The lowest is when there are issues related to superiors (±SD = 1.52 ± 0.16) (lack of support from other leaders, conflicts with your chief nurse), issues related to nursing colleagues (±SD = 1.54 ± 0.12) (Difficult to work with heterosexual nurses, Lack of opportunity to share experiences and feelings with colleagues in the department), high most when there is a problem about the patient and the patient's family (±SD = 2, 11 ± 0.26) (unreasonable demands by patient / patient's families, must work with the family members of the patient who has insults).