Working environment: disruption to professional workflow, lack of privacy for pharmacist and patient, not acceptably businesslike
Isolation: lack of contact with other pharmacists
Patient/public: increased demands and expectations, emotional response to patient suffering
Organisations: culture and conflicts, management support, ethical challenges and structural constraints
Entrepreneurial: business fragility, business administration roles
Technology: impact of robotics, hub and spoke dispensing.
In addition, there is the burden of being efficient, medicine shortages, avoiding mistakes and how to move from a dispensing to clinical/dispensing model. It is widely understood by academic researchers, organisational leaders, and increasingly employees that chronic, extended periods of stress in the workplace can have significantly negative influences on employee health and wellbeing.