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Discussion: This close observation of a detail of care is revealing. This could be considered an exemplar of a policy that connects patients and staff in a productive and pro-active way. Needs of patients to know who they are dealing with, and that staff will be available may actually decrease "needs" of patients. Overburdened staff may avoid interactions by making them superficial and distant. This policy which apparently is "formal", that is all staff are expected and instructed to behave in this responsible way, connects staff and patients. The patient felt she had "a nurse" not a group of relatively inaccessible nurses who would "not know who I was or what I needed". One of the more distressing fantasies of patients that unfortunately does sometimes occur, is that they have been "just forgotten". This policy constructively addresses the problem of lack of connection even in the presence of limited time for contact.  \pagebreak  Knowledge Base: staff-patient relationships, nursing care, work rules, policy, communication, lack of time, exemplar, positive interaction, inpatient care, acute care, moral action, moral agency