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Claire M. Fagin, RN, PhD, is dean and professor, University of Pennsylvania School of Nursing, Philadelphia. AJN thanks the editors for permission to adapt this article, which will appear in Linda Aiken and Claire Fagin (editors), Nursing in the Public Interest, to be published by J. B. Lippincott in 1991.
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Claire M. Fagin (1990) studied this question.
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