###### Abstract  
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. s 2025 8, 30 2  
According to Taiwan's Ministry of Health and Welfare (2015) regulations on \"Qualification Requirements and Service Guidelines for Elderly Welfare Service\", nurse aides are required to perform administrative tasks like filling out work forms in addition to providing care [1]. Reducing the burden of these non-core tasks and improving efficiency through the introduction of information technology has become a critical issue. Long-term care (LTC) nursing assistants play a crucial role in providing daily care to elderly and disabled individuals. However, the increasing complexity of patient needs and the demand for high-quality care have led to challenges in workforce management, communication, and operational efficiency. Digital platforms are increasingly being explored as solutions for improving workflow management, enhancing communication among caregivers, and supporting decision making. Despite these advantages, various barriers hinder the effective implementation of digital platforms in LTC settings, including a limited technology readiness, lack of interoperability among systems, and resistance from staff [2]. Furthermore, research highlights that inadequate training and a lack of user-friendly designs contribute to low adoption rates. Understanding these challenges is essential to developing a socio-technical and human-centered framework that ensures effective platform integration for LTC nursing assistants. [PERSON] et al. suggested that IT can enhance the accessibility of home care services and be closely integrated with the work of the care industry to improve service quality [3]. Furthermore, from a competitive advantage perspective, employee knowledge and professional skills are considered to bw key resources for organizations [4]. Therefore, researching how to use IT to improve nurse aides' workflow and efficiency is crucial for long-term care institutions. Many small- and medium-sized long-term care institutions in Taiwan are often constrained to purchase off-the-shelf software or encounter communication challenges during system development, resulting in delays in the implementation of information systems. [PERSON] et al. highlighted the role of information needs analysis in bridging strategic planning and resource allocation planning. This approach is critical for identifying organizational needs and developing system development plans that ensure effective resource assessment and allocation [5]. Extending this idea, studies such as that by [PERSON] have emphasized the importance of participatory design in socio-technical systems, where stakeholder involvement contributes to the system's alignment with user needs and organizational goals.