>> so i know that part of the problem is because there is a disproportionate number of nurses for patients, you have to turn some people away, physically say we can't help you. that has got to be one of the hardest parts of your job i would think. >> yes, and in my piece i talk about that in settings where i work and there are settings that don't have that option, nurses that work in the emergency department. we have heard some of their voices as well. but it is really hard when nurses feel like they can't deliver the quality of care that they want to because there's just so many patients, our patient load is very high so we're struggling with meeting both the needs of ourselves and the needs of our patients. >> you also wrote many nurses are left to silently suffer as they face overwhelming feelings of exhaustion, irritability, anxiety and sadness. i think that resonates with a