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Socio-technical approaches have established that ICT-supported standardization of healthcare work is difficult, if not impossible. We argue that standardization is neither straightforward nor uncontroversial, but discuss an interpretative case study where standardization of nursing work – to an interesting degree – has been achieved. Our case suggests that co-constructing of the standards is essential to standardization in practice. This is partly imposed from the top, and partly accomplished through the active involvement and ingenuity of users.
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