Health and medical device development for fundamental care: Scoping review

Abstract

Background: The use of technology and health and medical devices as a part of fundamental nursing care is increasing. Although involving users in the device development process is essential, the role of nurses in the process has not yet been discussed. Objectives: To examine and map what kind of health and medical devices have been developed specifically for fundamental nursing care and to examine the design and development of the devices, particularly focusing on the role of nurses in the process. Design: Scoping review. Review methods: The databases were searched to identify studies describing health and medical devices developed for fundamental nursing care published between the years 2008-2018 in English language. References of included articles were reviewed for additional eligible studies. Two research team members screened the abstracts and full articles against the predefined inclusion and exclusion criteria. The PRISMA-ScR checklist was used.Results: Of the 7223 reports identified, a total of 19 were chosen for the scoping review. Of these, five were further analysed regarding the development process. Main focus areas of the included reports were patient monitoring, pressure ulcer prevention and patient transfer and mobility. Device development process, divided into three phases, was mainly driven by technological expertise and healthcare personnel were mainly involved in the evaluation phases.Conclusions: Health and medical devices are a crucial part of the healthcare today and nurses are increasingly involved with their use. Most of the devices have been developed mainly by using technological expertise although they are directly aimed at fundamental aspects of nursing care. The results of our review suggest that the expertise of the nurses as the end-users of the devices could be much more exploited. Relevance to clinical practice:A combination of expertise of device development from both nursing professionals and technical experts is necessary to disentangle the requirements of increased quality in nursing care combined with the ever-growing technological requirements. K E Y W O R D S delivery of health care, health personnel, medical device, nursing, patient-centered nursing, technology development | 1823 MATINOLLI eT AL.

Artificial intelligence in nursing: Priorities and opportunities from an international invitational think‐tank of the Nursing and Artificial Intelligence Leadership Collaborative

“…As such, nurses are uniquely positioned to propose how the impact of AI should be measured in terms of nursing and patient outcomes. It is through active participation in all aspects of the AI development lifecycle ( Matinolli et al, 2019 ) that unique insights from nursing can contribute to the thoughtful development and use of AI that optimize potential benefits and minimize potential negative consequences for patients, communities, populations, healthcare systems and the nursing profession.…”

“…As such, there are other calls for nursing: to take the driver's seat in determining which aspects of nursing care can be delegated and to be key actors in introducing AI technologies in health systems (Pepito & Locsin, 2019). In active participation in all aspects of the AI development lifecycle (Matinolli et al, 2019) that unique insights from nursing can contribute to the thoughtful development and use of AI that optimize potential benefits and minimize potential negative consequences for patients, communities, populations, healthcare systems and the nursing profession.…”

Fundamental Care's state of knowledge around the world: Where are we now? A scoping review

“…Moreover, although criticized, some authors argue that it is not always necessary to conduct the quality appraisal (Arksey & O'Malley, 2005). Furthermore, Munn et al (2018) note that “an assessment of methodological limitations or risk of bias of the evidence included within a scoping review is generally not performed.” Three scoping reviews related to FC did not perform a formal quality appraisal (Feo et al, 2018; Matinolli et al, 2020; Muntlin Athlin, 2018). Therefore, no formal quality appraisal has been undertaken.…”

“…Furthermore, Munn et al (2018) note that "an assessment of methodological limitations or risk of bias of the evidence included within a scoping review is generally not performed." Three scoping reviews related to FC did not perform a formal quality appraisal (Feo et al, 2018;Matinolli et al, 2020;Muntlin Athlin, 2018).…”

Co-Design in Electrical Medical Beds with Caregivers

“…In some cases, they participate in the early phases of a device’s development, giving information about user requirements for specific technologies [ 21 , 22 , 23 , 24 , 25 ], while in other cases, they test the developed devices [ 25 , 26 , 27 , 28 ]. For a scoping review of health and medical device development, the work by Matinolli and colleagues can provide valuable insights [ 29 ].…”