Purpose: This paper aims to investigate whether the formal and informal learning patterns of community health-care nurses changed in the wake of a reform that altered their work by introducing new patient groups, and to explore whether conditions in the new workplaces facilitated or impeded shifts in learning patterns. Design/methodology/approach:…

In most countries, it is the state that has been taking over the support of universities and of teaching hospitals, a trend that has accelerated rapidly over the past 25 years to meet the expanding needs of higher education and of health care. In medicine the problem of university autonomy is further complicated by the long-standing custom that…