Viewing nursing as an active contributor to the nation's health is, however, currently limited by a number of factors. The majority of nurses traditionally work as direct care-givers within clinical practice. Because of this the populist view of nursing, reinforced by media images, is that nurses are solely concerned with operational issues related to care delivery. Confined to care delivery, the nurse is viewed, in scientific management terms, as analogous to a factory worker on the shop floor. The factory does not need input from the shop floor worker at the level of strategy. Rather, the factory worker is informed of strategic decisions related to factory business and is managed accordingly.