Ethnographic study explores the hidden efforts of care workers in digital technology implementation, suggesting critical implications for aged care management.
Despite technology's pervasive integration into aged care to address aging populations and labor shortages, its deployment often overlooks the critical role of care workers who shape the experience of care through technologies. This paper presents a four-month ethnographic study at a long-term residential aged care facility in Singapore, involving 37 staff members from frontline workers to senior management. We examine how they adopt, implement, and use three distinct digital technologies at different stages of maturity in the delivery of care. Adopting an infrastructuring lens, our findings, presented through six affective vignettes, reveal the invisible labor involved in ''patchworking'' technologies implemented in a top-down, fragmented manner as well as the significant impacts on workers' liability and professional agency. The discussion unpacks the invisible burden of organizational unpreparedness in technology integration, the resulting negotiation of care work's meaning and power differentials with care workers for decent work.
No takes yet. Share an insight, caveat, or question.
Seah et al. (2026) studied this question.
Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context: