Ethical Aspects of the Use of Social Robots in Elderly Care -- A Systematic Qualitative Review

Background: The use of social robotics in elderly care is increasingly discussed as one way of meeting emerging care needs due to scarce resources. While many potential benefits are associated with robotic care technologies, there is a variety of ethical challenges. To support steps towards a responsible implementation and use, this review develops an overview on ethical aspects of the use of social robots in elderly care from a decision-makers' perspective. Methods: Electronic databases were queried using a comprehensive search strategy based on the key concepts of "ethical aspects", "social robotics" and "elderly care". Abstract and title screening was conducted by two authors independently. Full-text screening was conducted by one author following a joint consolidation phase. Data was extracted using MAXQDA24 by one author, based on a consolidated coding framework. Analysis was performed through modified qualitative content analysis. Results: A total of 1,518 publications were screened, and 248 publications were included. We have organized our analysis in a scheme of ethical hazards, ethical opportunities and unsettled questions, identifying at least 60 broad ethical aspects affecting three different stakeholder groups. While some ethical issues are well-known and broadly discussed our analysis shows a plethora of potentially relevant aspects, often only marginally recognized, that are worthy of consideration from a practical perspective. Discussion: The findings highlight the need for a contextual and detailed evaluation of implementation scenarios. To make use of the vast knowledge of the ethical discourse, we hypothesize that decision-makers need to understand the specific nature of this discourse to be able to engage in careful ethical deliberation.