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This article may be downloaded for personal use only. Permission to reproduce this article must be sought from Royal College of Nursing, Australia (RCNA). This article was first published in Collegian, 10 (2): 13-18 2003 by Elsevier on behalf of RNCA. More information about Royal College of Nursing, Australia (RCNA) publications may be found at http://www.rcna.org.au/publications/publications