The effects of digitalisation on health and social care work: a qualitative descriptive study of the perceptions of professionals and managers

Abstract Background Today, digitalisation is strongly present in health and social care, and it increasingly affects the organisation of work, work requirements, tasks and tools. Due to the constant change in work, up-to-date knowledge is needed about these micro-level effects of digitalisation and...

Full description

Bibliographic Details
Main Authors: Anu-Marja Kaihlanen, Elina Laukka, Janna Nadav, Johanna Närvänen, Petra Saukkonen, Juha Koivisto, Tarja Heponiemi
Format: Article
Language:English
Published: BMC 2023-06-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-023-09730-y
_version_ 1827910962228756480
author Anu-Marja Kaihlanen
Elina Laukka
Janna Nadav
Johanna Närvänen
Petra Saukkonen
Juha Koivisto
Tarja Heponiemi
author_facet Anu-Marja Kaihlanen
Elina Laukka
Janna Nadav
Johanna Närvänen
Petra Saukkonen
Juha Koivisto
Tarja Heponiemi
author_sort Anu-Marja Kaihlanen
collection DOAJ
description Abstract Background Today, digitalisation is strongly present in health and social care, and it increasingly affects the organisation of work, work requirements, tasks and tools. Due to the constant change in work, up-to-date knowledge is needed about these micro-level effects of digitalisation and how professionals experience the effects in their work. Furthermore, even though managers play a key role in implementing new digital services, their perceptions of the effects of digitalisation and whether they match the views of professionals remain unknown. This study examined how health and social care professionals and managers perceive the effects of digitalisation on the work of professionals. Methods We used a qualitative approach and conducted eight semi-structured focus group interviews with health and social care professionals (n = 30) and 21 individual interviews with managers in 2020 in four health centres in Finland. The qualitative content analysis included both an inductive and a deductive approach. Results Digitalisation was perceived to have changed professionals’ 1) workload and pace, 2) the field and nature of work, 3) work community communication and interaction, and 4) information flow and security. Both professionals and managers identified effects such as accelerated work, reduction in workload, constant learning of technical skills, complicated work due to vulnerable information systems, and reduction in face-to-face encounters. However, managers did not bring up all the effects that professionals considered important, such as the creation of new work tasks, increased and duplicated work, or insufficient time to get acquainted with the systems. Conclusions The findings suggest that some of the effects of digitalisation on professionals’ work and changes in the workplace may receive too little or no recognition from managers. This increases the risk that the potential negative effects may be overlooked and that managers will adopt systems that do not support the work of professionals. To reach a common understanding of the effects of digitalisation, continuous discussions between employees and different management levels are required. This contributes to professionals’ well-being and adaptation to changes, as well as the provision of quality health and social services.
first_indexed 2024-03-13T01:56:40Z
format Article
id doaj.art-b07882a2921b4aca9c93f5511e58f2f9
institution Directory Open Access Journal
issn 1472-6963
language English
last_indexed 2024-03-13T01:56:40Z
publishDate 2023-06-01
publisher BMC
record_format Article
series BMC Health Services Research
spelling doaj.art-b07882a2921b4aca9c93f5511e58f2f92023-07-02T11:11:17ZengBMCBMC Health Services Research1472-69632023-06-0123111310.1186/s12913-023-09730-yThe effects of digitalisation on health and social care work: a qualitative descriptive study of the perceptions of professionals and managersAnu-Marja Kaihlanen0Elina Laukka1Janna Nadav2Johanna Närvänen3Petra Saukkonen4Juha Koivisto5Tarja Heponiemi6Finnish Institute for Health and WelfareResearch Unit of Nursing Science and Health Management, University of OuluFinnish Institute for Health and WelfareDepartment of Health and Social Management, University of Eastern FinlandFinnish Institute for Health and WelfareFinnish Institute for Health and WelfareFinnish Institute for Health and WelfareAbstract Background Today, digitalisation is strongly present in health and social care, and it increasingly affects the organisation of work, work requirements, tasks and tools. Due to the constant change in work, up-to-date knowledge is needed about these micro-level effects of digitalisation and how professionals experience the effects in their work. Furthermore, even though managers play a key role in implementing new digital services, their perceptions of the effects of digitalisation and whether they match the views of professionals remain unknown. This study examined how health and social care professionals and managers perceive the effects of digitalisation on the work of professionals. Methods We used a qualitative approach and conducted eight semi-structured