title: Steps to promote dignity are undermined by target culture.
abstract: Nurses working in outpatients face the challenge of delivering individualised care in a clinical environment where the patient to trained staff ratio is significantly higher than the typical ward area (letters January 7 and 14).
authors.affiliation: RCN outpatient nurses forum, by email.
authors.forename: Sue
authors.initials: S
authors.lastname: Barnden