Perspectives and values of stakeholders involved in the application of surveillance technology for people with dementia in nursing homes: a qualitative explorative study

AI Summary

Stakeholder diversity across psychogeriatric wards creates complex ethical, value-laden trade-offs affecting attitudes and implementation of surveillance technologies.
Organisational factors, including policy, culture and communication, shape stakeholder involvement, expectation management and practical deployment of surveillance technologies in nursing homes.
Actively including residents and authorised representatives in tailored cross-stakeholder dialogue helps resolve ethical dilemmas and integrate diverse values into collaborative decisions.

TL;DR (AI Generated)

OBJECTIVE: The objective of this study is to explore individual stakeholders' perspectives and what is most important to them, particularly the values they adhere to regarding surveillance technologies in nursing home dementia care.

Organisational factors such as policy, culture and communication shaped involvement and expectation management, while resident-level perspectives reflected value-laden trade-offs involving safety, privacy, freedom of movement and quality of life, with differing interpretations among stakeholders.

Actively including stakeholders' perspectives encourages individuals to transcend their own perspectives, integrating diverse values into collaborative decision-making, thereby promoting inclusive collaborative decision-making decision.

Basic summary

Geriatr Nurs. 2026 Nov 13;74(Pt A):104422. doi: 10.1016/j.gerinurse.2026.104422. Online ahead of print.

ABSTRACT

BACKGROUND: Nursing homes have many stakeholders, a complexity that becomes particularly salient when using surveillance technologies in dementia care. These technologies raise ethical, value-based dilemmas that influence stakeholders’ attitudes and behaviour. Successful implementation of these technologies requires stakeholder involvement and insight into their values. Yet little research explores these stakeholders’ values, and residents’ perspectives often remain underexplored.

OBJECTIVE: The objective of this study is to explore individual stakeholders’ perspectives and what is most important to them, particularly the values they adhere to regarding surveillance technologies in nursing home dementia care.

METHOD: In a qualitative explorative study, semi-structured interviews were conducted with representatives of a diverse range of stakeholder groups involved in the application of surveillance technologies in dementia care. Perspectives and values were explored using a validated instrument based on Schwartz’s human values theory. Data were analysed and described in a narrative based on thematic analysis.

RESULTS: Interviews with 38 participants from three psychogeriatric wards, representing thirteen stakeholder groups, revealed results on organisational and resident-levels. Organisational factors such as policy, culture and communication shaped involvement and expectation management, while resident-level perspectives reflected value-laden trade-offs involving safety, privacy, freedom of movement and quality of life, with differing interpretations among stakeholders.

CONCLUSION: Effective cross-stakeholder communication, using language tailored to stakeholders in daily practice and addressing ethical dilemmas, supports bridging professional boundaries. Including residents and authorised representatives is crucial. Actively including stakeholders’ perspectives encourages individuals to transcend their own perspectives, integrating diverse values into collaborative decision-making, thereby promoting inclusive collaborative decision-making decision.

PMID:43024998 | DOI:10.1016/j.gerinurse.2026.104422

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