Maybe try a different department? Having to change the scene does not make you a bad nurse, not everyone is meant to be in the ED. You need to be both stern and empathetic at the same time. If you can't find more meaning in the help you provide to the 1/10 people that really need it instead of the 9/10 people that challenge you, then you are going to have a tough time in any ED. The ED is a stressful place for everyone: staff are always prepared for the worse case scenario and every patient thinks their problem is an emergency. That's just part of being in the ED. Hope things get better for you!!!