This abstract describes an evaluation of an action research project conducted to improve nursing documentation practice in four municipalities in Norway. In an explorative design, four focus group interviews and two individual interviews were conducted. The interview data were analyzed using content analysis. Three themes emerged: healthcare professionals perceived the documentation process as complicated; they experienced competing interests; and they highlighted a clear and visible leader as important for success. This study provides knowledge about the importance of collaboration and involvement of stakeholders when developing electronic health record systems.