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Moving the implementation line: The path to success with IT of a nursing home

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  • Andrea Carugati
  • A. Giangreco, Catholic University of Lille, France
  • A. Sebastiano, Università Carlo Cattaneo LIUC, Italy
Organizations continuously need to both update and upgrade their organizational and technological
infrastructure to maintain a competitive edge. However, a traditional goal of information systems
development is to satisfy a stable set of requirements rather than evolutionary ones. This article embraces the
call to develop evolving systems in continuously emergent organizations and to identify the main factors that
can lead to continuous system development—a continuously moving implementation line—from within the
organization. In doing so, we draw on a longitudinal analysis of the experience of a typical Western nursing
home that, in the past 12 years, has aimed to internally develop a healthcare provision and management
system to support its evolving needs. Our analysis shows that four factors enable this concurrent change: (1)
the internal appreciation of change, (2) the external appreciation of change, (3) enlightened management, and
(4) emancipated employees. By controlling for the latter two factors, managers of long-term care centers can
motivate employees to contribute to the development of the system over long periods and limit undesired
behaviors with information technology (IT). From a theoretical perspective, this research shows that focusing
on the implementation line in data analysis can be a constructive device for research. Although this
construction is useful for studies on IT-driven organizational change, it should be mandatory for studies on
evolving information systems in emergent organizations.
Original languageEnglish
JournalSystemes d'Information et Management
Number of pages33
Publication statusPublished - 2011

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