Department of Pharmacy, Ohio Health, Columbus, OH.
Department of Academic Research, OhioHealth, Columbus, OH.
Am J Health Syst Pharm. 2020 May 7;77(10):781-789. doi: 10.1093/ajhp/zxaa042.
Workplace-related burnout is a state of mental and physical exhaustion caused by one's professional life. Literature demonstrates the link between physician burnout and serious consequences (reduced productivity, medical errors, and clinician suicide), but assessment of burnout in other healthcare professions is limited, especially in pharmacy. A quality improvement study was conducted to quantify burnout in a diverse health-system pharmacy department and identify potential strategies to improve well-being.
A survey was distributed to assess the perception and drivers of burnout within a health-system pharmacy. All associates received a survey comprised of the Maslach Burnout Inventory (MBI), demographic questions, and items affording respondents the opportunity to list stressors and potential solutions. Email reminders were sent weekly and site visits were conducted to encourage survey completion. Results were analyzed via descriptive statistics.
Two hundred seventy-seven associates completed the survey (response rate, 40.5%). Seventy percent of those participants were experiencing moderate to high levels of burnout, with survey results indicating moderate levels of personal accomplishment and emotional exhaustion and low levels of depersonalization; there were no statistically significant differences in mean MBI scores by shift type, hours worked per week, or years of service. There were statistically significant differences in scores for personal accomplishment between males and females, as well as among positions and regions (P < 0.05). Participants identified issues related to workflow, control, and community as the greatest contributors to stress.
The diverse staff of a health-system pharmacy department reported a moderate amount of burnout, with the greatest variation in the dimension of personal accomplishment. The mitigation strategies most commonly cited were staffing/workflow adjustments and creating a culture of well-being.
工作相关的倦怠是一种由职业生活引起的身心疲惫状态。文献表明医生倦怠与严重后果(生产力下降、医疗失误和临床医生自杀)之间存在联系,但对其他医疗保健专业人员的倦怠评估有限,尤其是在药学领域。进行了一项质量改进研究,以量化多元化医疗系统药学部门的倦怠情况,并确定改善幸福感的潜在策略。
一项调查旨在评估医疗系统药学领域的倦怠感和倦怠感的驱动因素。所有员工都收到了一份调查,其中包括 Maslach 倦怠量表(MBI)、人口统计问题以及让受访者有机会列出压力源和潜在解决方案的项目。每周发送电子邮件提醒,并进行现场访问以鼓励完成调查。结果通过描述性统计进行分析。
277 名员工完成了调查(响应率为 40.5%)。其中 70%的参与者经历了中度到高度的倦怠,调查结果表明个人成就感和情绪疲惫感中等,去个性化程度较低;轮班类型、每周工作小时数或服务年限的 MBI 平均分数没有统计学上的显著差异。男性和女性之间以及职位和地区之间的个人成就感得分存在统计学上的显著差异(P<0.05)。参与者确定与工作流程、控制和社区相关的问题是压力的最大贡献者。
多元化的医疗系统药学部门员工报告了中等程度的倦怠,其中个人成就感维度的变化最大。最常提到的缓解策略是人员配备/工作流程调整和营造幸福感文化。