Levertov highlights how, in order to feel a sense of success and achievement in a large institution, focus shifts to working hard, being dedicated, ordered, disciplined and obedient. However, she warns readers that being single-mindedly devoted to achieving success in each of these areas can come at a cost. The cost is having personal responsibility and human compassion suppressed and she recalls a time in her youth when it happened to her.
In Levertov's reflection, the hospital represents death, pain and weakness and therefore acts as a metaphorical criticism of humanity's sickness and decaying morals that come as a result of wholeheartedly embracing institutional paradigms. The poem can be seen as an extended metaphor of humanity's failings and inherent sickness in adopting the global institution's ways of thinking
'we were gravely dancing- starched/ in our caps, our trained replies,/ our whispering aprons-the-well-rehearsed/ pavanne of power.' A pavanne is a slow dance and here Levertov links it to her feelings of power and control over the patients.
She remembers the motivation behind her 'performance' of duties - power rather than compassions. Her use of rhetorical question 'Yes, wasn't it power, and not compassion/ gave our young hearts/ their hard fervor?' shows her growing awareness that she was indeed lacking compassion towards the patients and instead, wanting to feel success and achievement for herself.
'But I loved the power/ of our ordered nights,/ gleaming surfaces I'd helped to polish'.
The adjective 'gleaming' suggests something clean, cold and clinical and further reinforces that she was more connected to satisfying the objectives of her work than to helping the patients.