical details of the research experiences among team members. We offer examples of lessons learned and practical tips to help others increase the engagement of patients and families in research. Experience Framework This article is associated with the Innovation & Technology lens of The Beryl Institute Experience Framework. (http://bit.ly/ExperienceFramework) Access other PXJ articles related to this lens. Access other resources related to this len

Machines with Heart: Utilizing an STS Framework to Analyze Implementation and Design of Social Eldercare Robots in Germany and Japan

Robots are everywhere from car factories to cafes, but many people may not realize robots are quite popular in assisted living residencies for older adults. Social eldercare robots (SER) provide care to older adults without relying on human labor, offering a lucrative promise of technological efficiency during global labor crises. However, their adaptation into care settings is not this simple. Human trust in robots is rooted in nuanced social, cultural, and historical factors, making SER a highly interpretively flexible technology. This thesis analyzes social eldercare robot implementation in two countries, Germany and Japan, using a Science, Technology and Society (STS) framework. By investigating how service animals, perception of migrant labor, and religious factors impact social eldercare robot use, I argue acceptance of SER is highly bound to local beliefs about caretaking, spirituality, and what it truly means to be alive

First, They Came for the Old and Demented: Care and Relations in the Age of Artificial Intelligence and Social Robots

Health care technology is all the rage, and artificial intelligence (AI) has long since made its inroads into the previously human-dominated domain of care. AI is used in diagnostics, but also in therapy and assistance, sometimes in the form of social robots with fur, eyes and programmed emotions. Patient welfare, working conditions for the caretakers and cost-efficiency are routinely said to be improved by employing new technologies.The old with dementia might be provided with a robot seal, or a humanoid companion robot, and if these companions increase the happiness of the patients, why should we not venture down this road? Come to think of it, when we have these machines, why not use them as tutors in our schools and caretakers for our children? More happiness reported, as our children are entertained, well-nourished, well-trained and never alone. Lovely and loving robots have also been made, and happiness abounds when these are provided to lonely adults. Happiness all around, and a hedonistic heaven – the utilitarian’s dream, as reported, or measured, well-being reaches all-time highs. But there is a reason to be wary of this development. The logic that allows this development ultimately leads to the conclusion that we would all be best off if we could simply be wired to a computer that provided us with whatever we needed to feel perfectly satisfied. The care-giving machines are here.publishedVersio

Social robot interventions for people with dementia:A systematic review on effects and quality of reporting

Background:  Using non-pharmacological interventions is a current approach in dementia care to manage responsive behaviors, to maintain functional capacity, and to reduce emotional stress. Novel technologies such as social robot interventions might be useful to engage people with dementia in activities and interactions as well as to improve their cognitive, emotional, and physical status. Objective:  Assessing the effects and the quality of reporting of social robot interventions for people with dementia. Methofs:  In our systematic review, we included quasi-experimental and experimental studies published in English, French, or German, irrespective of publication year. Searching CINAHL, Cochrane Library, MEDLINE, PsycINFO, and Web of Science Core Collection was supplemented by citation tracking and free web searching. To assess the methodological quality of included studies, we used tools provided by the Joanna Briggs Institute. To assess the reporting of the interventions, we applied CReDECI 2 and TIDieR. Results:  We identified sixteen studies published between 2012 and 2018, including two to 415 participants with mostly non-defined type of dementia. Eight studies had an experimental design. The predominant robot types were pet robots (i.e., PARO). Most studies addressed behavioral, emotion-related, and functional outcomes with beneficial, non-beneficial, and mixed results. Predominantly, cognitive outcomes were not improved. Overall, studies were of moderate methodological quality. Conclusion:  Heterogeneous populations, intervention characteristics, and measured outcomes make it difficult to generalize the results with regard to clinical practice. The impact of social robot interventions on behavioral, emotion-related, and functional outcomes should therefore be assessed considering the severity of dementia and intervention characteristics

Robotic seals as therapeutic tools in an aged care facility: a qualitative study

Robots, including robotic seals, have been used as an alternative to therapies such as animal assisted therapy in the promotion of health and social wellbeing of older people in aged care facilities. There is limited research available that evaluates the effectiveness of robot therapies in these settings. The aim of this study was to identify, explore, and describe the impact of the use of Paro robotic seals in an aged care facility in a regional Australian city. A qualitative, descriptive, exploratory design was employed. Data were gathered through interviews with the three recreational therapists employed at the facility who were also asked to maintain logs of their interactions with the Paro and residents. Data were transcribed and thematically analysed. Three major themes were identified from the analyses of these data: "a therapeutic tool that's not for everybody," "every interaction is powerful," and "keeping the momentum." Findings support the use of Paro as a therapeutic tool, revealing improvement in emotional state, reduction of challenging behaviours, and improvement in social interactions of residents. The potential benefits justify the investment in Paro, with clear evidence that these tools can have a positive impact that warrants further exploration