VIP treatment for donors and other influential people, management of pediatric and geriatric patients who may lack decision-making capacity, and also addressing nurses' moral distress in providing care with minimal benefits ( 2010, July 7). Some other challenges in the healthcare system would be long working hours, budget constraints, ethical issues and lack of integrity. I think the long hours should be reduced so that the admin doesn't have to work all night and then come home and go to bed to work long hours again