Robotics in Nursing: A Scoping Review

PURPOSE Driven by the shortage in qualified nurses and the high percentage of aging populations, the past decade has witnessed a significant growth in the use of robots in nursing, especially in countries like Japan. This article is a scoping review of the different tracks in which robots are used in nursing. Whereas assistive robots are used for physical care, including service and monitoring tasks, social assistive robots focus on the cognitive and emotional well-being of patients in need of companionship. METHODS A total of six electronic databases were used in the search for journal papers and conference proceedings. The key words used in searching the databases were nursing OR nurses, AND robots OR robotics. Topics covering surgical robotics, nursing education robotics, and clinical procedures were excluded. FINDINGS A total of 1,758 articles were retrieved, from which 69 articles were included in the final review. The analysis of the chosen papers led to the categorization of robots into two main categories: assistive robots and social assistive robots. CONCLUSIONS After a detailed review of the state of the art in assistive robots and social assistive robots, an insight into the future of robotics in this field is provided. The recommendations include the need to intensify research on human robot interaction, greater focus on monitoring robots, and analysis of the psychological barriers that need to be surmounted to achieve more tolerance and higher acceptance of robots. CLINICAL RELEVANCE For researchers and developers to provide suitable technological solutions, a full understanding of robotics in nursing is needed. An overview of the most recent applications and their proper categorization is key to finding areas for contribution.

[1]  Tanya N. Beran,et al.  Humanoid robotics in health care: An exploration of children’s and parents’ emotional reactions , 2015, Journal of health psychology.

[2]  Toshiharu Mukai,et al.  Development of a nursing-care assistant robot RIBA that can lift a human in its arms , 2010, 2010 IEEE/RSJ International Conference on Intelligent Robots and Systems.

[3]  Elizabeth Broadbent,et al.  Benefits and problems of health‐care robots in aged care settings: A comparison trial , 2016, Australasian journal on ageing.

[4]  Tsugito Maruyama,et al.  An autonomous mobile robot for carrying food trays to the aged and disabled , 2000, Adv. Robotics.

[5]  Huanhuan Zhang,et al.  A Home Nursing Robot System , 2011 .

[6]  Tiffany L. Chen,et al.  Lead me by the hand: evaluation of a direct physical interface for nursing assistant robots , 2010, HRI 2010.

[7]  W. Banks,et al.  Animal-assisted therapy and loneliness in nursing homes: use of robotic versus living dogs. , 2008, Journal of the American Medical Directors Association.

[8]  Haoyong Yu,et al.  Experimental evaluation of a novel robotic hospital bed mover with omni-directional mobility. , 2017, Applied ergonomics.

[9]  María Malfaz,et al.  Study of Scenarios and Technical Requirements of a Social Assistive Robot for Alzheimer’s Disease Patients and Their Caregivers , 2015, International Journal of Social Robotics.

[10]  Maja J. Mataric,et al.  Toward Socially Assistive Robotics for Augmenting Interventions for Children with Autism Spectrum Disorders , 2008, ISER.

[11]  A. Alexiou,et al.  Artificial humanoid for the elderly people. , 2015, Advances in experimental medicine and biology.

[12]  Oliver Bendel,et al.  Surgical, Therapeutic, Nursing and Sex Robots in Machine and Information Ethics , 2015 .

[13]  Jacqueline Urtecho,et al.  Implementation of a Model of Robotic Tele-Presence (RTP) in the Neuro-ICU: Effect on Critical Care Nursing Team Satisfaction , 2012, Neurocritical Care.

[14]  Robert U. Ayres,et al.  Industrial Robots on the Line. , 1982 .

[15]  John Hu,et al.  Giving patients a lift - the robotic nursing assistant (RoNA) , 2014, 2014 IEEE International Conference on Technologies for Practical Robot Applications (TePRA).

[16]  V. Freedman,et al.  A comparison of assistive technology and personal care in alleviating disability and unmet need. , 2003, The Gerontologist.

[17]  Marcelo H. Ang,et al.  Why Robots? A Survey on the Roles and Benefits of Social Robots in the Therapy of Children with Autism , 2013, International Journal of Social Robotics.

[18]  Jane Smith,et al.  The development of Handy 1, a rehabilitation robotic system to assist the severely disabled , 1998 .

[19]  Wan Ling Chang,et al.  Socializing robots: constructing robotic sociality in the design and use of the assistive robot PARO , 2016, AI & SOCIETY.

[20]  Pericle Salvini,et al.  On Ethical, Legal and Social Issues of Care Robots , 2015, Intelligent Assistive Robots.

