Yes can confirm this is real. I know both German and Dutch nurses who say that the workload is incredibly high. One older nurse also said the pressure today is much higher than years ago.
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It is patient (and relatives) expectations.
It is knowing that any perceived issue could result in litigation.
It is that management may well have never 'worked the floor' so have no insight in to what happens.
There may well just not be the time to do all the tasks that someone else had decided needed to be done.
It is profits. When someone is sick, or dying, we really need to make a huge profit, before it is too late. Porsches, Lamborghinis, Malibu houses cost money. You can't just sit there and let others do it, instead of you.