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The Functional Requirements of Person-Centred Fundamental Care: Evaluating Artificial Intelligence and Robotics
1Chamberlain University, Sandy Springs, Georgia, USA.
Aim:
To propose provisional, theory-informed questions for evaluating whether artificial intelligence and robotic deployments support person-centred fundamental care when current practice is depleted.
Design:
Discursive theoretical paper.
Methods:
Purposive conceptual synthesis of fundamental care scholarship, selected behavioural and developmental theories, vulnerability scholarship, and illustrative technology evidence.
Results:
Three lenses generate provisional questions about patient-specific meaning, connections among care activities over time, and the conditions sustaining responsive care. A separate ethical argument holds that delegating activities does not discharge professional or institutional obligations to patients. Applications to adaptive monitoring, social interaction, generative dialogue, and physical-task automation distinguish what the technology can do, how care work changes, and the effects on care. Hypothetical variations distinguish failures of interpretation, follow-through, and supporting conditions and identify grounds for favourable judgements.
Conclusion:
Improvement over current practice does not establish adequate person-centred fundamental care. Replacing an activity does not establish replacement of the care relationship. The questions require participatory refinement and empirical testing.
Implications For The Profession And/Or Patient Care:
Nurses and leaders can use the questions to identify changes in care and work and deficits that remain, including when an imperfect deployment offers a justified improvement over feasible alternatives.
Impact:
The questions address inadequate care as an evaluation benchmark and offer patients, nurses, and decision-makers a way to evaluate technology deployment and service redesign.
Reporting Method:
Discursive theoretical analysis; no applicable reporting checklist.
Patient Or Public Contribution:
This study did not include patient or public involvement in its design, conduct, or reporting.
