Scandinavian Journal of Information Systems


Cooperation between users and designers requires mutual learning about the information system to be developed, and research has provided guidelines and techniques for how to achieve it. However, for designers working in contexts where they experience a wide knowledge gap between themselves and prospective users, attaining mutual learning (ML) in these settings can be challenging. This study demonstrates an action research project carried out at a rural clinic in Tanzania to develop and implement an electronic medical record system. In that setting, techniques such as hands-on training, prompted reflections and extensive support after implementation helped the nurses (system users) to learn how to use the system. Similarly, these techniques helped the designers to learn about the clinical work. Large parts of the ML therefore took place during and after the system implementation when there was a real system to mutually learn from.