1. Illness
2. Poor leadership
3. 2025
4. Remaining positive
5. Connection
6. Government
7. Resourceless
8. Economy
9. Funding
10. Supervisors
11. Lack of respect
12. Exhaustion
13. Voca cuts
14. Sleep
15. Finances
16. work load
17. Time
18. Supported
19. Exhausrion
20. Overwhelmed
21. Staffing
22. Poor leadership
23. Implicit bias
24. Procrastination
25. Distraction
26. Unsupportive staff
27. Laziness
28. Funding
29. Work
30. Knowledge deficit
31. Love
32. Assistance
33. Time
34. Outcome
35. Lack of support
36. Tired
37. Time management
38. Time management
39. Reluctant to change
40. Time
41. Lack of Support
42. Home life struggles
43. Health Issues
44. Time
45. Tired
46. Leadership
47. Society
48. Fear of failure
49. Lack of time
50. Lack of energy
51. Negativity
52. Time
53. Funding
54. Time Restraints
55. Policy
56. Selfcare
57. Life
58. Apathy
59. Time
60. Other leadership
61. Kindness
62. Tired
63. Exhaustion
64. Overthinking
65. Time
66. Lack of support
67. Turnover
68. The system
69. Health
70. Resource deficit
71. lack of support
72. Mental health
73. Life
74. Bills
75. Time
76. Time
77. Myself
78. Sleep
79. Lack of support
80. Work
81. Time
82. Work
83. Burnout
84. Energy
85. Resources
86. Lots of other responsibil
87. Lack of sleep
88. Time
89. Complacency
90. Positive
91. My self
92. Time
93. Over scheduled
94. Support
95. Distractions
96. Not feeling heard
97. Time
98. Pride
99. Increasing responsibility
100. Effort
101. Health
102. Bad attitude
103. Lack of support
104. Stress
105. Time
106. Attitude
107. time
108. Conflicting priorities
109. Companionship
110. Emotional capacity
111. Time
112. Impending political doom
113. Time
114. Stress
115. Lack of energy
116. Not
117. Time
118. Personal life issues
119. Repetitiveness
120. Trust
121. Burnout