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Barakat M, Sallam M. Pharmacy workforce: a systematic review of key drivers of pharmacists' satisfaction and retention. J Pharm Policy Pract 2025; 18:2470848. [PMID: 40034876 PMCID: PMC11873935 DOI: 10.1080/20523211.2025.2470848] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2024] [Accepted: 02/18/2025] [Indexed: 03/05/2025] Open
Abstract
Background Pharmacy workforces are central to healthcare systems, yet the profession faces challenges in job satisfaction and retention due to evolving roles, workload pressures, and other issues. Understanding workforce stability is crucial for optimising pharmacy services. Objective This systematic review aimed to identify and analyze the critical factors impacting pharmacy staff job satisfaction and retention, providing actionable insights to improve workforce stability and long-term engagement in the profession. Methods A comprehensive search was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), covering broad academic databases including EMBASE, Web of Science, PubMed, International Pharmaceutical Abstracts, and the supplementary use of Google Scholar for studies published between 2019 and 2024. The quality of the included articles was evaluated, revealing a generally low to moderate risk of bias. Results The review synthesised findings from 81 studies and extracted ten relevant themes. Countries including the United States, Saudi Arabia, Nigeria, Pakistan, and Southeast Asia countries contributed most frequently, highlighting regional research diversity. Key factors influencing job satisfaction included burnout, stress, and workload (24%); work conditions and roles (22%); professional development (14%); earnings and benefits (10%); and leadership support (9%). Conclusion With a global perspective that travels across 36 countries in five continents, this study is the latest in-depth analysis of factors influencing job satisfaction in the pharmacy workforce. This review emphasises the need for policy reforms and further research on workplace conditions in different locations. It provides insights for policymakers and healthcare leaders to enhance the pharmacy workforce's strategic support and engagement initiatives.
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Affiliation(s)
- Muna Barakat
- Department of Clinical Pharmacy and Therapeutics, Faculty of Pharmacy, Applied Science Private University, Amman, Jordan
| | - Mohammed Sallam
- Department of Pharmacy, Mediclinic Parkview Hospital, Mediclinic Middle East, Dubai, United Arab Emirates
- Department of Management, Mediclinic Parkview Hospital, Mediclinic Middle East, Dubai, United Arab Emirates
- Department of Management, School of Business, International American University, Los Angeles, CAUSA
- College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU), Dubai, United Arab Emirates
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Alotaibi T, Alsahafi M, Alariany O, Alqarni AA, Abuzenada M, Almutairi E, Nakshabandi Z, Alyami F, Alsaywid B, Lytras M. The Analysis of Job Satisfaction of Health Practitioners in Saudi Arabia: Determinants and Strategic Recommendations for Health Workforce Planning. Cureus 2023; 15:e50891. [PMID: 38249243 PMCID: PMC10799632 DOI: 10.7759/cureus.50891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/21/2023] [Indexed: 01/23/2024] Open
Abstract
BACKGROUND Job satisfaction plays an important foundation in the health system to deliver high-quality care services to patients. Job satisfaction describes the inside feeling of workers about their jobs whether they like it or not. Job satisfaction of health practitioners is considered an essential factor that affects their efficiency, well-being, and mental health. AIM This research study is part of an integrated research aiming to understand the determinants of a revised Workforce Planning Strategy in Saudi Arabia, in close relevance to the demand and supply side in Saudi Arabia. RESULTS This study showed that males were significantly more satisfied than females in relation to specialty, organization, and overall global score. There is also evidence for a significant association between age groups and job satisfaction. Older health practitioners had a higher level of satisfaction than younger ones. Regarding nationality, we found that Saudi health practitioners were less satisfied in all aspects, while non-Saudi (Arab) healthcare practitioners were the most satisfied in all aspects except city happiness. CONCLUSION Our study found statistically significant differences that medicine and surgery practitioners are the most satisfied professionals and the least satisfied are dentist practitioners. Health practitioners with more than five years of experience were significantly the most satisfied.
