Technical development and clinical evaluation of intelligent continence management system at nursing home

Wai, Aung Aung Phyo; Foo, Siang Fook; Jayachandran, M.; Biswas, Jit; Nugent, Chris; Mulvenna, Maurice; Zhang, Daqing; Craig, David; Passmore, Peter; Lee, Jer-En; Yap, Philip

doi:10.1109/health.2010.5556544

Cited by 2 publications

(8 citation statements)

References 18 publications

(20 reference statements)

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“…This advantage was greatest at night when reduced checks and change intervention promoted sleep quality for residents. These findings are consistent with several studies that describe benefits of technology in providing more effective incontinence care management 1,2,7,27,28. The automatic recording of incontinence-related data can also help monitor residents' voiding patterns over time, making it possible to align care to the individual resident's needs.…”

Section: Discussionsupporting

confidence: 89%

“…30 Research confirms technology impairing performance is demotivating and likely to provide incentive for nurses to return to practice habits adopted prior to introduction of the novel technology. 28 A fourth condition, education and training is needed to overcome the barrier of skepticism, resistance to new technologies, and changing care routines; this finding is consistent with prior research. 27 Education should highlight the importance and benefits of the product and provide clear and simple instructions.…”

Section: Discussionsupporting

confidence: 81%

“…The usability of the sensor is essential to prevent rapid obsolescence of sensor technology 30. Research confirms technology impairing performance is demotivating and likely to provide incentive for nurses to return to practice habits adopted prior to introduction of the novel technology 28. A fourth condition, education and training is needed to overcome the barrier of skepticism, resistance to new technologies, and changing care routines; this finding is consistent with prior research 27.…”

Section: Discussionsupporting

confidence: 69%

“…Prior studies have reported advantages of visual alerts. 27,28 However, findings from an observational study indicated that too many alarms can disturb nurses in their workflow, lead to alarm fatigue and lack of attention to visual alerts. 29 We identified 5 conditions that should be filled when implementing the sensor technology in nursing homes.…”

Section: Discussionmentioning

confidence: 99%

“…Multiple studies describe those 2 conditions as the most challenging. 27,28 A third condition is a user-friendly product and staff perception of the changing work context (eg, acceptation, satisfaction, and willingness). The usability of the sensor is essential to prevent rapid obsolescence of sensor technology.…”

Section: Discussionmentioning

confidence: 99%

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Integrating Sensor Technology in Disposable Body-Worn Absorbent Products

Raepsaet

Serraes

Verhaeghe

et al. 2021

Journal of Wound, Ostomy &Amp; Continence Nursing

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PURPOSE: The purpose of this study was to define the user profile, (technical) criteria, conditions, and potential benefits of the integration of sensor technology in disposable body-worn incontinence materials. DESIGN: Qualitative study using a framework method. SUBJECT AND SETTING: The sample included residents with incontinence, nurses, and decision-makers in a selection of Flemish nursing homes (Belgium). METHODS: Semistructured interviews were performed between June and August 2020. The interviews with nurses included open-ended questions focusing on the user profile, (technical) criteria, conditions, and potential benefits of the integration of sensor technology in disposable body-worn incontinence materials. The interviews with decision-makers were supplemented with questions about purchase cost and other economic criteria (such as reimbursement). Interviews with residents included questions about wearing comfort. Interviews were tape-recorded and transcribed verbatim. Data were analyzed using a framework method. RESULTS: The user profile was defined as (1) residents with cognitive impairment and (2) residents who are bedridden or are severely limited in mobility. The following (technical) criteria emerged from the analyses: a small, thin, and oval/circular sensor, an adaptable or in front attachment of the sensor on the absorbent product, a real-time indication of the absorbent product's saturation, leakage detection, liquid stool detection, the automatic recording of incontinence-related data, a durable sensor easy to disinfect, and receiving notifications on a wearable device. Conditions included a stable connection between the wearable device and the sensor, accurate measurements, user-friendly system, comprehensible training, affordability, and data protection. Potential benefits included workload reduction, increased comfort for residents and staff, more person-centered care, increased quality of care, less skin damage and economic (eg, less costs due to less excessive absorbent product changes), and/or environmental (e.g. less waste) gains. CONCLUSION: Study findings identified the user profile, (technical) criteria, conditions, and potential benefits of the integration of sensor technology in disposable body-worn incontinence materials. Respondents reported problems with changing routines and skepticism about the sensor's accuracy. Based on findings from this study, we recommend involving representatives of all relevant stakeholders in the design of sensor technology to ensure users' needs and increase the use of sensor technology. Comprehensive education is recommended to inform nurses, residents, and their family members on the importance and benefits of the technology and to aid overcoming barriers to use (skepticism, resistance to new technologies, and changing care routines). Study findings also indicate that the sensor technology cannot replace the existing voiding programs; rather it should be an addition to routine continence care.

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