Exploring the Relationship between Trust and Image of Elderly Care Facilities and the Burden of Support for Elderly Care Facilities Recognized by a Main Caregiver in an Elderly Care Facility

2021 ◽  
Vol 26 (3) ◽  
pp. 401-424
Author(s):  
Hey-Jin Lee ◽  
Yoon-Jung Lee
2021 ◽  
Vol 7 (2) ◽  
pp. 141-163 ◽  
Author(s):  
Satoru Tokuhisa ◽  
Tetsuro Morimoto

A variety of healthcare robots for elderly care have been developed. However, as the elderly and caregivers experience psychological resistance towards not only new technologies but specifically to robots, the adoption of healthcare robots has scarcely progressed. This article aims to develop a service design method, which consists of a design process including design tools to identify jobs in an elderly care facility and to reveal what kinds of jobs to assign to service robots and to caregivers. This article develops a design method which is composed of six steps and adopts original design tools to identify jobs needed in elderly care facilities and assign them to human and non-human actors, including service robots. The tools include an actor map to visualize the Actor to Actor (A2A) network, a current jobs to be done (JTBD) worksheet to visualize existing jobs, a new JTBD worksheet to visualize new jobs, and an actor worksheet to summarize information about each actor including their philosophy. With this design method, we conducted a series of workshops with the aim to develop a service fulfilled by humans and non-humans at an elderly care facility in Shizuoka prefecture in Japan. The results of questionnaires administered to the workshop participants demonstrated the effectiveness of all the tools except the new JTBD worksheet. Also, the results of interviews with employees in the elderly care facility indicated the effectiveness of the approach, which reveals visible and invisible regulative, normative and cultural-cognitive elements through interviews with human actors, and embeds them in the service design process. The design method including the original design tools proposed in this article contribute to a service design method for the use of robots in elderly care facilities by allocating jobs to human actors and non-human actors appropriately, and it also contributes to the issue of psychological resistance to the adoption of service robots in these facilities, which brings efficiencies to society. The contribution of this article is to reframe the issue of resistance to the adoption of service robots in elderly care facilities to the issue of what kinds of jobs in an elderly care facility should be assigned to service robots or caregivers, and the development of a service design process including original design tools.


Author(s):  
Daniela Garcia Damaceno ◽  
Mara Quaglio Chirelli ◽  
Carlos Alberto Lazarini

Abstract Objective: to analyze how care is performed, understand the contributions of previous experience to professional practice in Long-Term Care Facilities for the Elderly (LTCFs), and recognize the challenges and propositions for professional training and the delivery of care in LTCFs. Method: an exploratory qualitative study was carried out in two stages with 33 professionals and managers of a long-term care facility in a municipality in the state of São Paulo. Analysis was performed using Collective Subject Discourse and Thematic Content Analysis (first and second stage, respectively). Results: It was found that, in the views of health professionals and managers, the quality of care is linked to basic needs and the training of professionals does not consider the specificities of gerontological care. They therefore reproduce a fragmented and mechanical work process. Conclusion: The results highlight the need to revisit courses in the area of health in order to understand their approach to training in elderly care.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ryota Sakurai ◽  
Saya Watanabe ◽  
Hiroki Mori ◽  
Tomoya Sagara ◽  
Hiroshi Murayama ◽  
...  

Abstract Background As there is a shortage of care staff in elderly care homes, seniors are expected to work as assistants to help the care staff. This study examined the influence of older assistant workers in intermediate elderly care facilities on care staff, specifically focusing on emotional exhaustion which is a sign of burnout. These facilities provide long-term nursing and supportive care to older residents. Methods Data from a mail survey of intermediate elderly care facilities with older assistant workers were analyzed. Care staff were asked about the advantages and disadvantages of introducing older assistant workers in elderly care work, and their degree of emotional exhaustion. We also assessed work self-evaluations of older assistant workers, including the benefits of the work, and physical and mental burdens. Results A significantly large number of care staff reported improvements in workload with the employment of older assistant workers. Intermediate elderly care facilities enrolling more older assistant workers showed lower mean emotional exhaustion among care staff, independent of possible covariates. While older assistant workers felt that their work contributed to helping both care users and staff, they also reported a mental burden. Conclusions Our results suggest that older assistant workers can play a significant role in reducing the physical and mental burden of intermediate elderly care facility staff. Thus, employing older assistant workers can be an effective approach to addressing shortages of care staff in elderly care homes.


This study aims to design a system that, in case of a disaster at an elderly care facility, provides the optimum evacuation paths via user devices using their location information. A system for situation control and safe evacuation was developed with the following components: an information collection system developed using BLE beacon technology to detect disasters and collect location information; a control system that uses a situation monitoring program incorporated with real-time positioning technology and an evacuation guidance program with the application of A* algorithm; and a terminal system composed of an app for providing evacuation paths to terminal devices. This study was conducted on a method of generating and providing the optimum evacuation paths, based on the disaster location and the user-inputted location information obtained via IoT technology, with the aim of minimizing casualties and fatalities in the event of a disaster at a 24-hour resident facility occupied by seniors with mental and/or physical impairments. For this purpose, evacuation guidance systems at elderly care facilities were analyzed, an experiment was conducted using disaster detection sensors and beacon technology for determining user locations, and diverse algorithms for determining the best evacuation paths were compared to identify and apply the most appropriate algorithm. Afterwards, a simulation was conducted, and the results showed that it was possible to locate the disaster or fire occurring at an elderly care and determine the status of users inside the facility. Also, it was found that the evacuation guidance program could analyze the optimum evacuation paths for users from their current locations and provide such information via the terminal devices in possession of individual users. The system can provide disaster information and evacuation paths as well as the locations of evacuees with mobility difficulties to enable swift rescue operations, thereby minimizing casualties and fatalities.


2021 ◽  
Vol 2021 ◽  
pp. 1-13
Author(s):  
Rui Liu ◽  
Miao Du ◽  
Jun Shen ◽  
Xiaolan Wang ◽  
Ying Jiang

In this paper, through the study of elderly care, the method of equalizing the topological layout of the health care infrastructure network is used for in-depth analysis. With the evaluation method of senior care facility fairness as the research base theory, the analysis and evaluation of senior care facilities are carried out from two aspects of supply and demand fairness and spatial fairness, and the problems and shortcomings of senior care facilities in terms of facility scale, spatial layout, service level, and policy management are summarized. This paper analyses the contradictory points of the nonequitable layout of urban senior care facilities, to propose planning suggestions and optimization measures for the planning of the senior care service facility system. It discusses the problems in the spatial layout of senior care facilities from the perspective of social equity, focuses on the needs of urban disadvantaged groups, promotes the equalization of public services, and provides the theoretical basis and technical support for the planning policy of urban public service facilities. The study fully combines the theory of urban planning disciplines with geographic information system technology, mathematical and statistical technology, and network data acquisition technology to establish the evaluation of the spatial layout of senior care facilities based on social equity framework, to contribute to the planning of similar urban public service facilities. It comes to make an integrated consideration of the supply content and scope of basic public service facilities and check the gaps, which is conducive to improving the scientific and intensive nature of public resource input according to local conditions and more speed and provides some reference to the method of public service facility allocation.


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