Evidence map›Paper›PMID 42104531›Full record

ArticleJournal of nursing management2026

Can Technology Use Alleviate Workforce Needs in Finnish Assisted Living Services? A Convergent Mixed-Methods Study of Automatic Medicine Dispensers and Night-Time Monitoring.

Visa Väisänen, Henrika Karhulahti-Nordström, Petra Saukkonen, Salla Ruotsalainen, Kim Josefsson, Timo Sinervo

Abstract read
In one paragraph

Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Visa VäisänenHealth and Social Service System Research Team, Welfare State Research Unit, Finnish Institute for Health and Welfare, Helsinki, Finland, thl.fi.ORCID https://orcid.org/0009-0008-5738-8348
Henrika Karhulahti-NordströmHealth and Social Service System Research Team, Welfare State Research Unit, Finnish Institute for Health and Welfare, Helsinki, Finland, thl.fi.
Petra SaukkonenOlder People Services Team, Services Unit, Finnish Institute for Health and Welfare, Helsinki, Finland, thl.fi.ORCID https://orcid.org/0000-0003-3035-4451
Salla RuotsalainenHealth and Social Service System Research Team, Welfare State Research Unit, Finnish Institute for Health and Welfare, Helsinki, Finland, thl.fi.ORCID https://orcid.org/0000-0001-7370-8075
Kim JosefssonOlder People Services Team, Services Unit, Finnish Institute for Health and Welfare, Helsinki, Finland, thl.fi.ORCID https://orcid.org/0000-0003-4933-3415
Timo SinervoHealth and Social Service System Research Team, Welfare State Research Unit, Finnish Institute for Health and Welfare, Helsinki, Finland, thl.fi.ORCID https://orcid.org/0000-0003-4475-0797

Funding

FinELibFinnish Ministry of HealthFinnish Work Environment Fund 230337Terveyden ja hyvinvoinnin laitos
6 · The paper itself

Abstract

backgroundWorkforce needs are growing in older people care, exacerbated by the aging population. Technological solutions offer potential means to address this challenge. However, their effects on work and worktime management remain unclear, especially in the setting of assisted living services. Our aim was to assess the potential of two established technologies, automatic medicine dispensing and night-time monitoring, in alleviating workforce needs in Finnish assisted living facilities.

methodsThe effects of the two technologies on workforce needs were studied using a convergent mixed-methods design, incorporating quantitative time and motion analysis and qualitative analysis of two open-ended survey questions. Linear regression analysis and data-driven thematic analysis were employed. The quantitative and qualitative results were integrated and compared afterward.

resultsOur quantitative results indicated that medicine dispensing technology can streamline medicine management and administration, but effects on direct care time were not found. Use of night-time monitoring technology was associated with more direct care during nights and reduced nightly staffing. The qualitative analysis highlighted medicine dispensers freeing up time for other work and night-time monitoring reducing the need for nightly rounds. However, several technology-related problems and a loss of medication competencies were perceived. Our results converged on several positive workforce effects, notably optimizing medication management and promoting individualized care during nights.

conclusionTechnology use could be promoted in assisted living services, when it demonstrably streamlines care work, increases work efficiency, allows for reduced staffing, or promotes individualized and patient-centered care. National care policy can incentivize the use of similar technologies, for example, through staffing level legislation. However, care unit management should prepare for potential technology-related errors and acute emergencies by upkeeping both technology and medication competencies of nurses and ensuring the presence of sufficient staff. Importantly, the potential efficiency gains must not come at the expense of quality or safety of care.

Indexed as

Assisted Living FacilitiesFemaleFinlandHumansMaleQualitative ResearchSurveys and Questionnairesassisted livingmedicine dispensingnight-time monitoringnursingtechnology useworkforce needs

Identifiers

PMID42104531
PMCPMC13156071

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.