How to narrow down the focus of burnout

I am new to scholars and am trying to pick one focus, which I know I want to be related to my job, but I don’t know how to specify what I want to do about it. I am burned out and very unhappy in my current role as an occupational therapist at a skilled nursing facility. Part of the burnout is related to working in the greater healthcare system, as well as not liking the skilled nursing setting, and the actual skilled nursing facility leaders I am working under. Each day I work I feel I am working against my ethics and am not doing what I set out to do while earning my degree. I don’t know if I should look for another already established place that could be more in line with my ethics and provide me a space to work with people in a more individualized and wholistic way (the way I would like to practice), or if I should create what I want to do in the world and start my own business. If it is start my own business I don’t know what that would be. I know I want my first goal to be around moving out of my current job, but I don’t know which path to follow. Is there another way to focus this to help me narrow down which way to go?