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A just and fair health care system will rely on dialogue and discourse with patients. Science and technology cannot replace dialogue; with its use, nurses have a unique, demanding, and irreplaceable role in care for patients in psychiatric hospitals. On a day-to-day basis between staff and patients, dialogue such as the nurses' use of tact and polite talking produces a sense of fairness in the larger context of hospital units.
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Jack Susman (1998) studied this question.
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