Nocturnal digital surveillance in aged populations and its effects on health, welfare and social care provision: a systematic review

Richardson, Matt; Ehn, Maria; Stridsberg, Sara Landerdahl; Redekop, Ken; Wamala-Andersson, Sarah

doi:10.21203/rs.3.rs-373330/v1

Cited by 2 publications

(3 citation statements)

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“…The cameras also facilitated the eldercare personnel's work by making it easier for them to help each other across departments, prioritize, and create a better work environment. These findings contribute with information about the benefits of nocturnal digital surveillance technology, reducing the previous lack thereof [3,10]. The results from this study also make it possible to give useful feedback to the eldercare personnel.…”

Section: Discussionsupporting

confidence: 52%

“…This way of providing social care can increase the privacy and safety of older people. According to Richardson et al [10], there is a need for more high-quality intervention studies to gather evidence of the benefits of nocturnal digital surveillance technologies. Eldercare personnel experience lack of evidence of the benefits of the technology, although some projects have been running for a long time.…”

Section: Introductionmentioning

confidence: 99%

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Experiences of using surveillance cameras as a monitoring solution at nursing homes: The eldercare personnel’s perspectives

Emilsson

Karlsson

Svensson

2023

BMC Health Serv Res

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Background As the number of older people increases, so does the need for care. However, the workforce in eldercare cannot increase at the rate required to match the needs. Welfare technologies, such as surveillance cameras, can replace physical visits and be used at night to monitor older people in order to keep them safe, while not disturbing their sleep. The aim of the paper is to analyze obstacles and opportunities associated with implementation and use of surveillance cameras at nursing homes from the perspectives of the practitioners who use the technology, their working environment and the conditions of the older people with cognitive impairment who live in nursing homes. Methods Individual semi-structured interviews were conducted with the eldercare personnel at nursing homes to understand their experiences of implementation and use of surveillance cameras. The transcribed interviews were analyzed using qualitative content analysis. The consolidated criteria for reporting qualitative research (COREQ) was used as a guidance tool. Results The results show that the eldercare personnel experienced lack of adequate information, education and support related to using surveillance cameras. Several benefits are highlighted, such as better working environment and that the residents were not unnecessarily disturbed at night. However, the results also show that it is important to clarify that surveillance cameras cannot replace the human presence. Conclusions The conclusions from this study are the importance of prerequisites for implementation, and that using surveillance cameras contributed to improvements in the working environment at night and created possibilities to maintain security and integrity for older people living in nursing homes.

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Section: Discussionsupporting

confidence: 52%

Section: Introductionmentioning

confidence: 99%

Experiences of using surveillance cameras as a monitoring solution at nursing homes: The eldercare personnel’s perspectives

Emilsson

Karlsson

Svensson

2023

BMC Health Serv Res

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“…Recent systematic reviews show a lack of high-quality evidence for many expected effects of HWT that are broadly implemented in Sweden (19,20), and that expected or acceptable levels of value are not reached (21). Another recent systematic review of procurement practices in Sweden showed that requirements for, and assessment of, evidence for technologies' effectiveness is rarely used during the procurement process.…”

mentioning

confidence: 99%

Use of evidence-based approaches in procurement and implementation of health and welfare technologies – a survey among Swedish municipalities

Richardson

Wamala-Andersson

2023

Preprint

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Background Health and welfare technologies (HWT) are increasingly procured and implemented by public providers in Swedish municipalities, but it remains unclear if and how evidence for these technologies’ effectiveness is used in both processes. The aim of this study was to investigate the use of evidence in Swedish municipal public sector procurement and implementation of HWT. Methods A telephone survey of 197 municipalities was conducted with questions regarding the use of evidence in both processes, as well as eventual support needs regarding its use. Standard definitions of HWT and evidence were provided prior to the survey. Response frequencies and percentage proportions calculated per question. Lambda (Λ) values with corresponding significance values were calculated for associations between responses to selected questions and the size and type of municipality, with values of 0.01 to 0.19 designated as weak associations, 0.20 to 0.39 as moderate, and 0.40 and above as strong. Results Sixty-four municipalities completed the entire survey. Consistent use of evidence for effectiveness of HWT occurred in less than half of all municipal public procurement processes. Two-thirds of municipalities did not have an established model or process for implementation of HWT that used evidence in any manner. More than three quarters of municipalities lacked a systematic plan for follow-up and evaluation of effectiveness of implemented HWT, and of those that did less than half followed their plan consistently. Most municipalities expressed the need for support in using evidence in HWT-related processes but did not consider evidence and systematic evaluation to be prioritized. Conclusions Weaknesses and gaps in using evidence in procurement and implementation processes may create a legacy of sub-optimal implementation of HWT in Swedish municipal health- and social care services, and lost opportunities for real-world evidence generation. There was a clear indication of the need for unified national guidance for using and generating evidence in key HWT-related municipal processes and implementation. Such guidance needs to be developed and effectively communicated.

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Nocturnal digital surveillance in aged populations and its effects on health, welfare and social care provision: a systematic review

Cited by 2 publications

References 1 publication

Experiences of using surveillance cameras as a monitoring solution at nursing homes: The eldercare personnel’s perspectives

Experiences of using surveillance cameras as a monitoring solution at nursing homes: The eldercare personnel’s perspectives

Use of evidence-based approaches in procurement and implementation of health and welfare technologies – a survey among Swedish municipalities

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