Designing Nursing Care Practices Complemented by Robots: Ethical Implications and Application of Caring Frameworks

Grobbel, Claudia; Wynsberghe, Aimee van; Davis, Rodnita K; Poly-Droulard, Lynda

doi:10.20467/1091-5710.23.2.132

Cited by 5 publications

(2 citation statements)

References 22 publications

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“…Grobbel et al [ 27 ] explored the ethical framework of the CCVSD, which is an approach in which nursing practice is the starting point for understanding the impact of the robot on care and thus requires a conversion of the experiences of nursing professionals into elements that can help robot programmers design machines that are increasingly suited to the job they are tasked with performing.…”

Section: Resultsmentioning

confidence: 99%

The Increasing Centrality of Robotic Technology in the Context of Nursing Care: Bioethical Implications Analyzed through a Scoping Review Approach

Gibelli

Ricci

Sirignano

et al. 2021

Journal of Healthcare Engineering

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At the dawn of the fourth industrial revolution, the healthcare industry is experiencing a momentous shift in the direction of increasingly pervasive technologization of care. If, up until the 2000s, imagining healthcare provided by robots was a purely futuristic fantasy, today, such a scenario is in fact a concrete reality, especially in some countries, such as Japan, where nursing care is largely delivered by assistive and social robots in both public and private healthcare settings, as well as in home care. This revolution in the context of care, already underway in many countries and destined to take place soon on a global scale, raises obvious ethical issues, related primarily to the progressive dehumanization of healthcare, a process which, moreover, has undergone an important acceleration following the outbreak of the COVID-19 pandemic, which has made it necessary to devise new systems to deliver healthcare services while minimizing interhuman contact. According to leading industry experts, nurses will be the primary users of healthcare robots in the short term. The aim of this study is to provide a general overview, through a scoping review approach, of the most relevant ethical issues that have emerged in the nursing care field in relation to the increasingly decisive role that service robots play in the provision of care. Specifically, through the adoption of the population-concept-context framework, we formulated this broad question: what are the most relevant ethical issues directly impacting clinical practice that arise in nursing care delivered by assistive and social robots? We conducted the review according to the five-step methodology outlined by Arksey and O’Malley. The first two steps, formulating the main research question and carrying out the literature search, were performed based on the population-context-concept (PCC) framework suggested by the Joanna Briggs Institute. Starting from an initial quota of 2,328 scientific papers, we performed an initial screening through a computer system by eliminating duplicated and non-English language articles. The next step consisted of selection based on a reading of the titles and abstracts, adopting four precise exclusion criteria: articles related to a nonnursing environment, articles dealing with bioethical aspects in a marginal way, articles related to technological devices other than robots, and articles that did not treat the dynamics of human-robot relationships in depth. Of the 2,328 titles and abstracts screened, we included 14. The results of the 14 papers revealed the existence of nonnegligible difficulties in the integration of robotic systems within nursing, leading to a lively search for new theoretical ethical frameworks, in which robots can find a place; concurrent with this exploration are the frantic attempts to identify the best ethical design system applicable to robots who work alongside nurses in hospital wards. In the final part of the paper, we also proposed considerations about the Italian nursing context and the legal implications of nursing care provided by robots in light of the Italian legislative panorama. Regarding future perspectives, this paper offers insights regarding robot engagement strategies within nursing.

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Section: Resultsmentioning

confidence: 99%

The Increasing Centrality of Robotic Technology in the Context of Nursing Care: Bioethical Implications Analyzed through a Scoping Review Approach

Gibelli

Ricci

Sirignano

et al. 2021

Journal of Healthcare Engineering

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“…To policymakers, care robots seem to offer a range of attractive solutions because they are expected to narrow the widening gap between a growing population living with disabilities, chronic illnesses and dementia and the limited human and financial capacity of the welfare state (Grobbel et al, 2019; Hagendorff, 2020). These discourses and sentiments towards care robots are inscribed in policies as shown above as embedded scripts for specific developments and uses of advanced technology in care.…”

Section: Discussionmentioning

confidence: 99%

The entwinement of policy, design and care scripts: Providing alternative choice‐dependency situations with care robots

Nickelsen

Abildgaard

2022

Sociology Health & Illness

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The use of robots to assist feeding has become important for people with an impaired arm function. Yet, despite large‐scale dissemination strategies, it has proven difficult to sustain the use of this technology. This ethnographic study draws on the script approach to discuss the use of robots to assist feeding. The empirical work was done at locations in Denmark and Sweden. Drawing on document studies, interviews, observation of meals and video footage, we discuss (1) policy strategies promoting ideas such as self‐reliance; (2) design visions promoting ideas such as empowerment; (3) and three scripts of care: (a) the script of choice, (b) the script of eating alone and (c) the script of eating together. We argue that scripts entwine and give rise to and prevent the use of robots. The study contributes to the script literature and the care robot literature by substantiating that care robots may generate choice‐dependency situations for users. Rather than the somewhat overflowing ‘self‐reliance’ and ‘empowerment’, alternative configurations of choice and dependency emerge, in which some situations fit users better than others. We conclude that although sustaining the use of feeding robots is difficult, in some cases, useful choices arise for both end‐users and care providers.

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Rubeis

2024

The International Library of Ethics, Law and Technology

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Designing Nursing Care Practices Complemented by Robots: Ethical Implications and Application of Caring Frameworks

Cited by 5 publications

References 22 publications

The Increasing Centrality of Robotic Technology in the Context of Nursing Care: Bioethical Implications Analyzed through a Scoping Review Approach

The Increasing Centrality of Robotic Technology in the Context of Nursing Care: Bioethical Implications Analyzed through a Scoping Review Approach

The entwinement of policy, design and care scripts: Providing alternative choice‐dependency situations with care robots

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