VA Eastern Colorado Health Care System, Aurora, CO, USA.
Pharmacy Benefits Management Service, US Department of Veterans Affairs, Washington, DC, USA.
Am J Health Syst Pharm. 2023 Feb 21;80(Suppl 1):S23-S32. doi: 10.1093/ajhp/zxac198.
Factors associated with burnout in Veterans Health Administration (VHA) pharmacy leadership positions were examined during the coronavirus disease 2019 (COVID-19) pandemic.
A questionnaire was distributed to all pharmacy executives of the VHA healthcare system. It collected demographic and employment characteristics, career satisfaction and work-related variables, indicators of burnout using validated single-item measures adapted from the Maslach Burnout Inventory, and the impact of the COVID-19 pandemic on psychosocial and work-related variables. A χ2 test with Bonferroni correction was used to evaluate the data. Burnout was defined as a score of 4 or greater on either of the 2 single-item validated statements adapted from the Maslach Burnout Inventory to assess emotional exhaustion and depersonalization.
In total, 407 (of 1,027; 39.6%) VHA pharmacy leaders representing Veterans Integrated Service Network pharmacy executives, chiefs of pharmacy, associate chiefs of pharmacy, and inpatient and outpatient supervisors completed the survey. The overall prevalence of burnout was 68.6% using the aggregate measure of emotional exhaustion or depersonalization. Pharmacy leaders who worked more than 60 hours a week reported significantly greater rates of burnout than those who worked 40 to 60 hours a week (86.7% vs 66.9%, χ2 = 7.34, degrees of freedom = 1, P < 0.05). Those experiencing increased workload related to COVID-19 also reported high burnout rates (72.1%, χ2 = 16.40, degrees of freedom = 1, P < 0.001). Burnout scores were similar across groups when respondents were stratified by leadership position, gender, age, or years in position.
As of March 2021, two-thirds of pharmacy leaders were experiencing burnout. It is important for healthcare system leadership to identify patterns of burnout among their pharmacy leaders to ensure a productive and sustainable workforce.
在 2019 年冠状病毒病（COVID-19）大流行期间，研究了与退伍军人健康管理局（VHA）药房领导职位倦怠相关的因素。
向 VHA 医疗保健系统的所有药房主管分发了一份问卷。它收集了人口统计学和就业特征、职业满意度和与工作相关的变量、使用从 Maslach 倦怠量表改编的经过验证的单项措施的倦怠指标，以及 COVID-19 大流行对心理社会和工作相关变量的影响。使用带有 Bonferroni 校正的卡方检验来评估数据。倦怠的定义是使用从 Maslach 倦怠量表改编的 2 个单项验证语句中的任何一个得分达到 4 或更高，用于评估情绪疲惫和去人性化。
共有 407 名（1027 名中的 40.6%）VHA 药房主管代表退伍军人综合服务网络药房主管、药房主任、药房副主任、住院和门诊主管完成了调查。使用情绪疲惫或去人性化的综合衡量标准，倦怠的总体患病率为 68.6%。每周工作超过 60 小时的药房主管报告的倦怠率明显高于每周工作 40 至 60 小时的主管（86.7%比 66.9%，卡方=7.34，自由度=1，P<0.05）。与 COVID-19 相关的工作量增加的人也报告了高倦怠率（72.1%，卡方=16.40，自由度=1，P<0.001）。当根据领导职位、性别、年龄或任职年限对受访者进行分层时，倦怠评分在各群体之间相似。
截至 2021 年 3 月，三分之二的药房主管正在经历倦怠。医疗保健系统领导层必须识别其药房主管的倦怠模式，以确保拥有富有成效和可持续的劳动力。
