Redefining Professionalism in Disability Services: Digital Transformation, Boundary Work, and Professional Capital in Frontline Care During the COVID-19 Pandemic.
Richard Gäddman Johansson, Kristina Engwall
PMID 41692995WHAT IT FOUND
Staff at Swedish day centres said sudden closures made calls, video greetings and recordings the main way to sustain relationships with adults with intellectual disabilities.
They described learning digital skills and more collaboration, but felt excluded from decisions and worried digital work could dilute care.
Key findings
01Staff described calls, video greetings and recordings as the main way to sustain relationships when on-site services stopped.
02Staff described more collaboration across day centre units and development of digital skills, while group-based digital activities departed from individualised support.
03Staff described being excluded from key decisions and lacking authority and resources to make remote participation work across residential settings.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The study interviewed only staff and managers, not service users, so it reports staff perceptions rather than service users' own experiences. It included five day centres that had already adopted digital technologies, so it does not describe centres that resisted or did not use them. Participants were recruited through professional networks and snowball sampling, and the sample was 19 staff and managers, so the findings cannot be assumed to apply to all Swedish day centres. Data were collected after restrictions were relaxed, when services often operated in hybrid formats, so the accounts may be retrospective and shaped by the later period. The study did not assess whether the new digital roles and skills persisted after the pandemic.
Declared interests
The authors declared no conflicts of interest. The work was supported by the Swedish Research Council for Health, Working Life and Welfare.
The easy way to misread this
Do not read this as evidence that digital day centre services work better or should be adopted widely. It reports how 19 staff and managers at five centres that already used digital tools experienced pandemic closures, not service-user outcomes or long-term effectiveness.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →