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药剂师为何离开该职业?一项混合方法探索性研究。

Why do pharmacists leave the profession? A mixed-method exploratory study.

作者信息

Aspden Trudi J, Silwal Pushkar R, Marowa Munyaradzi, Ponton Rhys

机构信息

PhD. Senior Lecturer. School of Pharmacy, University of Auckland. Auckland (New Zealand).

MPH. Health Systems, School of Population Health, University of Auckland. Auckland (New Zealand).

出版信息

Pharm Pract (Granada). 2021 Apr-Jun;19(2):2332. doi: 10.18549/PharmPract.2021.2.2332. Epub 2021 Jun 3.

Abstract

BACKGROUND

Recent New Zealand policy documents aim for pharmacists to be retained, and promote the provision of extended clinical pharmacy services. However, younger pharmacists have expressed dissatisfaction with the profession on informal social for a.

OBJECTIVES

To explore the characteristics, and perspectives of pharmacy as a career, of recent Bachelor of Pharmacy (BPharm, four-year degree) graduates who have left, or are seriously considering leaving the New Zealand pharmacy profession in the near future and where they have gone, or plan to go.

METHODS

We conducted a cross-sectional study with a mixed-method explanatory sequential design. An anonymous online survey among those who completed their pharmacy undergraduate degree (BPharm or equivalent) in 2003 or later and who had left or who were seriously considering leaving the New Zealand pharmacy profession in the next five years, was open from 1 December 2018 to 1 February 2019. Recruitment occurred via University alumni databases, pharmacy professional organisations, pharmaceutical print media, social media and word-of-mouth. Ten semi-structured interviews were then conducted with a purposive sample of survey respondents. Descriptive statistics were generated from the quantitative data and qualitative data were analysed using manifest content analysis.

RESULTS

We received 327 analysable surveys of which 40.4% (n=132) were from those who had already left the New Zealand pharmacy sector at the time of the data collection and the rest (59.6% n=195) were those working within the sector, but seriously considering leaving the profession. Reasons most commonly reported for studying pharmacy were having an interest in health and wanting to work with people. The most common reasons for leaving, or wanting to leave, were dissatisfaction with the professional environment, including inadequate remuneration, and a perceived lack of career pathways or promotion opportunities. A wide range of career destinations were declared, with medicine being most frequently reported.

CONCLUSIONS

Most of the reasons for leaving/considering leaving the profession reported relate to the values and features of the pharmacy profession such as the professional environment, remuneration and career pathways. These findings are consistent with other studies and may represent a barrier to achieving the aims of recent health policy documents.

摘要

背景

新西兰近期的政策文件旨在留住药剂师,并推动提供扩展的临床药学服务。然而,年轻药剂师在非正式社交场合表达了对该职业的不满。

目的

探讨近期已离开或正认真考虑在不久的将来离开新西兰药学行业的药学学士(四年制学位)毕业生对药学职业的看法、该职业的特点,以及他们已经去往或计划去往何处。

方法

我们采用了混合方法解释性序列设计进行横断面研究。对在2003年或之后完成药学本科学位(药学学士或同等学位)、已离开或正认真考虑在未来五年内离开新西兰药学行业的人员进行了一项匿名在线调查,调查于2018年12月1日至2019年2月1日开展。通过大学校友数据库、药学专业组织、药学印刷媒体、社交媒体和口碑进行招募。然后对调查对象的一个有目的样本进行了10次半结构化访谈。从定量数据生成描述性统计数据,并使用显性内容分析法对定性数据进行分析。

结果

我们收到了327份可分析的调查问卷,其中40.4%(n = 132)来自在数据收集时已离开新西兰药学行业的人员,其余(59.6%,n = 195)是在该行业工作但正认真考虑离开该职业的人员。最常报告的学习药学的原因是对健康感兴趣以及想与人共事。离开或想离开的最常见原因是对职业环境不满,包括薪酬不足,以及认为缺乏职业发展途径或晋升机会。报告了广泛的职业去向,其中医学是最常被提及的。

结论

报告的离开/考虑离开该职业的大多数原因与药学职业的价值观和特点有关,如职业环境、薪酬和职业发展途径。这些发现与其他研究一致,可能代表了实现近期卫生政策文件目标的一个障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a48c/8216709/e46dec051760/pharmpract-19-2332-g001.jpg

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