High Operational Tempo (OPTEMPO)28,29 | Excessive work |
Short notice changes to plans |
| Continuous operations |
| Day-to-day demands |
| Long-range work requirements |
| Perception of work overload |
| Separation from family |
| Decreased communication with family |
Unpredictability28,30–37 | Rapid mobilization |
| Phone or internet unavailability |
| Stand-by status |
| Reception by the public |
Deployments10,38–41 | Combat missions |
| Humanitarian missions |
| Peace-keeping missions |
| Austere environments |
| Servicemember casualties |
| Human remains |
| Death of enemy combatants |
| Civilian noncombatant casualties |
| Life threatening experiences |
Training42–46 | Novelty |
| Inability to anticipate requirements |
| Time management pressure |
| Sleep deprivation |
| Inexperience with roles and responsibilities |
| Continuous stress |
| Physical exertion |
Toxic Leadership47 | Inexperienced managers |
| Late decisions |
| Frenzied, micromanaged climate |
| Indifferent leaders |
| Abusive leaders |
| Culture of distrust |