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