Methods to evaluate perspectives of safety, independence, activity, and participation in older persons using welfare technology. A systematic review

Zander, Viktoria; Johansson-Pajala, Rose-Marie; Gustafsson, Christine

doi:10.1080/17483107.2019.1574919

Cited by 16 publications

(13 citation statements)

References 99 publications

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“…The consequence might be a resistance to technology among frontline care personnel and patients in municipal elder care [10,15,45,46]. Recent studies have analyzed aspects of participation among different care professionals when welfare technologies have been implemented [12,17,19,20,[45][46][47][48][49]. These studies have shown that the work of the individual care personnel is crucial in technology deployment in elder care and that technology innovation also changes the dynamics within practices [21].…”

Section: Emancipation and Welfare Technology Implementationmentioning

confidence: 99%

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Views of Swedish Elder Care Personnel on Ongoing Digital Transformation: Cross-Sectional Study

Baudin¹,

Gustafsson²,

Frennert³

2020

J Med Internet Res

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Background: Swedish municipalities are facing demographic challenges due to the growing number of older people and the resulting increased need for health care services. Welfare technologies are being launched as possible solutions for meeting some of these challenges. Objective:The aim of this study was to explore the perception, experimentation, evaluation, and procurement of welfare technology practices among professionals working in municipal elder care in relation to their gender, age, and profession.Methods: Data for this explorative cross-sectional study were collected from 393 responses to a web-based survey on municipal elder care in Sweden. Chi square tests were performed to determine the associations. Results:The results revealed gender, age, and professional differences in perspectives of municipal elder care workers. Differences were particularly evident in attitudes toward technology, both the use of technology in general and in the workplace, and involvement and participation in decision making regarding the procurement of new welfare technologies. Men (37/53, 70%) expressed a more positive attitude toward and curiosity regarding new technologies than women (157/336, 46.7%) (P=.03). Regarding age, the younger respondents (18-24 years old) perceived the digital transformation in the workplace as "too slow" (4/4, 100%), whereas the majority of older respondents (65-74 years old) perceived it as happening at the "right pace" (4/7, 57%). The elder care personnel felt encouraged by management to explore and experiment with new welfare technologies, but never did so either for management or with patients. Even though the majority of the respondents were women, more men (4/7, 57%) were involved in the procurement process for welfare technology devices and solutions than women (98/336, 29.2%) (P<.001).Conclusions: Personnel working within municipal elder care were generally very positive toward new technologies. However, both gender and age differences may influence these perspectives such as the personnel's resistance to welfare technology and patients' participation in welfare technology usage and deployment. Different levels of participation in the decision-making process regarding new technology deployment may negatively affect the overall digital transformation within municipal elder care.

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Section: Emancipation and Welfare Technology Implementationmentioning

confidence: 99%

“…Exploring the role of welfare technology in municipal elder care is important because the use of technology in home care and in health care is constantly increasing [12,[14][15][16][17][18][19][20][21]. However, research on the use of welfare technology in elder care has often focused on the attributes of leadership and management.…”

Section: Introductionmentioning

confidence: 99%

Views of Swedish Elder Care Personnel on Ongoing Digital Transformation: Cross-Sectional Study

Baudin¹,

Gustafsson²,

Frennert³

2020

J Med Internet Res

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“…However, how welfare technology is perceived by people who work with and make decisions about welfare technology in the context of municipal eldercare is under-researched and forms the topic of this paper [7,19,27]. Although welfare technology is a Nordic concept, technology in home care is constantly increasing all over the world [2,3,6,[28][29][30][31][32] and it is therefore of importance to understand how people who work with technology in healthcare perceive the opportunities and challenges of technology deployment in eldercare.…”

