石丸 美奈

Abstract The implementation of home-care robots is sometimes unsuccessful. This study aimed to explore factors explaining people’s willingness to use home-care robots, particularly among care recipients and caregivers. Surveys were conducted in Japan, Ireland, and Finland. The survey questionnaire comprised four categories (familiarity with robots, important points about home-care robots, functions expected from home-care robots, and ethically acceptable uses), with 48 items assessing users’ willingness to use home-care robots. The responses from 525 Japanese, 163 Irish, and 170 Finnish respondents were analyzed to identify common and distinct factors influencing their willingness to use these robots. Common factors across the countries included “willingness to participate in research and development,” “interest in robot-related news,” and “having a positive impression of robots”. The distinct factors for each country were: “convenience” in Japan; “notifying family members and support personnel when an unexpected change occurs in an older person” in Ireland; and “design” in Finland. Therefore, developers should determine potential users’ willingness to participate in the research and development of home-care robots and consider a system that involves them in the development process.

目的:在宅で生活する青年期にある医療的ケア者の日常生活における意思決定の経験を明らかにし,対象者が日常生活の自立に向けて意思決定をしていくための看護支援の示唆を得ることである。方法:質的記述的研究デザインとし,概ね18～25歳の医療的ケア者に半構造化面接を行った。対象者に自立の転機の場面を取り上げてもらい,誰とどのように意思決定してきていたのかを聴取した。分析は,事例毎に逐語録を作成後,意思決定のコードを作成し,連関する意思決定のコードを時系列に集約し,要約を作成した。意思決定の経験の焦点となる習得・熟達した力の観点で分類し,意味内容を表すテーマを生成した。結果:男性4名から125の意思決定のコードを得て22の要約を作成し,【進路選択において葛藤や挫折を繰り返しながら,自身の方向性を明確にしていく】【親からの心理的自立に向けて,支援者との関わりを模索しながら意思を実現する方法を拡大していく】等,5の意思決定の経験のテーマを生成した。考察:青年期にある医療的ケア者の意思決定の経験は,葛藤や挫折を繰り返しながら心理的自立に向けて支援者と調整する力等を習得し,成長とともに拡大させ,自らが意思決定の「主体」へと移行していく特徴があった。円滑な「主体」の移行に向けた準備性を高める看護支援とともに,対象者の日常に伴走して関係性を深め,対象者の価値観に基づく意思決定支援が重要である。(著者抄録)

OBJECTIVE: This systematic review will identify and synthesize available qualitative evidence regarding parents' experiences of health literacy in parenting infants at home. INTRODUCTION: Parental health literacy, which is essential for parents' and children's health, is associated with parents' health knowledge, parenting practices, and children's health outcomes. Parents face difficulties pertaining to their health literacy skills in daily health education and health care for their infants; therefore, understanding their parenting experience with infants from a health literacy perspective is important for health professionals. This review will evaluate and integrate qualitative evidence regarding parental experiences of health literacy in daily parenting of infants at home. INCLUSION CRITERIA: This review will include qualitative data from empirical studies describing parents' experiences of health literacy in parenting infants at home. Parents of infants (0-1 year of age) living at home in Organisation for Economic Co-operation and Development member countries will be included. METHODS: This review will follow the JBI approach for qualitative systematic reviews. The following databases will be searched for published and unpublished studies: MEDLINE (EBSCOhost), CINAHL (EBSCOhost), PsycINFO (EBSCOhost), and ProQuest Health & Medical Collection (in English and Japanese); Open Access Theses and Dissertations (in English); and Ichushi-Web, CiNii, and the Institutional Repositories Database (in Japanese). Study selection, data extraction, and critical appraisal of the methodological quality of studies will be undertaken by 2 reviewers independently. Data synthesis will be conducted using the meta-aggregation approach, and the synthesized findings will be assessed using the ConQual approach. SYSTEMATIC REVIEW REGISTRATION NUMBER: CRD42022345187.