the organisation and the diffuse number of patients for whom RNs are responsible reflect the paradigm of elderly care as social care with medical and nursing service aded on top. Flynn et al. have shown that a more supportive nursing practice environment is associated with lower frequencies of pressure ulcers, recommending nurses to participate in organisational decisions, and continuing education opportunities to improve quality of care. the RNs are by law obliged to provide prevention, but this is not recognised by the social service organisation, which does not promote competency development.