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

TL;DR
During the pandemic, care workers for adults with intellectual disabilities adapted to digital tools, which changed their professional roles and created new challenges in maintaining traditional caregiving values.
Contribution
The study introduces a new perspective on how digital transformation impacts professional identity and boundary work in frontline disability care during crises.
Findings
Digital technologies enabled increased digital competence, peer collaboration, and creative agency among frontline staff.
Staff experienced tensions between digitally mediated practices and values tied to co-presence and relational care.
Organisational support is needed to sustain constructive digital practices by involving staff and service users in technology use.
Abstract
During the COVID‐19 pandemic, frontline care workers in day centre services for adults with intellectual disabilities rapidly adapted their roles through use of digital technologies. This study examines how these developments shaped professional roles and identities. The study draws on qualitative interviews with 14 frontline staff and 5 managers in day centres that shifted from on‐site to remote services. Thematic analysis was guided by the concepts of boundary work and professional capital. Digitalisation temporarily reshaped professional identity by enabling increased digital competence, peer collaboration, and creative agency. Staff experienced tensions between digitally mediated practices and values tied to co‐presence, embodied interaction, and relational care. Digitalisation created both opportunities and strains in frontline care work. Sustaining constructive digital…
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Taxonomy
TopicsHealthcare innovation and challenges · Down syndrome and intellectual disability research · Disability Rights and Representation
