Fuzzy Delphi Evaluation on Long-Term Care Nurse Aide Platform: Socio-Technical Approach for Job Satisfaction and Work Effectiveness

This study adopted a socio-technical approach to optimizing key factors for implementing the ETHICS (Effective Technical and Human Implementation of Computer-based Systems) framework in long-term care. Accurate record-keeping by nurse aides is essential, and deploying suitable information technology solutions can greatly improve operational efficiency. To achieve a comprehensive understanding of system requirements and information needs, the researchers combined the Fuzzy Delphi method, FAHP (Fuzzy Analytic Hierarchy Process), and TISM (Total Interpretive Structural Modeling), addressing both human and technical dimensions. The findings highlighted that the efficient allocation of human resources, a consultative and participative work environment, and adequate time to deliver high-quality care are crucial for enhancing record-keeping practices and overall operational efficiency. This improvement will ultimately lead to a higher care quality, cost savings, and better resource utilization. Additionally, adapting to changes in technology, regulations, economic conditions, demographics, industry standards, and organizational practices remains critical. By promoting a balanced integration of technical capabilities with human factors, this approach supports the effective design of socio-technical systems in long-term care settings.