JMIR Publications

ABSTRACT

Background:

Due to progressive characteristics of dementia, concerns about nursing home residents’ safety are frequently experienced. Surveillance technology, with visual and auditory monitoring, is often seen as a solution for safe and efficient care. However, applying surveillance technology tailored to individual needs is considered challenging due to the complex and dynamic care environment, involving multiple formal and informal stakeholders and as many perspectives.

Objective:

The purpose of this study was to explore the scientific literature on the perspectives and values of stakeholders involved in applying surveillance technology for people with dementia in nursing homes.

Methods:

A scoping review was carried out and five scientific databases were systematically searched. 31 articles published from 2005 to 2023 were included. Stakeholder characteristics were extracted and synthesized according to Schwartz’ theory of basic human values.

Results:

Twelve stakeholder groups were identified of which nursing staff, residents and informal caregivers were most often mentioned. In stakeholder groups close to residents, values related to benevolence, security, conformity and tradition were most frequently addressed. Values such as self-direction, power and achievement seemed important to the majority of the stakeholder groups.

Conclusions:

Several stakeholder groups emphasized the importance of being and feeling involved in the application of surveillance technologies. In addition, they acknowledged the importance of paying attention to stakeholders’ perspectives and values. Across these stakeholder groups, particularly values related to benevolence, security and self-direction were represented, although the various stakeholders assigned different meanings to these values. Awareness of stakeholders’ perspectives demands the willingness to acknowledge each other’s values and to bridge differences. Clinical Trial: n.a.