The purpose of this study is to describe some effects on the clinical nursing documentation after registered nurses (RN) had participated in a three-day course in nursing documentation in accordance with the VIPS-model. Between November 1993 and December 1996, 4594 registered nurses participated in the course. In order to evaluate the effects of the course two questionnaires were sent out to 900 participants, one concerning the degree of development in their nursing documentation and another concerning what they perceived as inhibitors and facilitators to the development of nursing documentation. The result will be presented at the conference.