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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 main purpose of this study is to reveal the degree of association between lean, building information modeling (BIM) and construction project success. The study further intends to provide strategies for high and low associations of the factors.

Lean construction and BIM are two important applications that have recently gained popularity in terms of enhancing project success. Considering this impact, this study investigates the synergy between lean construction and BIM and determines to what extent these two contribute to the success of the projects. As a first step, lean, BIM and project success were examined based on an in-depth literature review. In the second stage, a structural equation model (SEM) was established to reflect the relationship among these three through hypotheses. Then, a questionnaire was designed and administered to the construction professionals experienced in both lean and BIM implementation. The SEM was tested using Analysis of Moment Structures (AMOS), an SPSS tool.

The results indicated that lean implementation has a significant and positive impact on BIM implementation and project success. On the other hand, BIM implementation had a lower significant impact on project success than lean implementation construct.

The results of this study can be used by both policymakers and industry practitioners in terms of developing strategies for effectively using both lean and BIM. The researchers can further develop other implementation models to investigate whether these concepts are more effective in increasing project success when used integratively.

This study considers both the impact of lean and BIM on project success through input from construction practitioners working on large projects. This way, the study fosters the use of lean, BIM or lean–BIM together in construction projects to enhance project success.