Welfare state transition in the making: Focus on the niche-regime interaction in Finnish elderly care services

Pekkarinen, Satu; Melkas, Helinä

doi:10.1016/j.techfore.2018.09.015

Cited by 30 publications

(18 citation statements)

References 39 publications

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“…This is beyond the scope of this study, but reliable wireless networks and wireless charging points are needed for robots to function properly. In addition, the skillful integration of different technologies into larger networks has yet to happen; different technologies are still developed and utilized in a fragmented way ( Pekkarinen & Melkas, 2019 ). In order to benefit from robots, understanding is thus required regarding the nature of the context in which they are used in terms of the physical and structural environment, in addition to the understanding regarding the users themselves ( Mitzner, Chen, Kemp, & Rogers, 2013 ).…”

Section: Discussionmentioning

confidence: 99%

Can robots tackle late-life loneliness? Scanning of future opportunities and challenges in assisted living facilities

Pirhonen

Tiilikainen

Pekkarinen

et al. 2020

Futures

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Highlights Social robots entail opportunities and challenges in decreasing emotional and social loneliness. A futures scanning was conducted on technology for older people in assisted living (AL). The analytical frame was built on Robert Weiss’ division of relational functions, and on a distinction between direct and indirect social robots. Social robots could tackle both emotional and social loneliness by empowering people. Ethical concerns of objectification, lack of human contact, and deception need attention.

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Section: Discussionmentioning

confidence: 99%

Can robots tackle late-life loneliness? Scanning of future opportunities and challenges in assisted living facilities

Pirhonen

Tiilikainen

Pekkarinen

et al. 2020

Futures

Self Cite

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“…Another role identified during the analysis of the survey and interviews was the implementer. As implementers of digital care services, eldercare professionals consider ethical issues in regards to the use of a particular digital care service in specific situations, practices or contexts [47,48]. In these circumstances, they may need to either trust their moral insights and intuition or conduct an ethical risk analysis [37].…”

Section: Eldercare Professionals As Implementers Of Digital Care Servmentioning

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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“…The dynamics of strengthening interaction is also influenced by the interconnected nature of regimes, constituting society (Pekkarinen and Melkas, 2019;Sutherland et al, 2015;Slingerland and Schut, 2014). Sutherland et al, (2015Sutherland et al, ( : 1551 finds that opening up multiple regimes will empower niche development.…”

Section: Strengthening Regime-niche Interactionsmentioning

confidence: 99%

Transformative Outcomes: Assessing and Reorienting Experimentation with Transformative Innovation Policy

Ghosh

2020

SSRN Journal

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The impending climate emergency, the commitments made in the Paris agreement and the UN Agenda 2030 Sustainable Development Goals (SDGs) demand significant transformations in the present economies and societies. Science funders, innovation agencies and scholars have been exploring distinctive new rationales and processes for policy-making, such as transformative innovation policy (TIP). In this paper, we address the question of how to orient the efforts of science, technology and innovation (STI) agencies to enable transformations and address societal challenges. We developed a more consistent and robust approach for assessing the transformative outcomes which may be accomplished through experimental policy engagements. We build on sustainability transitions studies and on a four-year co-creation process carried out by the Transformative Innovation Policy Consortium (TIPC) and present twelve transformative outcomes that can guide the activities of STI agencies in evaluating and reformulating their current or new projects, programmes and policies. We illustrate the transformative outcomes in two empirical cases: transitions towards intelligent transport and mobility-as-a-service in the Finnish mobility system, and the emergence of speciality coffee in Colombia. Our analysis demonstrates that the twelve transformative outcomes can guide STI agents and other change-agents to fundamentally transform their ways of thinking and operation in the course of unlocking transformative change in society.

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Welfare state transition in the making: Focus on the niche-regime interaction in Finnish elderly care services

Cited by 30 publications

References 39 publications

Can robots tackle late-life loneliness? Scanning of future opportunities and challenges in assisted living facilities

Can robots tackle late-life loneliness? Scanning of future opportunities and challenges in assisted living facilities

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

Transformative Outcomes: Assessing and Reorienting Experimentation with Transformative Innovation Policy

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