There is definitely a learning curve in home health. Home health is a specialty. Nurses are always surprised that they can't jump right in after working at a hospital but I'm not. You wouldn't be able to jump right into OB, psych, or Peds either! There are many things you need to learn that are nearly exclusive to Home health such as, Medicare Conditions of Participation, OASIS, home care documentation, etc. And its a big adjustment if you have never worked out in the community before. You have to get used to working out of your car, learning your territory, finding the labs and time management. Remember, in home care, you may visit a patient for a few visits or a few years. You will make a difference in many patient's life. So, is it stressful? Yes. Change is always stressful. But I happen to think its worth it. I recommend you get this book. It helped me greatly! [FONT=Arial,Helvetica,Geneva,Swiss,SunSans-Regular]The Handbook of Home Health Standards: Quality, Documentation and Reimbursement by Tina Marelli. Good Luck!