A written nursing care plan enables quality nursing care. It is essential for primary nursing. As nurses we are on different levels of expert knowledge and we have different ways of being committed to our work. If a nurse doesn't recognize her basic task it is not possible to recognize it meaningful to provide a written nursing care plan. The development of written nursing care plan needs professional discussion and evaluation. The skill for written nursing care plan needs practising, self-evaluation and feedback. The study of written nursing care plans used earlier on the ward reveals professional development. The documented needs and problems are now more individual. The problems are solved using means of nursing more creatively. Some nursing care plans reveals the need for training to obtain more knowledge.