Health Care Professionals' and Parents' Perspectives on the Use of AI for Pain Monitoring in the Neonatal Intensive Care Unit: Multisite Qualitative Study.
AI
HCP
NICU
acceptance
adoption
artificial intelligence
assessment
attitude
attitudes
babies
baby
digital health
experience
experiences
health care professional
health care professionals
health technologies
health technology
infant
infants
intensive care
interview
interviews
neonatal
neonatal intensive care unit
neonate
neonates
newborn
newborns
opinion
pain
pain management
pain monitoring
parent
parents
pediatric
pediatrics
perception
perceptions
perspective
perspectives
premature
preterm
preterm infant
willingness
Journal
JMIR AI
ISSN: 2817-1705
Titre abrégé: JMIR AI
Pays: Canada
ID NLM: 9918645789006676
Informations de publication
Date de publication:
09 Feb 2024
09 Feb 2024
Historique:
received:
02
08
2023
accepted:
17
12
2023
revised:
24
11
2023
medline:
14
6
2024
pubmed:
14
6
2024
entrez:
14
6
2024
Statut:
epublish
Résumé
The use of artificial intelligence (AI) for pain assessment has the potential to address historical challenges in infant pain assessment. There is a dearth of information on the perceived benefits and barriers to the implementation of AI for neonatal pain monitoring in the neonatal intensive care unit (NICU) from the perspective of health care professionals (HCPs) and parents. This qualitative analysis provides novel data obtained from 2 large tertiary care hospitals in Canada and the United Kingdom. The aim of the study is to explore the perspectives of HCPs and parents regarding the use of AI for pain assessment in the NICU. In total, 20 HCPs and 20 parents of preterm infants were recruited and consented to participate from February 2020 to October 2022 in interviews asking about AI use for pain assessment in the NICU, potential benefits of the technology, and potential barriers to use. The 40 participants included 20 HCPs (17 women and 3 men) with an average of 19.4 (SD 10.69) years of experience in the NICU and 20 parents (mean age 34.4, SD 5.42 years) of preterm infants who were on average 43 (SD 30.34) days old. Six themes from the perspective of HCPs were identified: regular use of technology in the NICU, concerns with regard to AI integration, the potential to improve patient care, requirements for implementation, AI as a tool for pain assessment, and ethical considerations. Seven parent themes included the potential for improved care, increased parental distress, support for parents regarding AI, the impact on parent engagement, the importance of human care, requirements for integration, and the desire for choice in its use. A consistent theme was the importance of AI as a tool to inform clinical decision-making and not replace it. HCPs and parents expressed generally positive sentiments about the potential use of AI for pain assessment in the NICU, with HCPs highlighting important ethical considerations. This study identifies critical methodological and ethical perspectives from key stakeholders that should be noted by any team considering the creation and implementation of AI for pain monitoring in the NICU.
Sections du résumé
BACKGROUND
BACKGROUND
The use of artificial intelligence (AI) for pain assessment has the potential to address historical challenges in infant pain assessment. There is a dearth of information on the perceived benefits and barriers to the implementation of AI for neonatal pain monitoring in the neonatal intensive care unit (NICU) from the perspective of health care professionals (HCPs) and parents. This qualitative analysis provides novel data obtained from 2 large tertiary care hospitals in Canada and the United Kingdom.
OBJECTIVE
OBJECTIVE
The aim of the study is to explore the perspectives of HCPs and parents regarding the use of AI for pain assessment in the NICU.
METHODS
METHODS
In total, 20 HCPs and 20 parents of preterm infants were recruited and consented to participate from February 2020 to October 2022 in interviews asking about AI use for pain assessment in the NICU, potential benefits of the technology, and potential barriers to use.
RESULTS
RESULTS
The 40 participants included 20 HCPs (17 women and 3 men) with an average of 19.4 (SD 10.69) years of experience in the NICU and 20 parents (mean age 34.4, SD 5.42 years) of preterm infants who were on average 43 (SD 30.34) days old. Six themes from the perspective of HCPs were identified: regular use of technology in the NICU, concerns with regard to AI integration, the potential to improve patient care, requirements for implementation, AI as a tool for pain assessment, and ethical considerations. Seven parent themes included the potential for improved care, increased parental distress, support for parents regarding AI, the impact on parent engagement, the importance of human care, requirements for integration, and the desire for choice in its use. A consistent theme was the importance of AI as a tool to inform clinical decision-making and not replace it.
CONCLUSIONS
CONCLUSIONS
HCPs and parents expressed generally positive sentiments about the potential use of AI for pain assessment in the NICU, with HCPs highlighting important ethical considerations. This study identifies critical methodological and ethical perspectives from key stakeholders that should be noted by any team considering the creation and implementation of AI for pain monitoring in the NICU.
Identifiants
pubmed: 38875686
pii: v3i1e51535
doi: 10.2196/51535
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e51535Informations de copyright
©Nicole Racine, Cheryl Chow, Lojain Hamwi, Oana Bucsea, Carol Cheng, Hang Du, Lorenzo Fabrizi, Sara Jasim, Lesley Johannsson, Laura Jones, Maria Pureza Laudiano-Dray, Judith Meek, Neelum Mistry, Vibhuti Shah, Ian Stedman, Xiaogang Wang, Rebecca Pillai Riddell. Originally published in JMIR AI (https://ai.jmir.org), 09.02.2024.