Best Practice Guidance
Human Interaction with Technology in Dementia


Implementation of technology in dementia care: facilitators & barriers

Successful implementation of technology in dementia care depends not merely on its effectiveness but also on other facilitating or impeding factors related to e.g. the personal living environment (privacy, autonomy and obtrusiveness); the outside world (stigma and human contact); design (personalisability, affordability and safety), and ethics on these subjects.  This section provides recommendations on the implementation of technology in everyday life, for meaningful activities, healthcare technology and technology promoting Social Health.
Health care technologies

Nursing home managers should ensure the appropriate conditions for implementation of EPR systems


Issues such as access to the EPR system, appropriate training and system development and support should all be considered by nursing homes before and during the implementation of EPR systems.

Explanation and Examples

Access or non-access to various parts of the EPR system should be discussed and put in place. For instance, management should consider whether auxiliary staff should be allowed to access medical information, such as dementia diagnosis, and whether this would consequently entail training in the field of dementia. Appropriate training in the EPR system according to individual staff needs is also required, as some staff may be more experienced in the use of technology than others. Training ‘on the job’ was found to be preferred by many over classroom-based teaching. Finally, software developers should consider working alongside nursing homes during the design of EPR systems in order to ensure software is appropriate for their needs. Developers should continue to be involved in improving the EPR following implementation, as part of an iterative cycle.

Type of evidence

Kate Shiells (INDUCT ESR 13)

Qualitative study


Shiells, K., Diaz Baquero, A. A., Stepankova, O., & Holmerova, I. (2020). Staff perspectives on the usability of electronic patient records for planning and delivering dementia care in nursing homes: a multiple case study. BMC Medical Informatics and Decision Making, 20, 159.