I've only been a nurse for 3 years, so to answer my own question I would say that it hasn't changed much since I started. I think you could probably read some of my previous posts and see what I think about nursing. I personally feel that nursing is turning out to a shell of what I thought it was. That nursing has helped me to be more grateful for my life, family, and health yet much more cynical and untrusting of medical staff, doctors, and nurses. I have lost a great deal of respect and admiration for medicine. I am appalled with the fraudulent gimmicks marketing and business minded individuals force caregivers to use when dealing with patients to increase profit margins instead of increasing patient safety and health. I realize hospitals need to make a profit, however, I'm not here to please the patient and/or family, I'm here to help the patient get better and learn how to take care of themselves. If that means I have to deny them chocolate, salt, or over dosing the on pain meds, then that should be it and I shouldn't have to worry about my manager jumping down my throat for doing what is best for the patient. I'm not saying to do this rudely or without compassion, just that I get to do what's best without having to worry that I'm going to get kicked in the teeth about it later. Furthermore, with the lack of older nurses on the floor to educate me, no floor educator, and patient levels that I feel overwhelmed with, there is only so much that I can catch on about at any given time. I know I have a BSN, but tons of book education did not teach me how to organize my day, multiple patients, or the experience to recognize the symptoms I'm no longer reading about but actually seeing now. (BTW, I'm better about this last one now...but for less than 1 year old nurses I feel they do not get good education on nursing from all that book learning, we need to be on the floor more as students and we need more experienced nurses with us when we are on our own.)Due to my above feelings, not to mention the stress and lack of energey for a social life, I feel that nursing is worse than it use to be. Like I said though, I don't have a ton of experience so I'm not 100% sure. Maybe I just haven't found my nitch still. Thanks for all your responses!