Electronic documentation is a means for improving care quality and efficiency in nursing homes, but the acceptance of such practice by caregivers needs to be examined. A comparative study was conducted in two Australian nursing homes under the same management. One home had implemented an electronic documentation system, and the other remained paper-based. Twenty seven caregivers (nurses and allied staff) participated in a questionnaire survey and interviews. They provided opinions on satisfaction with their home's documentation system, and the training and support provided. Information was also obtained on the caregivers' attitudes towards using electronic documentation. The caregivers at the electronic documentation site quickly adapted to the use of the new technology after receiving effective training and support. Caregivers at both homes were satisfied with their homes' documentation system, and had positive attitudes towards using electronic documentation systems.