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Care with Assistive Technologies: Professional Responsibility When Learning to Navigate the Unforeseen in Homecare Services

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Title: Care with Assistive Technologies: Professional Responsibility When Learning to Navigate the Unforeseen in Homecare Services
Language: English
Authors: Isabel Alexandra Brandenberger, Åsa Mäkitalo
Source: Journal of Workplace Learning. 2025 37(4):338-353.
Availability: Emerald Publishing Limited. Howard House, Wagon Lane, Bingley, West Yorkshire, BD16 1WA, UK. Tel: +44-1274-777700; Fax: +44-1274-785201; e-mail: emerald@emeraldinsight.com; Web site: http://www.emerald.com/insight
Peer Reviewed: Y
Page Count: 16
Publication Date: 2025
Document Type: Journal Articles
Reports - Research
Descriptors: Foreign Countries, Health Services, Health Personnel, Home Health Aides, Home Programs, Assistive Technology, Influence of Technology, Technology Integration, Adjustment (to Environment), Responsibility
Geographic Terms: Norway
DOI: 10.1108/JWL-05-2024-0111
ISSN: 1366-5626
1758-7859
Abstract: Purpose: This study aims to explore how responsibility is managed by an interprofessional team of healthcare professionals when unforeseen challenges in the use of assistive technologies in homecare raise concerns for care. Design/methodology/approach: An ethnographic approach was used to study the daily work of integrating assistive technologies into homecare services. By observing 27 interprofessional team meetings, this paper investigated how challenges in using these technologies for specific cases were handled collectively through professional discussions. Sociomaterial and practice-theoretical perspectives were used to analyze actors and relations expressed as healthcare professionals discussed their concerns, and how responsibilities were reconsidered in ongoing patient care. Findings: In analyzing the meeting discussions, this paper found that unforeseen challenges put the professional responsibility of the healthcare team at stake in knowing how to respond. This paper found that healthcare workers collectively managed distributed responsibilities by a) reviewing specific user cases and b) reconsidering responsibilities. This paper propose that this "responsibility work" and the care for entanglements it entails contribute to the stabilization of homecare service practices by embedding the use of technology in the constantly changing health needs of users. Originality/value: This article proposes the notion of responsibility work as a constitutive part of practitioners' knowing and learning at work in complex organizations under digital transformation. In such work, the complexities stemming from emerging concerns and specific entanglements are collaboratively managed as matters of care through professional discussions in situated workplace practices.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1497087
Database: ERIC
FullText Text:
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  Data: Care with Assistive Technologies: Professional Responsibility When Learning to Navigate the Unforeseen in Homecare Services
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  Data: <searchLink fieldCode="AR" term="%22Isabel+Alexandra+Brandenberger%22">Isabel Alexandra Brandenberger</searchLink><br /><searchLink fieldCode="AR" term="%22Åsa+Mäkitalo%22">Åsa Mäkitalo</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+Workplace+Learning%22"><i>Journal of Workplace Learning</i></searchLink>. 2025 37(4):338-353.
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  Data: Emerald Publishing Limited. Howard House, Wagon Lane, Bingley, West Yorkshire, BD16 1WA, UK. Tel: +44-1274-777700; Fax: +44-1274-785201; e-mail: emerald@emeraldinsight.com; Web site: http://www.emerald.com/insight
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  Data: 16
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="DE" term="%22Foreign+Countries%22">Foreign Countries</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Services%22">Health Services</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Personnel%22">Health Personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Home+Health+Aides%22">Home Health Aides</searchLink><br /><searchLink fieldCode="DE" term="%22Home+Programs%22">Home Programs</searchLink><br /><searchLink fieldCode="DE" term="%22Assistive+Technology%22">Assistive Technology</searchLink><br /><searchLink fieldCode="DE" term="%22Influence+of+Technology%22">Influence of Technology</searchLink><br /><searchLink fieldCode="DE" term="%22Technology+Integration%22">Technology Integration</searchLink><br /><searchLink fieldCode="DE" term="%22Adjustment+%28to+Environment%29%22">Adjustment (to Environment)</searchLink><br /><searchLink fieldCode="DE" term="%22Responsibility%22">Responsibility</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Norway%22">Norway</searchLink>
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  Data: 10.1108/JWL-05-2024-0111
– Name: ISSN
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  Data: 1366-5626<br />1758-7859
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: This study aims to explore how responsibility is managed by an interprofessional team of healthcare professionals when unforeseen challenges in the use of assistive technologies in homecare raise concerns for care. Design/methodology/approach: An ethnographic approach was used to study the daily work of integrating assistive technologies into homecare services. By observing 27 interprofessional team meetings, this paper investigated how challenges in using these technologies for specific cases were handled collectively through professional discussions. Sociomaterial and practice-theoretical perspectives were used to analyze actors and relations expressed as healthcare professionals discussed their concerns, and how responsibilities were reconsidered in ongoing patient care. Findings: In analyzing the meeting discussions, this paper found that unforeseen challenges put the professional responsibility of the healthcare team at stake in knowing how to respond. This paper found that healthcare workers collectively managed distributed responsibilities by a) reviewing specific user cases and b) reconsidering responsibilities. This paper propose that this "responsibility work" and the care for entanglements it entails contribute to the stabilization of homecare service practices by embedding the use of technology in the constantly changing health needs of users. Originality/value: This article proposes the notion of responsibility work as a constitutive part of practitioners' knowing and learning at work in complex organizations under digital transformation. In such work, the complexities stemming from emerging concerns and specific entanglements are collaboratively managed as matters of care through professional discussions in situated workplace practices.
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  Data: 2026
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1108/JWL-05-2024-0111
    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 16
        StartPage: 338
    Subjects:
      – SubjectFull: Foreign Countries
        Type: general
      – SubjectFull: Health Services
        Type: general
      – SubjectFull: Health Personnel
        Type: general
      – SubjectFull: Home Health Aides
        Type: general
      – SubjectFull: Home Programs
        Type: general
      – SubjectFull: Assistive Technology
        Type: general
      – SubjectFull: Influence of Technology
        Type: general
      – SubjectFull: Technology Integration
        Type: general
      – SubjectFull: Adjustment (to Environment)
        Type: general
      – SubjectFull: Responsibility
        Type: general
      – SubjectFull: Norway
        Type: general
    Titles:
      – TitleFull: Care with Assistive Technologies: Professional Responsibility When Learning to Navigate the Unforeseen in Homecare Services
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          Name:
            NameFull: Isabel Alexandra Brandenberger
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            NameFull: Åsa Mäkitalo
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          Dates:
            – D: 01
              M: 04
              Type: published
              Y: 2025
          Identifiers:
            – Type: issn-print
              Value: 1366-5626
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              Value: 1758-7859
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              Value: 37
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              Value: 4
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            – TitleFull: Journal of Workplace Learning
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