Care organising technologies and the post-phenomenology of care: An ethnographic case study.

Care organising technologies Caring Postphenomenology Qualitative case study Relationality

Journal

Social science & medicine (1982)
ISSN: 1873-5347
Titre abrégé: Soc Sci Med
Pays: England
ID NLM: 8303205

Informations de publication

Date de publication:
06 2020
Historique:
received: 26 04 2019
revised: 08 04 2020
accepted: 09 04 2020
pubmed: 22 4 2020
medline: 28 4 2021
entrez: 22 4 2020
Statut: ppublish

Résumé

Care organising technologies are software applications that are intended primarily for informal carers, to help organise, document and coordinate caring work. These may be purchased privately or provided as part of state support. Take-up to date remains low. Based on empirical case studies of three such technologies and drawing on post-phenomenology and political science, we examined people's experience of caring when caring technologies find a way into their lives. Our findings show how care organising technologies have evolved in a political context that assumes informal support will supplement and sometimes substitute for state support. Technologies were largely designed to foreground the technical and organisational aspects of care such as planning meals, coordinating medication, and allocating and monitoring tasks among carers. For carers, the result was often a flattening of the landscape of care such that the socio-emotional work of caring was rendered invisible and relations between cared-for and caregiver were configured in narrow transactional terms. For a small number of carers, the focus on tasks was out of tune with their (often emotionally charged) experiences of care and led to active rejection of the technology. However, we also found examples of caregivers and the individuals they cared for using technologies adaptively to facilitate and embed existing care relationships. In these examples, the material/technical, socio-emotional and bodily aspects of caring were interwoven with the situated context of close, unique and evolving relationships. We conclude that the design and development of caring technologies would benefit by being informed by a broader orientation of caring as a relational practice.

Identifiants

pubmed: 32315872
pii: S0277-9536(20)30203-3
doi: 10.1016/j.socscimed.2020.112984
pmc: PMC7262591
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

112984

Subventions

Organisme : Wellcome Trust
ID : WT104830MA
Pays : United Kingdom

Informations de copyright

Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest None.

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Auteurs

Sara E Shaw (SE)

Nuffield Department of Primary Care Health Sciences, University of Oxford, United Kingdom. Electronic address: sara.shaw@phc.ox.ac.uk.

Gemma Hughes (G)

Nuffield Department of Primary Care Health Sciences, University of Oxford, United Kingdom.

Sue Hinder (S)

RaFT Research, United Kingdom.

Stephany Carolan (S)

Nuffield Department of Primary Care Health Sciences, University of Oxford, United Kingdom.

Trisha Greenhalgh (T)

Nuffield Department of Primary Care Health Sciences, University of Oxford, United Kingdom.

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