DEAR ABBY: I am a nursing home administrator employed by a large facility. I began my career as a nursing assistant, and in that capacity enjoyed caring for geriatric nursing home residents. My love for the work propelled me into nursing school, enabling me to have more input into the quality of patient care. After that, I was frequently promoted to higher positions and finally returned to school to become an administrator.
The truth is -- I hate it! I have somehow lost sight of my original goals. I have minimal patient contact and am miserable. The problem is, I have four children and we need the extra money my position provides. Also, I am reluctant to resign because I would be considered a "quitter."
I am a good administrator and have received outstanding performance reviews by the board of health. However, I cannot ignore the fact that I am deeply unhappy not having the opportunity to give hands-on patient care. What should I do? -- MISSING MY PATIENTS IN THE MIDWEST
DEAR MISSING: Push for the right to be hands-on at least half a day a week. Tell management it will make you a better administrator. (It will!) When your children are older and you need less money, follow your heart.