Learning is seen as an active construction process and the individual´s life world is the basis for the individual´s understanding, thinking and action [1, 2]. Learning is a meaning making construction process about new or modified interpretations of perceptions and experiences and involves the whole person. Meaning, knowledge and understanding are created based on different kinds of information, data and by and in interaction with people, artifacts and the environment [2, 3]. No one can passively receive understanding and skills from others. Learning is a multifaceted phenomenon which requires processing of information cognitively, emotionally, socially and through testing and practical actions [4, 5]. Meaningful learning in the sense of understanding and comprehension consist of a cognitive and a social dimensions, that interacts in the learning process [6, 7]. Bandura [6] and Vygotsky [7] emphasize that learning is social in nature. We learn and construct meaning from and in interaction with others and the environment. Already Dewey [8] described that awareness and understanding of what we encounter and experience is dependent on continuous stimuli from other people and the environment. The individual takes on values and desires