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这是一个便利性的问题:福利技术在瑞典老年护理中为何已被本土化。

It is a matter of convenience: why welfare technologies have become domesticated in Swedish eldercare.

作者信息

Frennert Susanne, Skagert Katrin, Williamsson Anna

机构信息

Department of Design Sciences, Lund University, Lund, Sweden.

Division Digital Systems, RISE - Research Institutes of Sweden, Stockholm, Gothenburg, Sweden.

出版信息

BMC Health Serv Res. 2024 Dec 10;24(1):1558. doi: 10.1186/s12913-024-11924-x.

Abstract

BACKGROUND

The use of welfare technology is gaining ground in municipal eldercare and is increasingly being integrated into everyday routines. However, the meanings that eldercare personnel attach to welfare technology in the care of older recipients, and thus the domestication of welfare technology, remain largely underexplored. This study explores how eldercare personnel understand and ascribe meanings to welfare technologies in their daily work, with the aim of understanding their domestication.

METHODS

The empirical material comprised 181 photographs, each paired with corresponding text, from 61 participants across four municipalities in southern Sweden. The empirical material was thematically analysed, focusing on different categories of welfare technologies and their ascribed meanings. In our coding "convenience" and at times "inconvenience" were interpreted as recurrent patterns. Their repeated presence across various contexts and the meanings ascribed to different welfare technologies prompted deeper interpretive engagement, leading us to adopt it as a key theme. In the final step, the codes were synthesised through the lens of "convenience" to better understand the meanings participants attached to welfare technology in eldercare work.

RESULTS

The participants ascribed meanings to welfare technology that resonate with broader societal and cultural understandings of technological solutionism, while aligning with national policies promoting welfare technology as a means of supporting safety, activity and independence for older adults. Welfare technology was often understood as both convenient and an act of care. Our analysis uncovered different dimensions of "convenience", which we labelled as: "remote surveillance convenience", "logistics convenience", "communication convenience", "safety convenience", "comforting convenience" and "activation convenience". Yet, in some cases, welfare technology was also seen as a hindrance to care, being inconvenient due to its inflexibility, technical difficulties and the tendency to create duplicate tasks.

CONCLUSION

This paper contributes to a deeper understanding of the domestication of welfare technology in eldercare. Our study found that eldercare personnel engage with and interpret welfare technologies by ascribing meanings related to perceived convenience - a concept not widely explored in this context. Welfare technologies were often seen as convenient substitutes for physical proximity and relational care, such as "remote surveillance convenience" through cameras and "comforting convenience" via robotic pets. However, convenience, while central to the participants' experiences, should not be understood as inherently "good" or positive but as part of the domestication process, shaped by socio-technical contexts and the political economy of eldercare, which prioritises effectiveness and efficiency. By shedding light on these dynamics, our study examines how the domestication of welfare technology is shaped by and reinforces broader discourses of technological solutionism, raising questions about its long-term impact on care practices.

摘要

背景

福利技术在市政老年护理中的应用正在逐渐普及,并日益融入日常护理工作中。然而,老年护理人员在照顾老年受助者时赋予福利技术的意义,即福利技术的驯化,在很大程度上仍未得到充分探索。本研究旨在探讨老年护理人员在日常工作中如何理解福利技术并赋予其意义,以了解福利技术的驯化过程。

方法

实证材料包括来自瑞典南部四个城市的61名参与者提供的181张照片,每张照片都配有相应文字说明。对实证材料进行了主题分析,重点关注不同类别的福利技术及其赋予的意义。在编码过程中,“便利性”以及有时出现的“不便性”被视为反复出现的模式。它们在各种情境中的反复出现以及赋予不同福利技术的意义促使我们进行更深入的解释性研究,从而使我们将其作为一个关键主题。在最后一步,通过“便利性”这一视角对编码进行综合,以更好地理解参与者在老年护理工作中赋予福利技术的意义。

结果

参与者赋予福利技术的意义与对技术解决主义更广泛的社会和文化理解相呼应,同时也符合将福利技术作为支持老年人安全、活动能力和独立性的手段的国家政策。福利技术通常被理解为既方便又体现关怀的行为。我们的分析揭示了“便利性”的不同维度,我们将其标记为:“远程监控便利性”、“后勤便利性”、“沟通便利性”、“安全便利性”、“安慰便利性”和“激活便利性”。然而,在某些情况下,福利技术也被视为护理工作的障碍,因其缺乏灵活性、技术难题以及产生重复任务的倾向而带来不便。

结论

本文有助于更深入地理解福利技术在老年护理中的驯化过程。我们的研究发现,老年护理人员通过赋予与感知到便利性相关的意义来参与并解读福利技术——这一概念在此背景下尚未得到广泛探讨。福利技术常常被视为身体亲近和关系性护理的便利替代品,例如通过摄像头实现的“远程监控便利性”以及通过机器人宠物实现的“安慰便利性”。然而,便利性虽然是参与者体验的核心,但不应被理解为本质上“好”或积极的,而应被视为驯化过程的一部分,受到社会技术背景和以有效性和效率为优先的老年护理政治经济的影响。通过揭示这些动态关系,我们的研究审视了福利技术的驯化如何受到技术解决主义更广泛话语的塑造并强化了这些话语,同时也引发了关于其对护理实践长期影响的问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/526f/11629506/ecaa23ff3c43/12913_2024_11924_Fig1_HTML.jpg

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