[21]  Robert Sparrow,et al.  Robots in aged care: a dystopian future? , 2016, AI & SOCIETY.

[22]  Martin Pohl.  Robotic Systems in Healthcare with Particular Reference to Innovation in the 'Fourth Industrial Revolution' : An Ethical Challenge for Management , 2016 .

[23]  G. Mead,et al.  Interventions for improving upper limb function after stroke. , 2014, The Cochrane database of systematic reviews.

[24]  Yoshinori Kobayashi,et al.  Assisted-care robot based on sociological interaction analysis , 2011, Comput. Hum. Behav..

[25]  Tomoharu Yamaguchi,et al.  Interactive multimodal social robot for improving quality of care of elderly in Australian nursing homes , 2012, ACM Multimedia.

[26]  H. Arksey,et al.  Scoping studies: towards a methodological framework , 2005 .

[27]  Tianmiao Wang,et al.  A Multi-layered Interaction Architecture for Elderly Companion Robot , 2008, ICIRA.

[28]  Kenneth M. Dawson-Howe,et al.  The application of robotics to a mobility aid for the elderly blind , 1998, Robotics Auton. Syst..

[29]  Kari Mäkelä,et al.  Remote monitoring of nursing home residents using a humanoid robot , 2012, Journal of telemedicine and telecare.

[30]  José María Cañas,et al.  Robotherapy with Dementia Patients , 2013 .

[31]  Jacques Penders,et al.  Dementia and Robotics: People with Advancing Dementia and Their Carers Driving an Exploration into an Engineering Solution to Maintaining Safe Exercise Regimes , 2016, Nursing Informatics.

[32]  Diego Reforgiato Recupero,et al.  Interacting with Dementia: The MARIO Approach , 2017, AAATE Conf..

[33]  Antonio Del Campo,et al.  Supporting Caregivers in Nursing Homes for Alzheimer's Disease Patients: A Technological Approach to Overnight Supervision , 2016, ICT4AgeingWell.

[34]  Elizabeth Broadbent,et al.  Physiological effects of a companion robot on blood pressure of older people in residential care facility: A pilot study , 2015, Australasian journal on ageing.

[35]  Fang Chen,et al.  Introduction to the Development of a Robotic Manipulator for Nursing Robot , 2009, ICIRA.

[36]  S. Dubowsky,et al.  Robotic Personal Aids for Mobility and Monitoring for the Elderly , 2006, IEEE transactions on neural systems and rehabilitation engineering.

[37]  Theodore A. Metzler,et al.  Could robots become authentic companions in nursing care? , 2016, Nursing philosophy : an international journal for healthcare professionals.

[39]  T. Shibata,et al.  Robot Therapy: A New Approach for Mental Healthcare of the Elderly – A Mini-Review , 2010, Gerontology.

[40]  Albert Ali Salah,et al.  An autonomous robotic exercise tutor for elderly people , 2017, Auton. Robots.

[41]  Yoshiko Saito,et al.  Pilot study on improvement of quality of life among elderly using a pet-type robot , 2003, Proceedings 2003 IEEE International Symposium on Computational Intelligence in Robotics and Automation. Computational Intelligence in Robotics and Automation for the New Millennium (Cat. No.03EX694).

[42]  R. Shaw,et al.  A Telehealth Case Study , 2015, Journal of the American Psychiatric Nurses Association.

[43]  P. Buerhaus,et al.  Trouble in the nurse labor market? Recent trends and future outlook. , 1999, Health affairs.

[44]  José Maria Azorín,et al.  Steps in the development of a robotic scrub nurse , 2012, Robotics Auton. Syst..

[45]  Misato Nihei,et al.  Design of a Behavior of Robot That Attracts the Interest of the Mildly Demented Elderly , 2017, AAATE Conf..

[46]  Andrea Lockerd Thomaz,et al.  An Investigation of Responses to Robot-Initiated Touch in a Nursing Context , 2014, Int. J. Soc. Robotics.

[47]  Noel Sharkey,et al.  The Eldercare Factory , 2011, Gerontology.

[48]  K G Engelhardt,et al.  Current status and future prospects for robotic technology in health care delivery. , 1986, Central nervous system trauma : journal of the American Paralysis Association.

[49]  Wendy A. Rogers,et al.  Identifying the Potential for Robotics to Assist Older Adults in Different Living Environments , 2014, Int. J. Soc. Robotics.

[50]  Michaela Pfadenhauer,et al.  Robot Caregiver or Robot-Supported Caregiving? , 2015, Int. J. Soc. Robotics.

