The challenges that health organizations will face to ensure remote workers are included in the processes to form Unions is first having unclear communication. Information regarding the union of its benefits and issues can become hard to access for remote employees and their ability to interact with other co-workers to discuss issues that are occurring in the Union. In the scholarly article by Livingston (2023) states that "if workers are not interacting with each other there can also be serious implications for building solidarity and organizing. Where people might once have found common ground in a break room conversation or bonded over a shared workplace experience" (Livingston, 2023, pg. 23). Another challenge is the Union unable to provide the same rights to in-office employees and remote employees. Workplace cohesion is absent since bonds are not being established between employees that normally work together to reach a goal in the business. In the scholarly article by McArdle (2022) states that "the more remote and disconnected the workplace becomes, the harder it may be for unions to maintain that sense of unity" (McArdle, 2022)