A REVIEW OF BURNOUT IN PHARMACISTS

Main Article Content

Haya Khalaf Almutari
‎‏Saeed Abdullah Alqahtani
Talal Mubarak Shuraim Al-Mughairi
slman Awad mzid alotibiy
Dalya Fayez Essa Alenazi
Talal Mohammad al amazin
Muteb Kallab Kh Alharbi
Mohammed Saleh al Otibiy

Keywords

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Abstract

Burnout is high among health care professionals. In physicians, burnout is linked to suboptimal well-being and patient care, but the overall landscape of pharmacist burnout is unknown. Synthesis of available data regarding pharmacist burnout is needed to better understand its effects on well-being and professional practice. This systematic review sought to determine the prevalence and intensity of burnout in pharmacists. The aim of the study was the systematic review of articles on pharmacist burnout. PubMed, Embase, Cochrane Central Register of Controlled Trials, and PsycINFO were searched for articles through February 13, 2019. Search strategies combined terms for pharmacists and burnout (including job satisfaction, stress, and resilience). The primary outcome was the proportion of pharmacists who met criteria for burnout. Secondary outcomes included the mean scores for Maslach Burnout Inventory (MBI) subscales, difference between pharmacist practice settings, and factors contributing to burnout. Raw scores and threshold proportions were pooled using a Hartung-Knapp random-effects model. Five articles reported the proportion of high emotional exhaustion (EE) and depersonalization (DP) and low personal accomplishment (PA), and nine articles reported individual MBI subscale scores, which were included for quantitative analysis. The proportion values of pharmacists with MBI subscale scores consistent with burnout were 41% (95% CI 27%-54%), 20% (95% CI 7%-32%), and 32% (95% 14%-50%) for high EE, high DP, and low PA, respectively. Mean MBI subscales scores were 23.53 (95% CI 21.68-25.39), 7.07 (95% CI 6.22-7.92), and 36.51 (95% CI 34.34-38.67) for EE, DP, and PA, respectively. Substantial heterogeneity was observed. The burnout prevalence among pharmacists is lower than previously reported, but notable. The average MBI subscale scores for high EE or DP or low PA in pharmacists did not meet criteria for burnout.

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References

1. Pazzanese C. The high price of workplace stress. July 2016. https://news.harvard.edu/ gazette/story/2016/07/the-high-price-of-workplace-stress/. Accessed April 17, 2020.
2. Salvagioni DAJ, Melanda FN, Mesas AE, et al. Physical, psychological and occupational consequences of job burnout: a systematic review of prospective studies. PLoS One. 2017;12(10):e0185781.
3. World Health Organization. Burn-out an “occupational phenomenon”: International Classification of Diseases. May 28, 2019. www.who.int/mental_health/evidence/burn-out/en/. Accessed February 20, 2020.
4. Panagioti M, Geraghty K, Johnson J, et al. Association between physician burnout and patient safety, professionalism, and patient satisfaction; a systematic review and meta-analysis. JAMA Intern Med. 2018;178(10):1317-1331.
5. Vahey DC, Aiken LH, Sloane DM, et al. Nurse burnout and patient satisfaction. Med Care. 2004;42(2 Suppl):1157-1166.
6. Tawfik DS, Profit J, Morganthaler TI et al. Physician burnout, well-being, and work unit safety grades in relationship to reported medical errors. Mayo Clin Proc. 2018;93(11):1571-1580.
7. Motluk A. Do doctors experiencing burnout make more errors? CMAJ. 2018;190(40):E1216-E1217.
8. Garcia CL, Abreu LC, Ramos JLS, et al. Influence of burnout on patient safety: systemic review and meta-analysis. Medicina (Kaunas). 2019;5(9).E553.
9. Makary AM, Daniel M. Medical error—the third leading cause of death in the US. BMJ 2016;353:2139.
10. Jones GM, Roe NA, Louden L, Tubbs CR. Factors associated with burnout among US hospital clinical pharmacy practitioners: results of a nationwide pilot survey. Hosp Pharm. 2017;52(11):742-751.
11. Bridgeman PJ, Bridgeman MB, Barone J. Burnout syndrome among healthcare professionals. Am J Health Syst Pharm. 2018;75(3):147-152.
12. Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory Manual. 3rd ed. Palo Alto, CA: Consulting Psychologists Press; 1996:191-218.
13. Jones GM, Roe NA, Loudon L, Tubbs CR. Factors associated with burnout among US hospital clinical pharmacy practitioners: results of a nationwide pilot survey. Hosp Pharm. 2017. 52(11)742-751.
14. Cohen S, Williamson S. (1988). Perceived stress in a probability sample of the United States. In S. Spacapan & S. Oskamp, eds., The Claremont Symposium on Applied Social Psychology. The Social Psychology of Health. Newberry Park, CA: Sage Publications, Inc. 1988:31-67.
15. Zinurova E, DeHart R. perceived stress, stressors, and coping mechanisms among PGY1 pharmacy residents. Am J Pharm Educ. 2018;82(7):6574.
16. Maslach C, Leiter MP. Early predictors of job burnout and engagement. J Appl Psychol. 2008;93(3):498-512.
17. Bridgeman P, Bridgeman MB, Barone J. Burnout syndrome among healthcare professionals. Am J Health Syst Pharm. 2016;75:(3): 147-150.
18. Lyndon A. Burnout among health professionals and its effect on patient safety. Agency for Healthcare Research and Quality. January 1, 2015. https://psnet.ahrq.gov/perspective/burnout-among-health-professionals-and-its-effect-patient-safety. Accessed April 21, 2020.
19. Bridgeman P. Bridgeman M, Pop M, Scott B. Putting out the fire: beating burnout in pharmacy and healthcare. ASHP Well-Being and Resilience series. Webinar. December 2018.
Ishak WW, Lederer S, Mandilli C, et al. Burnout during residency training: a literature review. J Grad Med Educ. 2009; (2):236-242.
20. Le HM, Young SD. Evaluation of stress experienced by pharmacy residents. Am J Health Syst Pharm. 2017;74(8):599-604.
21. Reith TP. Burnout in United States healthcare professionals: a narrative review. Cureus. 2018;10(12) e3681.
22. American Medical Association. AMA launches STEPS Forward to address physician burnout [Press release]. June 8, 2015. www.ama-assn.org/press-center/press-releases/ama-launches-steps-forward-address-physician-burnout.Accessed April 21, 2010.
23. Friedberg MW, Chen PG, Van Busun KR et al. Factors affecting physician professional satisfaction and their implications for patient care, health systems, and health policy. Rand Health Q. 2014;3(4):1.
24. Okanlawon T. Resident and fellow burnout. AMA STEPS Forward. Continuing Medical Education Course. 2015.
25. Funk KA, Pestka DL, Roth McClurg MT, et al. Primary care providers believe that comprehensive medication management improves their work-life. J Am Board Fam Med. 2019;32(4):462-473.
26. Salvagioni DAJ, Melanda FN, Mesas AE, et al. Physical, psychological, and occupational consequences of job burnout: a systematic eview of prospective studies. PLoS One. 2017;12(10):e0185781.