[51]  Takanori Shibata,et al.  Mental commit robot and its application to therapy of children , 2001, 2001 IEEE/ASME International Conference on Advanced Intelligent Mechatronics. Proceedings (Cat. No.01TH8556).

[52]  Wan Ling Chang,et al.  PARO robot affects diverse interaction modalities in group sensory therapy for older adults with dementia , 2013, 2013 IEEE 13th International Conference on Rehabilitation Robotics (ICORR).

[53]  Bernice Elger,et al.  Social and Assistive Robotics in Dementia Care: Ethical Recommendations for Research and Practice , 2016, Int. J. Soc. Robotics.

[54]  A. Kanso,et al.  Automated Sedation using propofol and midazolam based on Bispectral Index for ICU patients , 2016, 2016 IEEE International Multidisciplinary Conference on Engineering Technology (IMCET).

[55]  Robin R. Murphy,et al.  Introduction to AI Robotics , 2000 .

[56]  Bram Vanderborght,et al.  A Survey of Expectations About the Role of Robots in Robot-Assisted Therapy for Children with ASD: Ethical Acceptability, Trust, Sociability, Appearance, and Attachment , 2015, Science and Engineering Ethics.

[57]  Kirsten Frederiksen,et al.  Attitudes to a robot bathtub in Danish elder care: A hermeneutic interview study. , 2015, Nursing & health sciences.

[58]  Adam Santorelli,et al.  Investigating the Effect of Social Robot Embodiment , 2017, AAATE Conf..

[59]  Abraham Otero,et al.  A New Device to Automate the Monitoring of Critical Patients' Urine Output , 2014, BioMed research international.

[60]  Xiao-yu Zhang.  Intelligent Assistive and Robotics Development in China , 2012 .

[61]  Meritxell Valentí Soler,et al.  Social robots in advanced dementia , 2015, Front. Aging Neurosci..

[62]  C. Freeman.  The ‘National System of Innovation’ in historical perspective , 1995 .

[63]  Michael Blumenstein,et al.  What Effect Does an Animal Robot Called CuDDler Have on the Engagement and Emotional Response of Older People with Dementia? A Pilot Feasibility Study , 2016, Int. J. Soc. Robotics.

[64]  Rui Yan,et al.  Evaluation of the Pet Robot CuDDler Using Godspeed Questionnaire , 2013, ICOST.

[65]  Shadia Elgazzar,et al.  Efficient kinematic transformations for the PUMA 560 robot , 1985, IEEE J. Robotics Autom..

[66]  Cynthia Breazeal,et al.  Designing a socially assistive robot for pediatric care , 2015, IDC.

[67]  J. Petelin,et al.  Deployment and early experience with remote-presence patient care in a community hospital , 2005, Surgical Endoscopy.

[68]  D. Levac,et al.  Scoping studies: advancing the methodology , 2010, Implementation science : IS.

[69]  Lina Zhou,et al.  The determinants of home healthcare robots adoption: An empirical investigation , 2014, Int. J. Medical Informatics.

[70]  Songmin Jia,et al.  Network Distributed Multi-Functional Robotic System Supporting the Elderly and Disabled People , 2006, J. Intell. Robotic Syst..

[71]  M. L. Peck.  The Future of Nursing in a Technological Age , 1992, Journal of holistic nursing : official journal of the American Holistic Nurses' Association.

[72]  Paolo Fiorini,et al.  MAid: A Robotic Wheelchair Operating in Public Environments , 1998, Sensor Based Intelligent Robots.

[73]  AJung Moon,et al.  Survey-Based Discussions on Morally Contentious Applications of Interactive Robotics , 2011, Int. J. Soc. Robotics.

[74]  Barbara Klein,et al.  Emotional Robotics in Elder Care - A Comparison of Findings in the UK and Germany , 2012, ICSR.

[75]  Tiffany L. Chen,et al.  Lead me by the hand: Evaluation of a direct physical interface for nursing assistant robots , 2010, 2010 5th ACM/IEEE International Conference on Human-Robot Interaction (HRI).

[76]  An In-home Advanced Robotic System to Manage Elderly Home-care Patients' Medications: A Pilot Safety and Usability Study. , 2017, Clinical therapeutics.

[77]  Feng Li,et al.  Design of a new Multifunctional Wheelchair-bed , 2013 .

[78]  Daisuke Chugo,et al.  Standing Assistance System for Rehabilitation Walker , 2007, FSR.

[79]  Ken'ichi Yano,et al.  Collision avoidance control with dynamical potential method for meal-assist robot* *This work was supported by GIFU and OGAKI Robotics Advanced Medical Cluster. , 2009 .