Section: Introductionmentioning

confidence: 99%

The concept of welfare technology in Swedish municipal eldercare

Frennert

Baudin

2019

Disability and Rehabilitation

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Purpose: An ageing population presents a challenge for municipal eldercare in Sweden due to difficulties recruiting staff and there being a strained economy. A strategy involving welfare technology is presented as one such solution. An important group to carry out this strategy involves those who work with welfare technology in municipal eldercare. In this paper we describe their perception of welfare technology, and the challenges and opportunities they perceive in utilizing it. Methods: A self-administered online questionnaire was distributed to all Swedish municipalities and answered by 393 respondents. Analyses show that the respondents were representative of the different professions who work with welfare technology within municipal eldercare. Results: Welfare technology was perceived as being more reliable and safer than humans with regards to supervisions and reminders. The respondents acknowledged factors that slowed down the implementation of welfare technology in municipal eldercare organizations, such as resistance to change, lack of finances, lack of supporting evidence, lack of infrastructure, high staff turnover, difficulties with procurement and uncertainties about responsibility and laws. Conclusions: We found that the people who work with and make decisions about welfare technology in municipal eldercare organizations were generally very positive about the deployment and use of such technology, but there appear to be problems within municipal eldercare organizations to realize this vision. The lack of structured implementation processes and coherent evaluation models indicates inequality of the access to welfare technology and, as a result, even though Swedish eldercare is publicly funded, the availability of welfare technologies and their usage differ between municipalities. ä IMPLICATIONS FOR REHABILITATION The research findings show that implementing welfare technologies in municipal eldercare must include transformed working processes and long-term strategies or they may lead to conflicts of priorities or unstructured implementation processes. Structured implementation processes and coherent evaluation models are needed for equality of access and availability of welfare technologies in municipal eldercare. High staff turnover negatively affects the deployment of welfare technology and the root cause of high staff turnover needs to be addressed.

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“…As the use of technology in eldercare is constantly increasing [11,19,[51][52][53][54][55][56], the most common role eldercare professionals play is neither maker nor implementer, but maintainer of digital care services [52,[57][58][59][60]. In this context, technology is already embedded in everyday routines and work practices.…”

Section: Eldercare Professionals As Maintainers Of Digital Care Servicesmentioning

confidence: 99%

Moral distress and ethical decision-making of eldercare professionals involved in digital service transformation

Frennert

2020

Disability and Rehabilitation: Assistive Technology

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Aim: Technology affects almost all aspects of modern eldercare. Ensuring ethical decision-making is essential as eldercare becomes more digital; each decision affects a patient's life, self-esteem, health and wellness. Methods: We conducted a survey and interviews with eldercare professionals to better understand the behavioural ethics and decision making involved in the digital transition of eldercare. Conclusion: Our qualitative analysis showed three recurrent roles among eldercare professionals in regard to digital service transformation; makers, implementers and maintainers. All three encountered challenging and stressful ethical dilemmas due to uncertainty and a lack of control. The matter of power relations, the attempts to standardize digital solutions and the conflict between cost efficiency and if digital care solutions add value for patients, all caused moral dilemmas for eldercare professionals. The findings suggest a need for organizational infrastructure that promotes ethical conduct and behaviour, ethics training and access to related resources. ä IMPLICATIONS FOR REHABILITATION The transition to digital care service is not neutral, but value-laden. Digital transformation affects ethical behaviour and decision-making. The decision as to which digital services should be developed and deployed must include eldercare professionals and not lay solely in the hands of managers, technologists and economists. We must move away from attempting to fit standardized solutions to a heterogenous group of older patients; accommodating the pluralism of patients' needs and wants protects their dignity, autonomy and independence. As digital care practices evolve, so too must organizational structures that promote ethical conduct.

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Methods to evaluate perspectives of safety, independence, activity, and participation in older persons using welfare technology. A systematic review

Cited by 16 publications

References 99 publications

Views of Swedish Elder Care Personnel on Ongoing Digital Transformation: Cross-Sectional Study

Views of Swedish Elder Care Personnel on Ongoing Digital Transformation: Cross-Sectional Study

The concept of welfare technology in Swedish municipal eldercare

Moral distress and ethical decision-making of eldercare professionals involved in digital service transformation

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