BACKGROUND Embedding communication and surveillance technology into the home healthcare setting has demonstrated the capacity for increased data efficiency, assumptions of convenience, and SMART solutions to pressing problems, such as caregiver shortages amid a rise in aging people. The race to develop and implement these technologies within homecare and public health nursing often leaves several ethical questions unanswered. OBJECTIVE To evaluate how increased communication and surveillance technology use in home health care delivery affected the human relationships between clients and caregivers and disrupted the intuitive artistry of caregiving. METHODS This study used qualitative inductive content analysis to analyze 1,260 written responses from home health caregivers. RESULTS This study presents this shadow side in three main themes: digital dependence vulnerability, moral distress, and interruptions to caregiving. This study highlights the consequences of technology developers and health systems leaders unintentionally ignoring the perspectives of caregivers who practice the intuitive artistry of providing care to other humans. CONCLUSIONS This study presents this shadow side in three main themes: digital dependence vulnerability, moral distress, and interruptions to caregiving. This study highlights the consequences of technology developers and health systems leaders unintentionally ignoring the perspectives of caregivers who practice the intuitive artistry of providing care to other humans. CLINICALTRIAL The study was conducted according to ethical standards (World Medical Association, 2013)and was approved by the Swedish Ethical Review Authority (Dnr 2019-03263). The participants received written and oral information about the study and gave their written consent to participate