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The digitalisation of healthcare services has proven to be difficult, with numerous negative effects. We argue that the reason for the problem is not poor project management, but a clash of different institutional logics. The aim of this article is to explore, define and theorise the concept of digitalism, as a term for a new institutional logic in contrast to other, more known logics in organisations, such as managerialism and professionalism, to better understand processes of digitalisation.

We illustrate our arguments with a case study of a process of organizational development before and after the implementation of centralised large-scale IT systems at a large Norwegian hospital. Data was extracted from documents and observations from January 2015 to January 2016 during an organizational audit. In addition, a follow-up study was conducted in 2019 and 2024 by interviewing eight key personnel who were involved in the implementation process.

The implementation of a new digital health record in a Norwegian hospital is a process of social restructuring that involves new actors, logics and control systems. The process of digitalisation shows us how digitalism create tensions, diverges and merges with other institutional logics.

Understanding digitalism as a sensitising concept offers insights into how large-scale technology and organizations are tied together and can help to reduce organizational dysfunctionalities and improve the implementation of IT systems.

This study contributes to a new understanding of digitalisation processes and links an ongoing theoretical debate on the digitalisation of organizations with empirical findings.

The paper aims to add knowledge on the status of the welfare technology field. Politicians in mature economies expect welfare technologies – especially digital technologies – to contribute to bridging the gap between an increasing number of elderly and a shrinking work force. Theoretically, the paper deals with welfare technologies in a digital infrastructure perspective.

A multilevel and comparative study was conducted to understand the interplay of high-level policies and implementation projects and highlight key issues through comparative analysis of different national approaches. Japan and Norway were the chosen countries because they are both in the forefront in the use of welfare technologies.

Findings reveal similarities between the two countries, which are echoed in many other countries: although government expectations are high, the field of welfare technology is still in its infancy and only rather simple solutions (such as safety alarms) are widely used. Key differences in innovation strategies for welfare technology in the two countries are highlighted, where Japan seem to be aiming for a vertical integration through large corporations’ solutions, whereas Norway aims for a more open innovation arena through standardization.

From a practical point of view, the two countries have something to learn from each other, but, in particular, both countries are recommended – together with other similar countries – a more platform-oriented approach. Theoretically, it is shown that a successful implementation of welfare technologies should adopt a digital infrastructure approach and exploit the generative mechanisms of this approach.

The purpose of this paper is to examine from a socio‐technical point of view the impact of semantic web technology on the strategic, organisational and technological levels. The semantic web initiative holds great promise for the future for digital libraries. There is, however, a considerable gap in semantic web research between the contributions in the technological field and research in the organisational field.

A comprehensive case study of the National Library of Norway (NL) is conducted, building on two major sources of information: the documentation of the digitising project of the NL; and interviews with nine different stakeholders at three levels of NL's organisation during June to August 2007. Top managers are interviewed on strategy, middle managers and librarians are interviewed regarding organisational issues and ICT professionals are interviewed on technology issues.

The findings indicate that the highest impact will be at the organisational level. This is mainly because inter‐organisational and cross‐organisational structures have to be established to address the problems of ontology engineering, and a development framework for ontology engineering in digital libraries must be examined.

ICT professionals and library practitioners should be more mindful of organisational issues when planning and executing semantic web projects in digital libraries. In particular, practitioners should be aware that the ontology engineering process and the semantic meta‐data production will affect the entire organisation. For public digital libraries this probably will also call for a more open policy towards user groups to properly manage the process of ontology engineering.

IT governance has become the recognized norm system for chief information officers. The purpose of this paper is to understand how CIOs relate to these norms, by studying how they legitimate incompliance with the norms.

The paper uses an interpretive, qualitative, structured interview study with 18 CIOs in large Swedish organizations regarded as having excellent IT governance practice, using motive talk as analytical lens to identify the informants’ relationship to norms.

The study identifies norm‐specific patterns for how CIOs legitimate incompliance with IT governance, finding that CIOs use a combination of excuse and justifications as strategies of legitimation. The study also finds that CIOs display a tendency of not contesting IT governance‐related norms unless these are in conflict with neighboring professional jurisdictions. This is regarded as an identification of the “margins” of IT governance.

The study illustrates how the theory of motive talk is a viable road ahead for future studies of IT professionals. The generalizability of the identified patterns of legitimation is limited by the selection of large organizations with solely male CIOs, as well as the selection of solely organizations that have succeeded in establishing external legitimacy concerning IT governance and the organizations being Swedish.

CIOs aspiring to increase their legitimacy should avoid direct conflicts with neighboring professions. In addition to this, they should also aspire to be clear in a separation of motive talk and actual practice, since full norm compliance may be detrimental to their factual operations.

The originality of this paper lies in the methodological approach of combining motive talk and speech acts to investigate CIO legitimation practices.