Over my career I was bothered by the obvious change from caused based care to symptom based care. From teaching patients self care, nutrition, healthy life habits, to doctors just writing prescriptions. I was bothered by the long lists of medications patients were taking. I was extremely upset by arbitrary demands from agencies like the CDC and other regulartory agencies that pushed an agenda and "rules" that take nurses away from the bedside. I mentored many young nurses and saw a definite decline in critical thinking skills and clinical proficiency. I too chose nursing because our choices as women were limited, especially if you could not afford to attend a university. I would not change my original training however. It was invaluable to me as a young nurse. I personally think medical care must be returned to cause based, natural and holistic care. May God bless you richly for your service to those in your care during your career. 😇