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Smart glasses for caring situations in complex care environments: Scoping review
Blekinge Institute of Technology, Faculty of Engineering, Department of Health. Region Blekinge, SWE.
Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
2020 (English)In: JMIR mhealth and uhealth, E-ISSN 2291-5222, Vol. 8, no 4, article id e16055Article, review/survey (Refereed) Published
Abstract [en]

Background: Anesthesia departments and intensive care units represent two advanced, high-tech, and complex care environments. Health care in those environments involves different types of technology to provide safe, high-quality care. Smart glasses have previously been used in different health care settings and have been suggested to assist health care professionals in numerous areas. However, smart glasses in the complex contexts of anesthesia care and intensive care are new and innovative. An overview of existing research related to these contexts is needed before implementing smart glasses into complex care environments. Objective: The aim of this study was to highlight potential benefits and limitations with health care professionals' use of smart glasses in situations occurring in complex care environments. Methods: A scoping review with six steps was conducted to fulfill the objective. Database searches were conducted in PubMed and Scopus; original articles about health care professionals’ use of smart glasses in complex care environments and/or situations occurring in those environments were included. The searches yielded a total of 20 articles that were included in the review. Results: Three categories were created during the qualitative content analysis: (1) smart glasses as a versatile tool that offers opportunities and challenges, (2) smart glasses entail positive and negative impacts on health care professionals, and (3) smart glasses' quality of use provides facilities and leaves room for improvement. Smart glasses were found to be both a helpful tool and a hindrance in caring situations that might occur in complex care environments. This review provides an increased understanding about different situations where smart glasses might be used by health care professionals in clinical practice in anesthesia care and intensive care; however, research about smart glasses in clinical complex care environments is limited. Conclusions: Thoughtful implementation and improved hardware are needed to meet health care professionals’ needs. New technology brings challenges; more research is required to elucidate how smart glasses affect patient safety, health care professionals, and quality of care in complex care environments. ©Charlotte Romare, Lisa Skär.

Place, publisher, year, edition, pages
JMIR Publications , 2020. Vol. 8, no 4, article id e16055
Keywords [en]
Anesthesia department, Critical care, Intensive care units, Scoping review, Smart glasses
National Category
Nursing
Identifiers
URN: urn:nbn:se:bth-19439DOI: 10.2196/16055ISI: 000526813600001PubMedID: 32310144Scopus ID: 2-s2.0-85083801154OAI: oai:DiVA.org:bth-19439DiVA, id: diva2:1429199
Note

Open access

Funded by the Scientific Council at Region Blekinge.

Available from: 2020-05-08 Created: 2020-05-08 Last updated: 2022-10-14Bibliographically approved
In thesis
1. Health Care Professionals’ Views of Smart Glasses for Vital Signs Monitoring in Complex Care Environments
Open this publication in new window or tab >>Health Care Professionals’ Views of Smart Glasses for Vital Signs Monitoring in Complex Care Environments
2022 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Monitoring patient vital signs is one of many important tasks for health care professionals in intensive care units and anaesthesia departments. Patient status can deteriorate in seconds, hence close surveillance is requisite for safe care. However, monitoring vital signs can be challenging in some situations. Smart glasses have been suggested for facilitating the monitoring of vital signs. To be useful, smart glasses require a customised application and must be integrated in the interacting work system. A work system comprises Person(s), Tasks, Technology and Tools, Organisation, and Environment. The work system affects care processes and outcomes, and one outcome is patient safety. 

The overall aim of this thesis was to investigate health care professionals’ views on and experiences of smart glasses, as well as whether smart glasses could influence patient safety in complex care environments. Five studies were conducted to answer the overall aim. A scoping review compiled previous research about smart glasses in complex care environments (Study I). Through focus group interviews, health care professionals’ views on smart glasses were collected (Studies II and III). Software developers used the knowledge generated to develop a smart glass application for vital signs monitoring. In individual interviews health care professionals shared their experiences’ using smart glasses for vital signs monitoring during clinical anaesthesia care (Study V). A database study was also conducted to describe burden of care related to monitoring (Study IV). The results were synthesised using SEIPS 2.0. 

The results presented in this thesis show that smart glasses can be used to monitor vital signs, and that they made it possible to monitor vital signs regardless of location. However, using smart glasses for vital signs monitoring requires further development to meet clinical needs. The complexity of care in intensive care units and at anaesthesia departments was evident, as were health care professionals’ responsibilities and their commitment to providing safe care for patients. 

This thesis concludes that adding smart glasses to the work system will affect other components of the work system and hence also processes and outcomes such as patient safety. Providing safe care for patients in complex care environments is challenging. The patient’s best is health care professionals’ highest priority, hence health care professionals are an asset for patient safety. To have positive impact on patient safety, new tools such as smart glasses must be designed to fit into the rest of the work system and to facilitate health care professionals’ work processes.

Place, publisher, year, edition, pages
Karlskrona: Blekinge Tekniska Högskola, 2022. p. 127
Series
Blekinge Institute of Technology Doctoral Dissertation Series, ISSN 1653-2090 ; 8
Keywords
Anesthesia Department, Hospital; Human Factors Engineering; Intensive Care Units; Monitoring, Physiologic; Nursing; Smart Glasses; Patient Safety.
National Category
Medical and Health Sciences Nursing
Research subject
Applied Health Technology
Identifiers
urn:nbn:se:bth-23754 (URN)978-91-7295-445-8 (ISBN)
Public defence
2022-12-09, J1630, Karlskrona, 10:00 (Swedish)
Opponent
Supervisors
Available from: 2022-10-17 Created: 2022-10-14 Last updated: 2022-11-09Bibliographically approved

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