I hoped you would have not left out the also real issues of the Healthcare system. We are far behind in being given the monies we so deserve to improve the field, help patients get better and also provide a climate of kindness and productive teaching, along with praise for hard work and compensatory pay, for those in our society who have made a professional and personal choice to care for the "wretched of the earth". My experience, in the later years of my 30 year career, is that the patients are definitely not the major issue when it comes to being burnt out. Many of those in upper level management contribute to employee unhappiness. I have witnessed extreme nepotism, and the lies that go hand in hand with it. Yelling at those who aren't liked for not sucking up, not being pretentious, though working very hard. And caring very much. We're often understaffed. The system needs to change. Nurses are often voted the most admired from the public, but because of the abuse we are subjected to, many take it out on their co-workers. The environment needs to thrive for all. For me, the patients aren't usually the issue.