Mary Smith, a new student nurse, dreamed of the day she would minister tenderly among clean, white beds. In her excited young mind, she could see herself bending over a coughing little boy, her gentle hand pushing back the dampened hair from his forehead. Three years later, in the crisp uniform of a registered nurse, she entered a big city hospital. Now she had her clean white beds and the coughing boy. But when the boy coughed, it was an aide who bent over him. Mary had to scribble on charts, mix medications, prepare hypodermic needles, supervise student nurses. She had no time for nursing in the old sense. What's more, a group of Tulane University researchers have concluded, that's the way Mary wants things to be, even though she may neither realize nor admit this fact...

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