Although there are procedures for medication reconciliation, the process is challenging to implement and the allocation of responsibility is unclear.

Patients move quickly between different units during the surgical pathway. Older patients in particular are at risk of suffering related to care such as violations of dignity, neglect and poor pain management.

Normalisation Process Theory can be used to assess the prerequisites for ensuring that a new intervention becomes established practice.

Group-based self-management programmes make it easier to cope with the disease. However, half of all patients decline to participate in such programmes. 

It is challenging for community nurses to screen their patients’ nutritional risk because the guidelines fail to take sufficient account of the domestic arena. 

Measures such as the ‘getting-to-know-you’ day, the ‘float nurse’ function at an early stage, group meetings and internal training greatly benefitted supervisors and students at Oslo University Hospital.

Many medical records lacked information about nutritional risk, and few patients at nutritional risk were followed up.

By adopting a new supervision model, nurse managers acquired more positive attitudes towards students and started paying more attention to nursing issues.