Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Technology as an extension of the human body: Exploring the potential role of technology in an elderly home care setting
Stockholm University, Faculty of Social Sciences, School of Business.
2008 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The present thesis explores the potential role and implications of technology in elderly care from the users’ perspective. This exploration is undertaken in terms of five empirical studies of a telehealth project and a meta-analysis of their contributions. An important insight emerging from this work is the need to rethink the human subject as a body, rather than as a mere mind using technology. The thesis draws on phenomenology to reconceptualize the user of technology, and on this basis, to theorize about the potential role and implications of technology in care. It concludes that, in combination with humans that integrate technology with their other sensory and emotional capacities, technology can produce affect. The findings indicate that technology can contribute to senior citizens feeling safe, cared for and thereby less isolated. The findings further demonstrate that, because of the perceptual capacity gained from technology, the care workers become aware of new health problems that urgently call for their sensory and emotional responsiveness.

On this ground, the thesis challenges the determinist view that technology threatens the essentially ‘human’ aspect; rather, it concludes that feeling and other bodily resources are fundamental in the use of technology. Indeed, technology activates such ‘human’ capabilities.

Hence, technology plays a role as a complement for rather than as a replacement of care workers. It increases their work burden by informing them about new needs. This may improve care quality but at an increased cost, which is relevant from a practical perspective. At a more general level, the thesis challenges the dualist legacies in mainstream management research that have sought to divorce mind form body, nature from culture and reason from emotion. It can therefore contribute to broader theoretical developments and fuel existing debates beyond the care setting.

Place, publisher, year, edition, pages
Stockholm: Företagsekonomiska institutionen , 2008. , 190 p.
Keyword [en]
care, telehealth, information technology, physicality, materiality, Merleau-Ponty, body, emotion, routines, variability, surveillance, privacy, service evaluation, service innovation, emergence, learning
National Category
Business Administration
Research subject
Business Administration
Identifiers
URN: urn:nbn:se:su:diva-7487ISBN: 978-91-7155-626-4 (print)OAI: oai:DiVA.org:su-7487DiVA: diva2:198391
Public defence
2008-06-16, Philipssalen, hus 3, Kräftriket, Stockholm, 13:00
Opponent
Supervisors
Available from: 2008-05-06 Created: 2008-05-06Bibliographically approved
List of papers
1. The Role of Emotion in Service Evaluation: Senior Citizen's Assessments of Long-term Care Services
Open this publication in new window or tab >>The Role of Emotion in Service Evaluation: Senior Citizen's Assessments of Long-term Care Services
2008 (English)In: Managing Service Quality, ISSN 0960-4529, Vol. 18, no 2, 147-162 p.Article in journal (Refereed) Published
Identifiers
urn:nbn:se:su:diva-24825 (URN)
Note
Part of urn:nbn:se:su:diva-7487Available from: 2008-05-06 Created: 2008-05-06 Last updated: 2011-04-06Bibliographically approved
2. Variability as a Source of Stability: Studying Routines in the Elderly Home Care setting
Open this publication in new window or tab >>Variability as a Source of Stability: Studying Routines in the Elderly Home Care setting
2008 (English)In: Human Relations, ISSN 0018-7267, E-ISSN 1741-282X, Vol. 61, no 11, 1617-1644 p.Article in journal (Refereed) Published
Abstract [en]

Purpose - Looks at the work of care workers who support elderly people who remain in their own homes, examining the extent to which they follow the routines set out in the care plans and the extent to which they varied these.

Design/methodology/approach - Presents case studies of two Swedish home-care providers, drawing on interviews with care managers and participant observation of visits of care workers to older people's homes. Assesses the reasons for the variation in the way that the care workers carried out their work and the impact of this variability on the overall quality of the service.

Findings - Identifies the care plans as being sources of consistency and also variation as they could not cover all the situations that the care workers met when they visited the older people. Reports that the care workers were guided as much by what they feel was right in the individual circumstances as by the official care plans. Notes that this meant that care worker who were committed to their job offered more support than the care plan required whereas those who disliked the job offered less. Sees this as underlining the emotional-ethical dimension of this type of work and, consequently, the difficulty of predicting and controlling performance. Research limitations/ implications - Describes the research methods.

Originality/value - Examines the factors that affect how routines are carried out.