focus group interviews with health and social care professionals (n = 30) and 21 individual interviews with managers in 2020 in four health centres in Finland. The qualitative content analysis included both an inductive and a deductive approach. Results Digitalisation was perceived to have changed professionals’ 1) workload and pace, 2) the field and nature of work, 3) work community communication and interaction, and 4) information flow and security. Both professionals and managers identified effects such as accelerated work, reduction in workload, constant learning of technical skills, complicated work due to vulnerable information systems, and reduction in face-to-face encounters. However, managers did not bring up all the effects that professionals considered important, such as the creation of new work tasks, increased and duplicated work, or insufficient time to get acquainted with the systems. Conclusions The findings suggest that some of the effects of digitalisation on professionals’ work and changes in the workplace may receive too little or no recognition from managers. This increases the risk that the potential negative effects may be overlooked and that managers will adopt systems that do not support the work of professionals. To reach a common understanding of the effects of digitalisation, continuous discussions between employees and different management levels are required. This contributes to professionals’ well-being and adaptation to changes, as well as the provision of quality health and social services.https://doi.org/10.1186/s12913-023-09730-yHealth and social care professionalsDigitalisation of workDigital technologyDigital services implementationDigital healthChanging work
spellingShingle Anu-Marja Kaihlanen
Elina Laukka
Janna Nadav
Johanna Närvänen
Petra Saukkonen
Juha Koivisto
Tarja Heponiemi
The effects of digitalisation on health and social care work: a qualitative descriptive study of the perceptions of professionals and managers
BMC Health Services Research
Health and social care professionals
Digitalisation of work
Digital technology
Digital services implementation
Digital health
Changing work
title The effects of digitalisation on health and social care work: a qualitative descriptive study of the perceptions of professionals and managers
title_full The effects of digitalisation on health and social care work: a qualitative descriptive study of the perceptions of professionals and managers
title_fullStr The effects of digitalisation on health and social care work: a qualitative descriptive study of the perceptions of professionals and managers
title_full_unstemmed The effects of digitalisation on health and social care work: a qualitative descriptive study of the perceptions of professionals and managers
title_short The effects of digitalisation on health and social care work: a qualitative descriptive study of the perceptions of professionals and managers
title_sort effects of digitalisation on health and social care work a qualitative descriptive study of the perceptions of professionals and managers
topic Health and social care professionals
Digitalisation of work
Digital technology
Digital services implementation
Digital health
Changing work
url https://doi.org/10.1186/s12913-023-09730-y
work_keys_str_mv AT anumarjakaihlanen theeffectsofdigitalisationonhealthandsocialcareworkaqualitativedescriptivestudyoftheperceptionsofprofessionalsandmanagers
AT elinalaukka theeffectsofdigitalisationonhealthandsocialcareworkaqualitativedescriptivestudyoftheperceptionsofprofessionalsandmanagers
AT jannanadav theeffectsofdigitalisationonhealthandsocialcareworkaqualitativedescriptivestudyoftheperceptionsofprofessionalsandmanagers
AT johannanarvanen theeffectsofdigitalisationonhealthandsocialcareworkaqualitativedescriptivestudyoftheperceptionsofprofessionalsandmanagers
AT petrasaukkonen theeffectsofdigitalisationonhealthandsocialcareworkaqualitativedescriptivestudyoftheperceptionsofprofessionalsandmanagers
AT juhakoivisto theeffectsofdigitalisationonhealthandsocialcareworkaqualitativedescriptivestudyoftheperceptionsofprofessionalsandmanagers
AT tarjaheponiemi theeffectsofdigitalisationonhealthandsocialcareworkaqualitativedescriptivestudyoftheperceptionsofprofessionalsandmanagers
AT anumarjakaihlanen effectsofdigitalisationonhealthandsocialcareworkaqualitativedescriptivestudyoftheperceptionsofprofessionalsandmanagers
AT elinalaukka effectsofdigitalisationonhealthandsocialcareworkaqualitativedescriptivestudyoftheperceptionsofprofessionalsandmanagers
AT jannanadav effectsofdigitalisationonhealthandsocialcareworkaqualitativedescriptivestudyoftheperceptionsofprofessionalsandmanagers
AT johannanarvanen effectsofdigitalisationonhealthandsocialcareworkaqualitativedescriptivestudyoftheperceptionsofprofessionalsandmanagers
AT petrasaukkonen effectsofdigitalisationonhealthandsocialcareworkaqualitativedescriptivestudyoftheperceptionsofprofessionalsandmanagers
AT juhakoivisto effectsofdigitalisationonhealthandsocialcareworkaqualitativedescriptivestudyoftheperceptionsofprofessionalsandmanagers
AT tarjaheponiemi effectsofdigitalisationonhealthandsocialcareworkaqualitativedescriptivestudyoftheperceptionsofprofessionalsandmanagers