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Nursing is a complex profession steeped in tradition and history. Tried and tested ways of working have been the mainstay of how and why nurses do what they do. Completing tasks in a certain way because Sister says so describes the custom and practice of nursing, passed on through the generations that existed for most of the 20th Century and can still hold sway today. Science and evidence-based practice have weakened the hold on tradition but ritual is still part of the fabric of nursing.