Defining the concepts of a smart nursing home and its potential technology utilities that integrate medical services and are acceptable to stakeholders: a scoping review protocol

Abstract

IntroductionSmart technologies, digital health and eHealth have been shown to enhance institutional elderly care. Because of the rapidly ageing societies, information technologies in geriatric healthcare are urgently needed. A lot of innovation in smart healthcare has occurred in the past decade, and its use in nursing care assessment, daily living activities and service management is yet to be defined. More fundamentally, the concepts, definitions and scopes of a smart nursing home are still vague. Thus, this scoping review aims to examine the extent, range (variety) and nature (characteristics) of evidence on the existing smart concepts and feasible healthcare technologies, types of medical services in nursing home settings and acceptability of a smart nursing home by the elderly people ≥60 years old, their caregivers, nursing home operators and government agencies.Methods and analysisThis scoping review will be guided by the smart technology adoption behaviours of elder consumers theoretical model (Elderadopt) by Golant and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews. First, we will conduct an internet search for nursing homes and websites and databases related to the stakeholders to retrieve the definitions, concepts and criteria of a smart nursing home (phase 1). Second, we will conduct an additional systematic electronic database search for published articles on any measures of technological feasibility and integration of medical services in nursing home settings and their acceptability by nursing home residents and caregivers (phase 2). The electronic database search will be carried out from 1999 to 30 September 2020 and limited to works published in English and Chinese languages. For phase 2, the selection of literature is further limited to residents of nursing homes aged ≥60 years old with or without medical needs but are not terminally ill or bed-bound. Qualitative data analysis will follow the Framework Methods and thematic analysis using combined inductive and deductive approaches, conducted by at least two reviewers.Ethics and disseminationThis protocol is registered on osf.io (URL: https://osf.io/qtwz2/). Ethical approval is not necessary as the scoping review is not a primary study, and the information is collected from selected articles that are publicly available sources. All findings will be disseminated at conferences and published in peer-reviewed journals.

The expectations and acceptability of a smart nursing home model among Chinese elderly people: A mixed methods study protocol

“…Using the G Power 3.1.2 with 0.90 power and significance at two-sided α of 0.05, the estimated sample size is 263. Based on our scoping review [ 75 ], the concept of a smart nursing home is relatively new, and exposure to this concept among the city-dwelling elderly people is believed to be more-or-less equal. Therefore, the estimation of sample size will not be adjusted for cluster design effect because individuals in the same city are believed to be no more alike to each other than they are to individuals in a different city in terms of expectations and acceptability of a smart nursing home.…”

“…The general research question in this study is: Could a smart nursing home model be technologically feasible, integrated with medical services and accepted by all stakeholders in China? A preceding scoping review [ 75 ] will provide a clear definition and a general concept of smart nursing homes designed for relatively well elderly people without terminal illness, not bed-bound or requiring critical care. These nursing homes are not ICU/HDU units.…”

How the COVID-19 Pandemic Will Change Workplaces, Healthcare Markets and Healthy Living: An Overview and Assessment

“…However, while the use of such technology offers great potential to improve clinical outcomes and the quality of life of people who need assistance, concerns about privacy, legal barriers as well as barriers to digital use among the older generation may increase the time to full adoption of smart technologies [83,84]. In addition, cultural barriers will likely result in unequal diffusion of robot use in elderly assistance over time [85,86].…”

Defining the Concepts of a Smart Nursing Home and Its Potential Technology Utilities That Integrate Medical Services and Are Acceptable to Stakeholders: a Scoping Review

“…The Framework Method was used to guide the process of data analysis by applying codes, categorising themes, and summarising the results (20). The data from stakeholder websites and electronic databases were categorised by type of technology related to 'smartness', the function of technology, direct user, integrated medical services, and stakeholder acceptability.…”