Äldre vuxnas perspektiv på välfärdsteknikens påverkan inom äldreomsorgen
– individuella förväntningar på självständighet, sociala möten och ensamhet
DOI:
https://doi.org/10.3384/SVT.2024.31.1.4872Nyckelord:
welfare technology, care, older adults, attitudes, loneliness, independence, social meetingsAbstract
Older adults’ perspective on the effects of welfare technology in eldercare: individual expectations on independence, social meetings and loneliness
Welfare technology (WT) has been identified as a potential solution for challenges within eldercare, with policymakers emphasising its capacity to reduce reliance on care staff. Policy discussions surrounding WT also highlight other anticipated benefits, such as mitigating loneliness, facilitating increased social interaction between caregivers and care recipients, and promoting greater independence for the latter. These expectations are permeated by a techno-optimism. Needing care means being vulnerable, and care builds on relationship and interdependence. How older adults think about WT and its consequences for social aspects of care is important for a successful implementation. The individual perspective is relatively unknown. This study aims to investigate how potential users perceive WT and its consequences for feelings of loneliness, opportunities for social interaction in care settings, and levels of independence. To accomplish this, a questionnaire was administered to approximately 5000 individuals between the ages of 65 and 90 residing in Västerbotten. The findings suggest that the techno-optimism visible at the national level is not widely shared by older adults. A majority expressed skepticism regarding the potential of WT to positively influence social aspects of care, and most of the respondents believe that WT will contribute to increased feelings of loneliness. Furthermore, a majority did not perceive a need for various technologies in eldercare and expressed a preference for care provided by human caregivers rather than technology-based alternatives. These attitudes where not effected by age. The group of 65-year-olds that have grown up with technology and are more digital were as skeptical towards WT as the older age groups. We interpret these results to indicate that the inherent relational nature of care can make it unsuitable for direct replacement with technology. An increased expected frailty and vulnerability that follows from needing to receive care may mean that technology is an inappropriate solution.
Referenser
Andersson, K. & Johansson, S. (2019) Assessing individual needs in Swedish elderly home care services: care managers’ argumentation in relation to the needs of migrant customers. Nordic Social Work Research. [https://doi.org/10.1080/2156857X.2019.1694056].
Borg, J., Gustafsson, C., Landerdahl Stridsberg, S. & Zander, V. (2023) Implementation of welfare technology: a state-of-the-art review of knowledge gaps and research needs. Disability and Rehabilitation: Assistive Technology, 18(2): 227–239. [https://doi.org/10.1080/17483107.2022.2120104].
Chen, K., Lou, V.W., Tan, K.C., Wai, M.Y. & Chan, L.L. (2020) Changes in technology acceptance among older people with dementia: the role of social robot engagement. International Journal of Medical Informatics, 141: 104241–104241. [https://doi.org/10.1016/j.ijmedinf.2020.104241].
Choudrie, J., Banerjee, S., Kotecha, K., Walambe, R., Karende, H. & Ameta, J. (2021) Machine learning techniques and older adults processing of online information and misinformation. Computers in Human Behavior, 119: 106716. doi: 10.1016/j.chb.2021.106716
Fischer, B., Peine, A. & Östlund, B. (2020) The importance of user involvement: a systematic review of involving older users in technology design. The Gerontologist, 60(7): e513–e523. [https://doi.org/10.1093/geront/gnz163].
Fotteler, M., Mühlbauer, V., Brefka, S., Mayer, S., Kohn, B., Holl, F., Swoboda, W., Gaugisch, P., Risch, B., Denkinger, M. & Dallmeier, D. (2022) The effectiveness of assistive technologies for older adults and the influence of frailty: systematic literature review of randomized controlled trials. JMIR Aging, 5(2): 31916–31916. [https://doi.org/10.2196/31916].
Frennert, S. (2020) Varning för teknikoptimism: digital teknik kan leda till tidskrävande, riskfylld, teknikcentrerad och mer fragmenterad äldreomsorg. Tema: digital välfärd. Äldre i centrum, 4: 54–57.
Frennert, S. & Gustafsson, C. (2021) Introduktion till hälso- och välfärdsteknik. I: S. Frennert & C. Gustafsson (red.) Hälso- och välfärdsteknik: vård i en föränderlig värld (s. 23–41). Lund: Studentlitteratur.
Fristedt, S., Svärdh, S., Löfqvist, C., Schmidt, S.M. & Iwarsson, S. (2021) ”Am I representative (of my age)? No, I’m not”: attitudes to technologies and technology development differ but unite individuals across rather than within generations. PloS One, 16(4): e0250425–e0250425. [https://doi.org/10.1371/journal.pone.0250425].
Greenhalgh, T., Wherton, J., Sugarhood, P., Hinder, S., Procter, R. & Stones, R. (2013) What matters to older people with assisted living needs? A phenomenological analysis of the use and non-use of telehealth and telecare. Social Science & Medicine (1982), 93: 86–94. [https://doi.org/10.1016/j.socscimed.2013.05.036.
Grosen, S. & Hansen, A.M. (2021) Sensor-floors: changing work and values in care for frail older persons. Science, Technology, & Human Values, 46(2): 254–274. [https://doi.org/10.1177/0162243920911959].
Hofmann, B. (2013) Ethical challenges with welfare technology: a review of the literature. Science and Engineering Ethics, 19(2): 389–406. [https://doi.org/10.1007/s11948-011-9348-1].
Internetstiftelsen (2022) Svenskarna och internet 2022. [https://svenskarnaochinternet.se/app/uploads/2022/10/internetstiftelsen-svenskarna-och-internet-2022.pdf. Hämtat: 2023-06-02.]
Johansson, S. (2016) Omsorg och service. I: S. Johansson & A. Tagizadeh Larsson (red.) Förändringsperspektiv på äldreomsorgen: att leva som andra (s. 91–106). Malmö: Gleerups.
Johansson-Pajala, R-M., Zander, V., Gustafsson, C. & Gusdal, A. (2022) No thank you to humanized robots: attitudes to care robots in elder care services. Home Health Care Services Quarterly, 41(1): 40–53. [https://doi.org/10.1080/01621424.2022.2052221].
Kamp, A., Obstfelder, A. & Andersson, K. (2019) Welfare technologies in care work. Nordic Journal of Working Life Studies, 9(S5): 1–12. doi:10.18291/njwls.v9iS5.112692
Laslett, P. (1987) The emergence of the third age. Ageing and Society, 7: 133–160. [https://doi.org/10.1017/S0144686X00012538].
Lüders, M. & Gjevjon, E. (2017) Being old in an always-on culture. Information Society, 33: 64–75. doi: 10.1080/01972243.2016.1271070
Melson, G.F., Kahn, P.H.J., Beck, A. & Friedman, B. (2009) Robotic pets in human lives: implications for the human–animal bond and for human relationships with personified technologies. Journal of Social Issues, 65: 545–567. [https://doi.org/10.1111/j.1540-4560.2009.01613.x].
Mol, A., Moser, I. & Pols, J. (2010) Care in practice, on tinkering in clinics, homes and farms. A. Mol, I. Moser & J. Pols (red.). Bielefeld: Transcript.
Myndigheten för vård och omsorgsanalys (2020) Innovation efter funktion: välfärdsteknikens effekter ur fyra perspektiv. (Rapport 2020:2). Stockholm. [https://www.vardanalys.se/rapporter/innovation-efter-funktion/].
Noddings, N. (1984) Caring, a feminine approach to ethics & moral education. University of California Press.
Nordesjö, K., Scaramuzzino, G. & Ulmestig, R. (2022) The social worker-client relationship in the digital era: a configurative literature review. European Journal of Social Work, 25(2): 303–315. doi: 10.1080/13691457.2021.1964445
Olsson, T. & Viscovi, D. (2022) De frånkopplade: analoga 65-plussare i ett digitaliserande Sverige. I: H. Jönsson (red) Perspektiv på utsatthet och problem under åldrandet (s. 76–98). Social Work Press.
Oudshoorn, N. (2008) Diagnosis at a distance: the invisible work of patients and healthcare professionals in cardiac telemonitoring technology. Sociology of Health & Illness, 30(2): 272–288. doi:10.1111/j.1467-9566.2007.01032.x.
Percival, J. & Hanson, J. (2006) Big brother or brave new world? Telecare and its implications for older people’s independence and social inclusion. Critical Social Policy, 26: 888–909. [https://doi.org/10.1177/0261018306068480].
Pols, J. (2010) Wonderful webcams: about active gazes and invisible technologies. Science, Technology & Human Values, 36(4): 451–473. doi:10.1177/0162243910366134.
Pols, J. & Moser, I. (2009) Cold technologies versus warm care? On affective and social relations with and through care technologies. Alter, 3(2): 159–178. [https://doi.org/10.1016/j.alter.2009.01.003].
Regeringsbeslut S2018/03799/FST. Uppdrag om påverkan av ökad användning av välfärdsteknik. [https://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=web&cd=&ved=0CAIQw7AJahcKEwiA64SrqqT_AhUAAAAAHQAAAAAQAw&url=https%3A%2F%2Fwww.regeringen.se%2Fcontentassets%2F13648bde2baf4159a288dd1ef8b3c9a0%2Fuppdrag-om-paverkan-av-okad-anvandning-av-valfardsteknik.pdf&psig=AOvVaw2TGXhnRVoGdJ-WFrtBoQTY&ust=1685786527934821].
Regionfakta (2023) Västerbottens län: fakta och perspektiv. [https://www.regionfakta.com/vasterbottens-lan/befolkning-och-hushall/befolkning/folkmangd-31-december-alder/ Hämtat: 2023-12-14].
Samén, A,, Lindberg, J., & Andersson, K. (2024). Disembodied care: Articulations of care in municipal policy regarding welfare technologies in eldercare. Nordic Journal of Social Research, 15(1): 1-14 https://doi.org/10.18261/njsr.15.1.1
Sánchez, V., Anker-Hansen, C., Taylor, I. & Eilertsen, G. (2019) Older people’s attitudes and perspectives of welfare technology in Norway. Journal of Multidisciplinary Healthcare, 12: 841–853. [https://doi.org/10.2147/JMDH.S219458].
Socialdepartementet (2016) Vision e-hälsa 2025: gemensamma utgångspunkter för digitalisering i socialtjänst och hälso- och sjukvård. [https://www.regeringen.se/contentassets/5a2c8365d1b04d33a9bc7512d5d1c5aa/overenskommelse-om-vision-ehalsa-2025.pdf ].
Socialdepartementet (2020) Överenskommelse mellan staten och Sveriges Kommuner och Regioner om äldreomsorg: teknik, kvalitet och effektivitet med den äldre i fokus. [https://skr.se/skr/integrationsocialomsorg/socialomsorg/aldre/overenskommelsealdreomsorg.31534.html].
Socialdepartementet (2023) Regeringen vill öka användningen av välfärdsteknik i kommunerna [pressmeddelande] 13 april 2023. [https://www.regeringen.se/pressmeddelanden/2023/04/regeringen-vill-oka-anvandningen-av-digital-valfardsteknik-i-aldreomsorgen/].
Socialstyrelsen (2019) Välfärdsteknik inom socialtjänsten och hälso- och sjukvården. Meddelandeblad NR 3/2019. [https://www.socialstyrelsen.se/globalassets/sharepoint-dokument/artikelkatalog/meddelandeblad/2019-5-16.pdf].
Socialstyrelsen (2020) Färre i ordinärt boende har fått insatser från socialtjänsten. Artikelnummer 2020-10-6954. [https://www.socialstyrelsen.se/globalassets/sharepoint-dokument/artikelkatalog/ovrigt/2020-10-6954.pdf].
Socialstyrelsen (2021) E-hälsa och välfärdsteknik i kommunerna 2021: uppföljning av den digitala utvecklingen i socialtjänsten och den kommunala hälso- och sjukvården. Artikelnummer 2021-5-7384. [https://www.socialstyrelsen.se/globalassets/sharepoint-dokument/artikelkatalog/ovrigt/2021-5-7384.pdf].
Socialstyrelsen (2022) E-hälsa och välfärdsteknik i kommunerna 2022: uppföljning av den digitala utvecklingen i socialtjänsten och den kommunala hälso- och sjukvården. Artikelnummer 2022-5-7897. [https://www.socialstyrelsen.se/globalassets/sharepoint-dokument/artikelkatalog/ovrigt/2022-5-7897.pdf].
Socialstyrelsen (2023) Statistik om socialtjänstinsatser till äldre 2022. Artikelnummer 2023-4-8498. [https://www.socialstyrelsen.se/globalassets/sharepoint-dokument/artikelkatalog/statistik/2023-4-8498.pdf].
SOU 2020:14 Framtidens teknik i omsorgens tjänst. [https://www.regeringen.se/contentassets/576aa4588db340b0ad052537ae90511d/framtidens-teknik-i-omsorgens-tjanst-sou-2020_14.pdf].
Sparrow, R. & Sparrow, L. (2006) In the hands of machines? The future of aged care. Minds and Machines, 16: 141–161. [https://doi.org/10.1007/s11023-006-9030-6].
Szebehely, M. (1995) Vardagens organisering: om vårdbiträden och gamla i hemtjänsten. Diss. Lund: Lunds universitet.
Szebehely, M. & Trydegård, G.-B. (2018) Generell välfärd och lokalt självstyre: ett dilemma i den svenska äldreomsorgen? I: H. Jönson & M. Szebehely (red.) Äldreomsorger i Sverige. [Eldercare in Sweden.] (s. 21–42). Gleerups.
Waerness, K. (1984) The rationality of caring. Economic and Industrial Democracy, 5(2): 185–211. [https://doi.org/10.1177/0143831X8452003].
Zander, V., Gustafsson C., Landerdahl Stridsberg, S. & Borg, J. (2021) Implementation of welfare technology: a systematic review of barriers and facilitators. Disability and Rehabilitation: Assistive Technology, 18(6): 913–928 doi: 10.1080/17483107.2021.1938707
Waerness, K. (1984). The rationality of caring. Economic and Industrial Democracy, 5(2), 185–211. https://doi.org/10.1177/0143831X8452003
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Copyright (c) 2024 Anna Samén, Marek Perlinski, Katarina Andersson

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