Real-time location system implementation in dementia care: Stakeholder perspectives.
Background and Objectives Despite interest in using real-time location systems (RTLS) to improve quality and efficiency of care and to collect data for the development of clinical algorithms, research on their implementation and use in long-term care homes is scarce. This study examines RTLS impleme...
| Publicado en: | Gerontologist Vol. 65; no. 12; pp. 1 - 13 |
|---|---|
| Autores principales: | , , , , , , |
| Formato: | Artículo |
| Publicado: |
Oxford University Press / USA
Dec2025
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=190629549&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 190629549 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00169013 GET jtl: Gerontologist issn: 00169013 maglogo: N pubinfo: dt: Dec2025 vid: 65 iid: 12 pid: 622 pub: Oxford University Press / USA artinfo: ui: 190629549 10.1093/geront/gnaf244 ppf: 1 ppct: 12 formats: tig: atl: Real-time location system implementation in dementia care: Stakeholder perspectives. aug: au: Grigorovich, Alisa Harvey, Kelsey Levy, AnneMarie Haslam-Larmer, Lynn Shum, Leia C Iaboni, Andrea McMurray, Josephine affil: Recreation and Leisure Studies, Brock University, St Catharines, Ontario, CanadaKITE Research Institute, Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada Experiential Studies in Community and Sport, Cape Breton University, Sydney, Nova Scotia, Canada KITE Research Institute, Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada Lazaridis School of Business and Economics, Wilfrid Laurier University, Waterloo, Ontario, Canada su: Canada Ontario Patients Identification Qualitative research Interviewing Privacy Nursing care facilities Metropolitan areas Patients' attitudes Medical ethics Executives Research funding Long-term health care Global Positioning System Thematic analysis Attitudes of medical personnel Research methodology Research Dementia patients Caregiver attitudes Accidental falls sug: subj: Patients Identification Qualitative research Interviewing Privacy Nursing care facilities Metropolitan areas Patients' attitudes Medical ethics Canada Ontario Nursing Care Facilities (Skilled Nursing Facilities) Community care facilities for the elderly Executives Research funding Long-term health care Global Positioning System Thematic analysis Attitudes of medical personnel Research methodology Research Dementia patients Caregiver attitudes Accidental falls keyword: Artificial intelligence Evaluation Sociotechnical systems Artificial intelligence Evaluation Sociotechnical systems ab: Background and Objectives Despite interest in using real-time location systems (RTLS) to improve quality and efficiency of care and to collect data for the development of clinical algorithms, research on their implementation and use in long-term care homes is scarce. This study examines RTLS implementation in one long-term care home identifying failure points, ethical tensions, and sociotechnical misalignments that led to abandonment. Research Design and Methods Semistructured interviews were conducted with 47 participants (residents, care partners, direct care staff, managers, administrators) across two time points; all also completed a demographic survey. Thematic analysis of the data was guided by the Non-Adoption, Abandonment, Scale-up, Spread and Sustainability framework, and Sociotechnical Systems theory. Results Initial enthusiasm for RTLS stemmed from safety and efficiency expectations, but misaligned functionalities, limited staff engagement, and ethical tensions undermined adoption. Stakeholders anticipated real-time monitoring and fall detection, neither of which were provided. Residents frequently removed the wearables, citing discomfort and privacy, while staff encountered barriers due to the limited integration of the RTLS into workflows. Ethical tensions emerged as residents' autonomy and preferences were overridden by care partners. Discussion and Implications These failures underscore the need for iterative and participatory approaches to implementation, transparent communication, and stakeholder alignment. The findings highlight the sociotechnical complexities of implementing surveillance technologies in long-term care. Ethical concerns surrounding resident autonomy, workforce surveillance, and data governance, must be addressed in future implementations to ensure that RTLS supports rather than compromises the dignity and rights of residents and staff. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|