I decided to switch to nursing before I started working in a hospital. I was working as a Director of an outpatient substance abuse program and made the official decision at that time. I found that I didn't enjoy doing administrative work in social work. Prior to that job, I did direct care, but found myself wanting to be more involved in people's care even then. I spent a lot of time at the hospital when I worked in residential programs for the mentally ill, so a lot of my interests were peaked with those experiences. I took a hospital social work job to see more and get some experience in hospital setting to see if I liked that sort of environment. That sealed it for me.