Dr Priyanka Vandersman1, Professor Jennifer Tieman1
1Flinders University, Australia
Biography:
Dr Priyanka Vandersman is a Registered Nurse and Senior Research Fellow at Flinders University, Adelaide, Australia. Her research interests span palliative care, digital health, and aged care. She contributes to the national palliative care project, End of Life Directions for Aged Care (ELDAC), enhancing Australia's aged care sector's capacity in delivering quality end-of-life care through innovative approaches. Priyanka specializes in developing, implementing, and evaluating novel approaches to support end-of-life caregiving processes.
Abstract:
Background:
As Australia’s aged care sector advances through rapid digital transformation, the key question is no longer whether technology should be used but how it can meaningfully enhance end of life care. Digital tools have the potential to streamline planning, improve coordination, and extend support to those most in need. However, their integration also raises important concerns about equitable access, workforce readiness, and the preservation of compassionate, person-centred care.
Aim:
This study explored the perspectives of nurses working in residential aged care on the use of technology to enhance end of life care, focusing on what they value, what they fear, and what they need to use it effectively.
Methods:
A qualitative design was used, involving semi structured interviews and focus groups with nurses, care workers, and nurse managers from residential aged care facilities across Australia. Data were analysed using reflexive thematic analysis to identify patterns in participants’ experiences and perspectives.
Findings:
Sixty-four participants contributed to the study. Four themes emerged.
Digital engagement and coordination: Staff used a range of systems to improve timely access and coordination of care.
Ambivalence toward technology: Participants recognised the benefits of technology but expressed concern about its emotional and ethical impact on care.
Barriers to adoption: Limited digital literacy among some staff and residents, particularly in regional areas, hindered uptake and confidence.
Promise of digital innovation: Despite challenges, participants identified strong potential for technology to enhance the quality, reach, and responsiveness of end-of-life care.
Conclusion:
Technology offers a critical opportunity to strengthen palliative and end of life care in residential aged care, particularly in rural and remote communities. Nurses view digital innovation as key to improving care. Realising this potential requires sustained investment in infrastructure, workforce capability, and co designed approaches that keep compassion at the centre of care.
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