Keyword
Employee Attitudes, Job Design, Performance Management, Service Quality, Social Care, Sweden
Identifiers
urn:nbn:se:su:diva-24826 (URN)000259957800005 ()
Note
Part of urn:nbn:se:su:diva-7487Available from: 2008-05-06 Created: 2008-05-06 Last updated: 2017-12-13Bibliographically approved
3. The Emergence of Technology-based Service Systems: a Case study of a Telehealth Project in Sweden
Open this publication in new window or tab >>The Emergence of Technology-based Service Systems: a Case study of a Telehealth Project in Sweden
2009 (English)In: International Journal of Service Industry Management, ISSN 0956-4233, E-ISSN 1758-6704, Journal of service management, ISSN 1757-5818, Vol. 20, no 1, 98-121 p.Article in journal (Refereed) Published
Abstract [en]

Purpose – The purpose of this paper is to propose a framework for studying the process of technology-based service system innovation from a broad perspective using an approach that elucidates the non-linear facets of this process. The framework draws on Lévy-Strauss's concept of bricolage, which implies that individuals' “making do with resources at hand,” as opposed to managerial visions, can trigger innovation. This concept is combined with the notion of technological drift and with a model of emergentism.

Design/methodology/approach – The paper uses case study data from the Swedish elderly homecare setting.

Findings – The findings illustrate how the emergence of technology-based care services can be triggered by an injection of energy in terms of a new technological resource being made available in an organization, proceeding as a continuous interaction between personnel repurposing and recombining resources at hand, positive and negative feedback dynamics, institutional regulations and culture-related stabilizing mechanisms.

Research limitations/implications – New services can arise as a result of a number of efforts and events that, in isolation, might appear insignificant. Taken together, and interacting with enabling and constraining forces that promote the emergence of certain new services and prevent others, such acts and events generate unpredictable outcomes. The result may be incremental but by no means trivial innovations.

Originality/value – The paper suggests an approach to innovation that complements conventional thinking in the new service development literature. The proposed framework can help to explain how and why certain new services emerge and why others do not in unexpected and unpredictable ways.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2009
Keyword
Customer service management, Elder care, Service systems, Sweden, Technology led strategy
National Category
Business Administration
Identifiers
urn:nbn:se:su:diva-24827 (URN)10.1108/09564230910936878 (DOI)000267421800006 ()
Note
Part of urn:nbn:se:su:diva-7487Available from: 2008-05-06 Created: 2008-05-06 Last updated: 2017-12-13Bibliographically approved
4. The two facets of electronic care surveillance: An exploration of the views of older people who live with monitoring devices
Open this publication in new window or tab >>The two facets of electronic care surveillance: An exploration of the views of older people who live with monitoring devices
2008 (English)In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 67, no 1, 128-136 p.Article in journal (Refereed) Published
Abstract [en]

Scholars are increasingly questioning the notion that electronic surveillance merely constrains individuals' liberty and privacy. However, illustrations of alternative perspectives are few and there is a need for empirical research exploring the actual experience of surveilled subjects. This study, carried out in Sweden, seeks to offer a nuanced account of how senior citizens experience electronic care surveillance in relation to their privacy. It is based on in-depth interviews with 17 seniors who have participated in a telemonitoring project and who have experience of being continuously activity monitored in their own homes. The findings suggest that senior citizens can perceive electronic care surveillance as freeing and as protecting their privacy, as it enables them to continue living in their own home rather than moving to a nursing home. One individual, however, experienced a privacy violation and the surveillance service was interrupted at her request. This illustrates the importance of built-in possibilities for subjects to exit such services. In general, the study highlights that e-surveillance can be not only constraining but also enabling. Hence, it supports the view of the dual nature of surveillance. The study also illustrates the agency of the surveilled subject, extending the argument that various agents actually participate in the construction of surveillance practices. It analyzes the indirect role and responsibility of the surveilled subject, and thereby questions the traditional roles ascribed to the agents and targets of surveillance.

Keyword
Sweden; Telehealth; Technology; Surveillance; Privacy; Elderly care
National Category
Business Administration
Identifiers
urn:nbn:se:su:diva-24828 (URN)10.1016/j.socscimed.2008.03.005 (DOI)000257346300017 ()
Note
Part of urn:nbn:se:su:diva-7487Available from: 2008-05-06 Created: 2008-05-06 Last updated: 2017-12-13Bibliographically approved
5. The Corporeality of Learning in Everyday Practice
Open this publication in new window or tab >>The Corporeality of Learning in Everyday Practice
In: Human RelationsArticle in journal (Refereed) Submitted
Identifiers
urn:nbn:se:su:diva-24829 (URN)
Note
Part of urn:nbn:se:su:diva-7487Available from: 2008-05-06 Created: 2008-05-06Bibliographically approved

Open Access in DiVA

fulltext(894 kB)909 downloads
File information
File name FULLTEXT01.pdfFile size 894 kBChecksum SHA-1
d743c7ae14b9c17a6e25bfbfbf11027c8ce1a80c27b8b6d660527b2fe8e5024cec22d6bb
Type fulltextMimetype application/pdf

By organisation
School of Business
Business Administration

Search outside of DiVA

GoogleGoogle Scholar
Total: 909 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

isbn
urn-nbn

Altmetric score

isbn
urn-nbn
Total: 2398 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf