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受疫情影响的药剂师和按部就班的药剂师:通过聚类分析探索药剂师在 COVID-19 期间的经历。

The "affected" pharmacist and the "business as usual" pharmacist: Exploring the experiences of pharmacists during COVID-19 through cluster analysis.

出版信息

J Am Pharm Assoc (2003). 2023 Jan-Feb;63(1):144-150.e2. doi: 10.1016/j.japh.2022.09.012. Epub 2022 Sep 29.

Abstract

BACKGROUND

The global coronavirus disease 2019 (COVID-19) pandemic has necessitated considerable changes in the delivery of pharmacy services, with pharmacists experiencing increasing demands and a high rate of burnout. The ability to categorize pharmacists based on their burnout risk and associated factors could be used to tailor burnout interventions.

OBJECTIVE

This study aimed to identify subgroups (profiles) of pharmacists and use these profiles to describe interventions tailored to improve pharmacist's well-being.

METHODS

A survey was disseminated to pharmacists working in Australia during April and June 2020. The survey measured demographics, burnout, and psychosocial factors associated with working during COVID-19. A two-step cluster analysis was used to categorize pharmacists based on burnout and other variables.

RESULTS

A total of 647 survey responses contained data that were used for analysis. Participants were mostly female (75.7%) and working full time (65.2%). The final cluster analysis yielded an acceptable two-cluster model describing 2 very different pharmacist experiences, using 10 variables. Cluster 2 (representing 53.1% of participants) describes the "affected" pharmacist, who has a high degree of burnout, works in community pharmacy, experiences incivility, is less likely to report sufficient precautionary measures in their workplace, and has had an increase in workload and overtime. In contrast, cluster 1 (representing 46.9% of participants) describes the profile of a "business as usual" hospital pharmacist with the opposite experiences. Interventions focused on the "affected" pharmacist such as financial support to employ specialized staff and equitable access to personal protective equipment should be available to community pharmacists, to reduce the risk to these frontline workers.

CONCLUSION

The use of cluster analysis has identified 2 distinct profiles of pharmacists working during COVID-19. The "affected" pharmacist warrants targeted interventions to address the high burnout experienced in this group.

摘要

背景

全球 2019 年冠状病毒病(COVID-19)大流行要求药剂师对药学服务进行重大调整,导致药剂师的需求不断增加,工作倦怠率也很高。根据倦怠风险和相关因素对药剂师进行分类,有助于制定有针对性的倦怠干预措施。

目的

本研究旨在确定药剂师的亚组(特征),并使用这些特征来描述针对改善药师福祉的定制干预措施。

方法

在 2020 年 4 月至 6 月期间向澳大利亚的药剂师发放了一份调查问卷。该问卷测量了与 COVID-19 期间工作相关的人口统计学、倦怠和心理社会因素。使用两步聚类分析根据倦怠和其他变量对药剂师进行分类。

结果

共收到 647 份有效问卷。参与者主要为女性(75.7%),全职工作(65.2%)。最终的聚类分析得出了一个可接受的两聚类模型,该模型使用 10 个变量描述了两种截然不同的药师体验。第 2 类(代表 53.1%的参与者)描述了“受影响”的药师,其倦怠程度高,在社区药房工作,遇到不礼貌的行为,不太可能报告工作场所采取了足够的预防措施,工作量和加班时间增加。相比之下,第 1 类(代表 46.9%的参与者)描述了医院药师的“正常营业”的特征,体验相反。针对社区药剂师的干预措施,例如提供财务支持雇用专业人员和公平获得个人防护设备,应针对“受影响”的药剂师,以降低这些一线工作人员的风险。

结论

聚类分析确定了在 COVID-19 期间工作的两种截然不同的药剂师特征。需要针对“受影响”的药剂师实施有针对性的干预措施,以解决该组人员经历的高度倦怠问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/428f/9519361/0be913ef499f/gr1_lrg.jpg

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