User-design: A case application in health care training

User-design is an important Mew theoretical process for the creation of tra ining, soft ware, and computer systems in many contexts. However, the imple mentation of user-design has not been sufficiently explored. This case stud y details the implementation of user-design methodology in home healthcare through the context of diffusing a new laptop patient record-keeping system with home nurses. In many ways the theoretical advantages and disadvantage s of user-design are home out in this exploration. The case study examines inefficiencies in the process,frustrations over responsible participation a nd design, and the increased ownership built during the design phase which paid off in the long run during implementation of the Mew system.