I can't tell you which direction to take, but I can tell you some conclusions that I've come to after nearly 30 years of nursing at multiple institutions and in differing areas of nursing.... first of all, I hope that you have multiple relationships and interests OUTSIDE of nursing, be it marriage, children, friends.....if not, work on strenghtening those, they can really help to put your work situation in a different perspective. Secondly, take a good hard look at all those "warm, fuzzy" work relationships very objectively. Are these all hard-core, lifelong friendships, or merely acquaitances? Of all the jobs that you have held over the years, how many have remained close friends? Is the fear of losing these relationships actually a cover for a fear of change, and reflective of how "comfortable" where you are now? I have worked full or part time at seven different hospitals, and I consider myself lucky if I have maintained a long term friendship with some one I met at half of them. It's just the way it is......Try picking one or two individuals where you work now and work on strengthening those relationships for when you leave, and try thinking about how exciting it can be to do/learn something new or different, and new people that you will meet, whichever direction you chose to pursue. I hope this helps.....Good Luck!