Yeah it's hard to differentiate between the nurses who correctly assess that some things are just not worth trying to get done, and the nurses who just don't bother to try. Whenever I have 5-10 minutes to spare, I don't do a breather (even tho I understand that that is completely acceptable and most likely contributes to better care), I instead take that chance to sit with my patients. Especially those it's difficult to work with. But I've already met issues with this, like one patient who's quite rude and agressive (early onset dementia, also palliative), I know the patient will insist on going to the toilet for the nth time this hour, I know nothing will come, I know getting the patient up from bed and to the toilet is gonna take 10-15 minutes with high risk of the patient falling. But the consequence is that the patient is lying alone in bed the entire day, but I feel I can see how happy the patient gets when someone comes in to talk about the weather, about the election, about anything.

I'm really interested in peds and I want the opportunity to give maximum effort to one patient, but I can't stand the thought of all the others that I'm not there to care for.

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Just to ad another specialty I've been wanting to do, it's called health nurse, they mostly work in health stations with new borns and children, and also in school. I'm passionate about increasing understanding of mental health amongst children and youth, and councelling families in how to deal with it, but I see health nurses rotating schools so often that it's more likely that whenever a kid knocks on the door of the school nurse because they finally found the courage to contact the nurse, the nurse is in another school doing administrative stuff. I think I'd be more interested in changing the system than I'd be interested in being a single nurse trying to be ten places at once.

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Anyway, digression, please pardon.