Ethical issues of smart home‐based elderly care: A scoping review

Abstract

Aim: To explore current research on the ethics of smart home technologies including artificial intelligence and information technologies for elderly care by conducting a scoping review.Background: The development of smart home technologies for care of the older adults provides potential solutions to reduce the caregiver burden within families where they are urgently needed. Building an ethical system to support the application of these technical products should be explored. Methods:The literature search was performed in seven electronic databases. Relevant studies from January 2015 to February 2021 were selected; screening and analysis were completed independently by two researchers.Results: There were a total of 15 included studies on the ethics of smart home technologies for elderly care, which focused on the following issues: privacy (information privacy and physical privacy), autonomy (independence, informed consent and usercentred control), safety guarantee, fairness and concerns about reduced human contact.Conclusions: There exist a number of ethical conflicts in the application of smart home technologies for elderly care. Therefore, it is necessary to further investigate the ethical issues with regards to the decision-making process of weighing the advantages and disadvantages of these technologies.Implications for nursing management: Efforts should be made to establish a corresponding ethical framework to ensure the sustainable development of smart, home-based elderly care. Nurses may play an important role in the design and implementation of these technologies to promote ethical awareness and practice.

Nursing Research on Benign Prostatic Hyperplasia Based on Continuous Nursing Care

“…At present, "hospital-" continuation care is still in its infancy, and there are many factors that affect the smooth implementation of continuation care. Therefore, under the premise of perfecting the reform of my country's medical system, drawing on the experience of foreign continuation of nursing, further strengthening the professional quality of nursing staff, establishing a multidisciplinary and multiprofessional team continuance nursing model service, embodying Computational and Mathematical Methods in Medicine continuity of humanistic nursing, and striving to explore suitable for China, the continuity of care model achieves a healthy and aging population [33,34].…”

Mapping ethical issues in the use of smart home health technologies to care for older persons: a systematic review

“…A unique ethical concern that we have not seen in previous research (120,121) is responsibility, and remarkable within this concern was SHHTs' negative impact on it. As previously mentioned, the human being and human interaction are seen as central to caregiving (117,118).…”

A Framework for Embedding Artificial Intelligence in Nursing: Education, Innovation, Collaboration, and Implementation – the ALIGN Model

“…While there are significant costs associated with introducing new technology (both hardware and software) in healthcare, investing in electronic data systems that effectively and accurately capture the breadth and depth of the contribution that nurses makes will not only strengthen the development and use of AI in healthcare (Booth et al, 2021), but it will also bolster the need for more investment in the profession long-term. Ethical issues in the development and application of AI-based technologies in healthcare such as algorithmic bias against marginalised population (Chu, Leslie, Khan, Nyrup, & Grenier, 2022), the explainability and interpretability of AI, or clinical accountability, will also need to be considered (Chu, Leslie, Khan, Nyrup, & Grenier, 2022;Zhu et al, 2022). For example, innovations could focus on reducing data disparities, health data poverty, and inequities in healthcare that are affected by AI tools (Ibrahim, Liu, Zariffa, Morris, & Denniston, 2021).…”