Labor Constraints Workload Inadequate staffing Time Difficult patients Withdrawal Technology |
Organizational Constraints Leadership qualities Time allotment Rigid system Lack of caring philosophy and standards Lack of coordination Lack of opportunities for self-reflection |
Professional Constraints Professional attitudes Self-awareness Personality characteristics Not genuinely present Judgmental Cultural insensitivity Relationship with colleagues |
Communication Constraints Not acknowledging Not listening Not asking questions Self-interest Not advocating Labeling |
Emotional Strain Powerlessness Loss of professional identity Fatigue Self-protective behavior Irritability |