User-design: A case application in health care training

User-design is an important new theoretical process for the creation of training, software, and computer systems in many contexts. However, the implementation of user-design has not been sufficiently explored. This case study 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 disadvantages of user-design are borne out in this exploration. The case study examines inefficiencies in the process, frustrations over responsible participation and design, and the increased ownership built during the design phase which paid off in the long run during implementation of the new system.