[Sensor systems for the care of people with wandering behavior in hospital: A qualitative study on subjective...

Sensor systems for the care of people with wandering behavior in hospital: A qualitative study on subjective experiences Abstract: Background: Hospital stays pose a particular challenge for people with cognitive impairments. In particular, behaviours such as wandering - undirected or uncontrolled walking around - can be stressful for both patients and nursing staff. Technological solutions, such as RFID-based sensor systems, offer support, but also raise ethical and practical questions. Research question/Aim: The aim of the study was to investigate the subjective experience of patients, staff and relatives when using an RFID-based sensor system in hospital. Methods: The study followed a qualitative triangulation design in which interviews with patients (n = 3) and nursing staff (n = 6) as well as participant observation were used as data sources. The data material was analysed based on the grounded theory coding method. Results: The sensor system was used for mobile patients with wandering. Carers experienced the system as promoting safety and relieving stress. Patient perspectives ranged from support, interest and scepticism to a rather negative attitude. Conclusions: The system strengthens caregivers' sense of security but requires careful ethical and legal consideration when used. As patients often have only a limited understanding of the technological context, future research should improve education and communication in order to promote acceptance and self-determination.