Improvised use of a digital tool for social interaction in a Norwegian care facility during the COVID-19 pandemic: an exploratory study.

BACKGROUND: Digital tools for social communication have been deployed in care facilities during the COVID-19 pandemic to facilitate social connectedness between older people and their next of kin in a safe manner. This study explores how and why health care professionals facilitate the ad hoc and prompt use of a technology for social communication, known as KOMP, in care facilities in western Norway to promote communication and social engagement among residents and their next of kin during the crisis. METHODS: To investigate the perspectives and practices of health care professionals, we conducted focus groups, individual interviews, and participant observation in public short- and long-term care facilities in western Norway. An explorative investigation with inductive content analysis was applied to analyse interview transcripts and fieldnotes from participant observation. RESULTS: The resulting qualitative data reveal that prompt implementation of interactive technology to cope with social distancing during the pandemic added new routines to the staff workload. Using this interactive technology entailed new forms of collaborative work among residents, next of kin, health care professionals and technology facilitators. Additionally, the staff articulated a sense of responsibility towards using KOMP as a meaningful and practical tool for social communication in an extraordinary period of reduced social contact. CONCLUSIONS: Improvised implementation of KOMP as an interactive technology shapes work routines, introduces new tasks and creates additional responsibilities. Despite creative efforts by health care staff, however, using KOMP remains constrained by the physical and cognitive abilities of its users. We suggest that health care managers ask a deceptively simple question when introducing novel technologies in health care contexts, namely: what kind of invisible work do these devices entail?

Caring through a screen: caring for kin under lockdown

COVID-19 and UK-wide lockdown measures in spring 2020 confined people to their homes, with implications for exchanging care. In a small-scale qualitative study, I examined the impact on individuals’ everyday caring practices with adult kin beyond the home. In this article, drawing on empirical evidence from my study, I argue that lockdown restrictions on in-person interactions and the increased reliance on ICTs shaped interactions and how relationships were experienced. The shift in practices highlighted the significance of the physicality and embodiment of everyday practices of care and perceptions of relationships. I argue that ‘caring through a screen’ under lockdown had impacts on subjective and relational wellbeing. I use the concept of developing co-presence across distance through ICTs to analyse shifts in family caring practices in the unique context of a national lockdown. I show how experiences of the disruption of the physicality of everyday micro-acts of care have shaped perceptions of family relationships. © 2022 Policy Press. All rights reserved.