Moral distress and ethical decision-making of eldercare professionals involved in digital service transformation.
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. We conducted a survey and interviews with eldercare professionals to better understand...
| Publicado en: | Disability & Rehabilitation: Assistive Technology Vol. 18; no. 2; pp. 156 - 166 |
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| Autor principal: | |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Feb2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=161655526&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 161655526 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17483107 1X04 jtl: Disability & Rehabilitation: Assistive Technology issn: 17483107 maglogo: Y pubinfo: dt: Feb2023 vid: 18 iid: 2 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 161655526 146840826 161655526 161655526 10.1080/17483107.2020.1839579 161655526 ppf: 156 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Moral distress and ethical decision-making of eldercare professionals involved in digital service transformation. aug: au: Frennert, Susanne affil: Department of Computer Science and Media Technology, Internet of Things and People Research Center, Malmö University, Malmo, Sweden sug: subj: Gerontologic Care Psychosocial Factors Psychological Distress Ethics Decision Making Evaluation Attitude of Health Personnel Evaluation Medical Informatics Administration Human Male Adult Female Middle Age Aged Qualitative Studies Uncertainty Conflict (Psychology) Organizational Structure Cost Effectiveness Analysis Behavior Funding Source Interviews Cost Benefit Analysis Professional Role Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: 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. 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. 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. 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. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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