From safety to efficiency : How drivers of technology adoption changed during the COVID-19 pandemic in municipal home care
Larsson, Roger LU
; Rydenfält, Christofer
LU
; Persson, Johanna
LU
and Erlingsdóttir, Gudbjörg
LU
(2025)
In BMC Nursing
24(1).
- Abstract
Background: Home care underwent abrupt adaptations to handle the COVID-19 pandemic including an accelerated digitalization. While some research exists regarding the working conditions for home care personnel during the COVID-19 pandemic, few studies exist on the effect of everyday technology use in home care during the pandemic. The aim of this study was to investigate how digital technologies, introduced in Swedish municipal home care during the COVID-19 pandemic, were adopted and used by home care nurses and how well they fitted the context of use over time. Methods: An ethnographic approach was employed where qualitative data were gathered via semi-structured interviews and field observations. The data were subjected to thematic... (More)
Background: Home care underwent abrupt adaptations to handle the COVID-19 pandemic including an accelerated digitalization. While some research exists regarding the working conditions for home care personnel during the COVID-19 pandemic, few studies exist on the effect of everyday technology use in home care during the pandemic. The aim of this study was to investigate how digital technologies, introduced in Swedish municipal home care during the COVID-19 pandemic, were adopted and used by home care nurses and how well they fitted the context of use over time. Methods: An ethnographic approach was employed where qualitative data were gathered via semi-structured interviews and field observations. The data were subjected to thematic analysis. The Technology Acceptance Model (TAM) and the Task-Technology Fit (TTF) model were used as theoretical frameworks to identify and discuss factors associated with technology acceptance, use, and fit with the work. Results: Three new technologies were implemented: digital infection status lists, digital faxing, and digital meetings. Around these three technologies, two main themes related to the adoption and acceptance of technology were constructed: Ensuring safety and Striving for efficiency. Initially, the implementation of the technologies was solely driven by a need to ensure safety. However, benefits promoting efficiency were progressively discovered. After the pandemic, the perceived usefulness of the technologies was solely related to efficiency. Digital meetings continued to be in use also after the pandemic since they improved efficiency. Digital faxing continued to be in use despite being associated with usability problems, as the previous solution, the analogue fax, had been decommissioned. Thus, adoption was not only a matter of perceived usefulness but also a matter of other organizational factors and decisions. Conclusions: Technology had a central role in home care during the pandemic as it was used to ensure safety. Contextual conditions changed over time, and with them motivations to use the new technologies. The dynamic nature that dictates technology use in practice is not captured well in the TAM and TTF theoretical frameworks. A more holistic discussion is needed where context, feedback, agency, and control at work are given greater consideration and space.
(Less)
- author
- Larsson, Roger
LU
; Rydenfält, Christofer
LU
; Persson, Johanna
LU
and Erlingsdóttir, Gudbjörg
LU
- organization
- publishing date
- 2025-12
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Covid-19, Hemsjukvård, Sjuksköterska, Arbetsmiljö, Digitalisering, Technology acceptence, Task-technology-fit, Användbarhet, COVID-19, Home care, Nursing, Work environment, Digitalization, Technology acceptance, Task-technology-fit, Usability
- in
- BMC Nursing
- volume
- 24
- issue
- 1
- article number
- 464
- pages
- 19 pages
- publisher
- BioMed Central (BMC)
- external identifiers
-
- scopus:105003769833
- pmid:40295961
- ISSN
- 1472-6955
- DOI
- 10.1186/s12912-025-03103-y
- language
- English
- LU publication?
- yes
- id
- e6d7c7fa-1c49-4a5e-96fa-f1ae8b175034
- date added to LUP
- 2024-11-04 14:56:43
- date last changed
- 2025-07-17 03:20:27
@article{e6d7c7fa-1c49-4a5e-96fa-f1ae8b175034,
abstract = {{<p>Background: Home care underwent abrupt adaptations to handle the COVID-19 pandemic including an accelerated digitalization. While some research exists regarding the working conditions for home care personnel during the COVID-19 pandemic, few studies exist on the effect of everyday technology use in home care during the pandemic. The aim of this study was to investigate how digital technologies, introduced in Swedish municipal home care during the COVID-19 pandemic, were adopted and used by home care nurses and how well they fitted the context of use over time. Methods: An ethnographic approach was employed where qualitative data were gathered via semi-structured interviews and field observations. The data were subjected to thematic analysis. The Technology Acceptance Model (TAM) and the Task-Technology Fit (TTF) model were used as theoretical frameworks to identify and discuss factors associated with technology acceptance, use, and fit with the work. Results: Three new technologies were implemented: digital infection status lists, digital faxing, and digital meetings. Around these three technologies, two main themes related to the adoption and acceptance of technology were constructed: Ensuring safety and Striving for efficiency. Initially, the implementation of the technologies was solely driven by a need to ensure safety. However, benefits promoting efficiency were progressively discovered. After the pandemic, the perceived usefulness of the technologies was solely related to efficiency. Digital meetings continued to be in use also after the pandemic since they improved efficiency. Digital faxing continued to be in use despite being associated with usability problems, as the previous solution, the analogue fax, had been decommissioned. Thus, adoption was not only a matter of perceived usefulness but also a matter of other organizational factors and decisions. Conclusions: Technology had a central role in home care during the pandemic as it was used to ensure safety. Contextual conditions changed over time, and with them motivations to use the new technologies. The dynamic nature that dictates technology use in practice is not captured well in the TAM and TTF theoretical frameworks. A more holistic discussion is needed where context, feedback, agency, and control at work are given greater consideration and space. </p>}},
author = {{Larsson, Roger and Rydenfält, Christofer and Persson, Johanna and Erlingsdóttir, Gudbjörg}},
issn = {{1472-6955}},
keywords = {{Covid-19; Hemsjukvård; Sjuksköterska; Arbetsmiljö; Digitalisering; Technology acceptence; Task-technology-fit; Användbarhet; COVID-19; Home care; Nursing; Work environment; Digitalization; Technology acceptance; Task-technology-fit; Usability}},
language = {{eng}},
number = {{1}},
publisher = {{BioMed Central (BMC)}},
series = {{BMC Nursing}},
title = {{From safety to efficiency : How drivers of technology adoption changed during the COVID-19 pandemic in municipal home care}},
url = {{http://dx.doi.org/10.1186/s12912-025-03103-y}},
doi = {{10.1186/s12912-025-03103-y}},
volume = {{24}},
year = {{2025}},
}