title: Going from "paper and pen" to ICT systems: Perspectives on managing the change process.
abstract: BACKGROUND
  Lack of participation from staff when developing information and communication technologies (ICT) has been shown to lead to negative consequences and might be one explanation for failure. Management during development processes has rarely been empirically studied, especially when introducing ICT systems in a municipality context.
  
  
  OBJECTIVE
  To describe and interpret experiences of the management during change processes where ICT was introduced among staff and managers in elderly care.
  
  
  METHODS
  A qualitative interpretive method was chosen for this study and content analysis for analyzing the interviews.
  
  
  RESULTS
  "Clear focus-unclear process" demonstrated that focus on ICT solutions was clear but the process of introducing the ICT was not. "First-line managers receiving a system of support" gave a picture of the first-line manager as not playing an active part in the projects. First-line managers and staff described "Low power to influence" when realizing that for some reasons, they had not contributed in the change projects. "Low confirmation" represented the previous and present feelings of staff not being listened to. Lastly, "Reciprocal understanding" pictures how first-line managers and staff, although having some expectations on each other, understood each other's positions.
  
  
  CONCLUSIONS
  Empowerment could be useful in creating an organization where critical awareness and reflection over daily practice becomes a routine.
authors.affiliation: a Department of Health Sciences , Luleå University of Technology , Luleå , Sweden.
authors.forename: Maria
authors.initials: M
authors.lastname: Andersson Marchesoni
authors.affiliation: a Department of Health Sciences , Luleå University of Technology , Luleå , Sweden.
authors.forename: Karin
authors.initials: K
authors.lastname: Axelsson
authors.affiliation: b Department of Business Administration, Technology and Social Sciences , Luleå University of Technology , Luleå , Sweden.
authors.forename: Ylva
authors.initials: Y
authors.lastname: Fältholm
authors.affiliation: a Department of Health Sciences , Luleå University of Technology , Luleå , Sweden.
authors.forename: Inger
authors.initials: I
authors.lastname: Lindberg
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003142:Communication; D005260:Female; D006707:Homes for the Aged / Q000458:organization & administration*; D006801:Humans; D007256:Information Systems / Q000458:organization & administration*; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes / Q000458:organization & administration*; D011209:Power, Psychological; D036301:Qualitative Research; D013548:Sweden; D014584:User-Computer Interface
keywords: ICT; management; municipal elderly care organization; qualitative study