ing, and community outreach, when 
competitive salaries are not offered.
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<P>Groups of nurses in individual school systems have historically had little success in securing equitable  contracts.  
Despite the current statewide and national recognition of the positive impact  of school nurses on children's health, 
the expanded public health role of school nurses, and the need for their professional education, many of Massachusetts' 
school nurses report that they continue to feel undervalued, unempowered