“Scandinavian neo-institutionalism” (SNIT) is an influential school within organisational research and institutional theory in the Nordic research context and beyond. As a social constructivist tradition in organisational research, it has contributed to the international research on loose couplings and translation of ideas. Although influential, we argue that SNIT has shortcomings when it comes to understanding power, actors and agency. This chapter offers a critical discussion of how Institutional Ethnography (IE) can provide fruitful avenues for this research tradition by addressing human actors as well as practices of power in the study of organisations. Firstly, the chapter presents central aspects of SNIT and discusses its relation to institutional theory. In doing so, it identifies shortcomings in how these traditions address human relations and power. Secondly, the chapter presents and discusses IE’s potential to close the identified gaps. IE directs attention to processes of change within contemporary organisations and, using the concepts of ruling relations and the translocal, provides an alternative to the neo-institutional concepts of travel and translation.