In the surroundings of the SLC-house we find the external drivers of change. These are, for example, professional and academic developments (i.e. knowledge, policies) that support and influence the SLC-framework over time. The surroundings also include risks/barriers to integrating and teaching SLC content in the nursing curriculum. Details of the external drivers are included in relevant topics as well as provided in greater depth in Theme 5 (social and policy context).