Many, many years ago, ( early 2000's ) with great fanfare and lots of 'ooh look at us being all forward thinking' those who got to make the big decisions, decided to hire a Professor in time management skills to come and look at ways that staff could up their game. The report concluded that we needed more staff and that the current staffing ratios were unsafe. Nothing happened, nada, zilch !
One of his team did catch me with a mop in one hand and pulling a lady behind me on a commode with the other, trying to clear up the liquid faeces, that some poor unfortunate women had expelled on her way to the toilet, before someone slipped in them ! Commode lady refused to use the commode in the bay with the other ladies, totally understandable, but the toilet was past the liquid faeces and would have meant wheeling her through it, if not cleaned up, plus she was a little confused and a fall's risk, so safer being wheeled on a commode than left to get up and then fall in someone elses poo.
That one event was absolutely the norm on the ward I worked on at that time, it was commonplace for a nurse to take someone to the toilet, discover it was dirty and clean it before letting the patient in. We all did everything, personal care, make beds, clean bed areas between patients, hand out meals and drinks, feed people who needed help, drugs rounds, obs, lots of IV's, dealt with agressive detoxing patients and those with delirium and dementia, looked after people who were dying, took time to talk to relatives who wanted an update.
The ward manager would put an apron on in the morning and help out, before the Doctors arrived for ward rounds, once they had left she would help out again. She knew when it was bad and was excellent at keeping morale up, she didn't pretend things were rosy when they weren't, always thanked everyone for their hard work when things were tough, and as a result, we all went the extra mile.
That ward was a baptism of fire as a newly qualified nurse, but it made me realise that those people in your care are the most important thing, if they are looked after well, then you are winning at nursing.