Surgical departments and educational institutions lack an organisational structure and culture that supports evidence-based practice. This may affect patient safety.

Following the introduction of the Coordination Reform, nurses employed by the municipal health service have had to deal with a growing number of complex, patient-focused tasks. The need for professional development is considerable, but there is no overall strategy in place.

Student assistants taught the students in small groups and helped them to gain a better understanding of the subject content and inspired them to learn.

Nurses’ psychosocial challenges are transformed into something private and personal instead of being solved at an overarching level in the organisation.