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

Frennert, Susanne LU orcid ; Skagert, Katrin and Williamsson, Anna (2024) In BMC Health Services Research 24(1).
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... (More)

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.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Convenience, Eldercare personnel, Science and Technology Studies (STS), Sweden, Welfare technology
in
BMC Health Services Research
volume
24
issue
1
article number
1558
publisher
BioMed Central (BMC)
external identifiers
  • scopus:85211473546
  • pmid:39658795
ISSN
1472-6963
DOI
10.1186/s12913-024-11924-x
language
English
LU publication?
yes
id
ee00e1a8-d412-4e93-bd52-8f234a42fb75
date added to LUP
2025-01-22 12:08:38
date last changed
2025-07-10 12:55:04
@article{ee00e1a8-d412-4e93-bd52-8f234a42fb75,
  abstract     = {{<p>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.</p>}},
  author       = {{Frennert, Susanne and Skagert, Katrin and Williamsson, Anna}},
  issn         = {{1472-6963}},
  keywords     = {{Convenience; Eldercare personnel; Science and Technology Studies (STS); Sweden; Welfare technology}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{BMC Health Services Research}},
  title        = {{It is a matter of convenience : why welfare technologies have become domesticated in Swedish eldercare}},
  url          = {{http://dx.doi.org/10.1186/s12913-024-11924-x}},
  doi          = {{10.1186/s12913-024-11924-x}},
  volume       = {{24}},
  year         = {{2024}},
}