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Affiliation(s)
- Talal Alotaibi
- College of Medicine, King Abdulaziz University Faculty of Medicine, Jeddah, SAU
| | - Mohammed Alsahafi
- College of Medicine, King Abdulaziz University Faculty of Medicine, Jeddah, SAU
| | - Osama Alariany
- College of Medicine, King Abdulaziz University Faculty of Medicine, Jeddah, SAU
| | - Ayman A Alqarni
- College of Medicine, King Abdulaziz University Faculty of Medicine, Jeddah, SAU
| | - Maha Abuzenada
- Research and Development, Saudi Commission for Health Specialties, Jeddah, SAU
| | - Eman Almutairi
- Research and Development, Saudi Commission for Health Specialties, Jeddah, SAU
| | - Ziad Nakshabandi
- Research and Development, Saudi Commission for Health Specialties, Jeddah, SAU
| | | | - Basim Alsaywid
- Research and Development, Saudi Commission for Health Specialties, Jeddah, SAU
| | - Miltiades Lytras
- Computer Science, Effat College of Engineering, Effat University, Jeddah, SAU
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Bochniarz M, Inglot-Brzęk E, Lewandowska A, Podgórska J. Directions of Changes in the Profession of Hospital Pharmacist in Poland. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14522. [PMID: 36361404 PMCID: PMC9658758 DOI: 10.3390/ijerph192114522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Revised: 10/30/2022] [Accepted: 11/04/2022] [Indexed: 06/16/2023]
Abstract
The Act on the Pharmacist Profession, adopted on 10 December 2020, is a breakthrough for the entire community of pharmacists in Poland. Due to the scope of the changes introduced in the Act, the question is whether pharmacists in Poland are suitably prepared for pharmaceutical care and clinical pharmacy services. The main aim of the study is to assess the readiness of hospital pharmacists to introduce changes in the way the profession functions. The result of the study is the presentation of the concept of a new model of pharmacist functioning in healthcare entities and the indication of actions necessary to carry out such a change. The questionnaire was addressed to all hospital pharmacists in Poland. Two hundred and seventy-seven hospital pharmacists were included in the research. The analysis of the data revealed that almost all (96.1%) respondents indicated the need to introduce changes to the model of functioning of pharmacists in medical entities. Two-thirds of pharmacists declared readiness to start work to introduce changes. Hospital pharmacists recognize the importance of clinical pharmacy in their current practice; however, the biggest barrier is the lack of financing, an insufficient number of staff, a lack of knowledge and skills, and a lack of tools to use the service.
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Affiliation(s)
- Marcin Bochniarz
- Specialist Hospital, Subcarpathian Oncology Centre, 36-200 Brzozów, Poland
| | | | - Anna Lewandowska
- Department of Management, University of Information Technology and Management, 35-225 Rzeszów, Poland
| | - Joanna Podgórska
- Department of Economics and Finance, University of Information Technology and Management, 35-225 Rzeszów, Poland
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dos Santos PM, da Silva CR, Costa D, Torre C. Burnout in the Pharmaceutical Activity: The Impact of COVID-19. Front Psychiatry 2022; 12:771462. [PMID: 35126195 PMCID: PMC8811459 DOI: 10.3389/fpsyt.2021.771462] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Accepted: 11/29/2021] [Indexed: 11/30/2022] Open
Abstract
IMPORTANCE Pharmacists are among the healthcare professionals involved in the response to the COVID-19 pandemic, maintaining essential services. In the context of restrictions and reorganization of human resources, as a result of policies recently applied to the health sector, following international guidelines, and given the scarcity of data on burnout in pharmaceutical activity, it was considered highly relevant to promote a nationwide survey aiming to collect more complete evidence on the burnout syndrome and to understand how pharmacists have viewed their work and the people they worked closely with. OBJECTIVES The study aimed to assess the occurrence of pharmacist burnout and determine outcomes for each of its dimensions; identify potentially associated characteristics; and determine profiles and critical limits. DESIGN A cross-sectional observational study conducted by a multidisciplinary panel from the Portuguese Pharmaceutical Society (PPS). Professionals from community and hospital pharmacies who were at the forefront of the COVID-19 response were involved in (i) confirming the need and pertinence for conducting this research, (ii) identifying the main factors leading to pharmaceutical emotional distress ("burnout"), and (iii) disseminating the survey. The questionnaire was designed for digital voluntary, confidential, and anonymous participation and divided into four segments of data collection: (i) demographics, (ii) employment and workplace characterization, (iii) pandemic impact on labor activity, and (iv) burnout assessment (as described ahead). SETTING An electronic survey was addressed to all PPS members, and an account was created solely to manage the questionnaire data for the research team. The web-based and user-friendly platform Google Forms supported the data capture and provided an intuitive interface for validated data entry. PARTICIPANTS In a population of 15,565 pharmacists (members of the PPS), the minimum recommended sample size (Epi Info software), with a 5% margin of error and a 99.9% confidence interval, should be 1,012 individuals. A total of 1,362 pharmacists participated in the study. Of these, 91.4% (n = 1,246) were involved in direct patient care activity and 7.7% (n = 106) in non-direct patient care activity.
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Affiliation(s)
- Pedro Machado dos Santos
- CINTESIS - Center for Health Technology and Services Research, Porto, Portugal
- Instituto de Ciências Biomédicas Abel Salazar da Universidade do Porto, Porto, Portugal
| | | | | | - Carla Torre
- Ordem dos Farmacêuticos, Lisboa, Portugal
- Faculdade de Farmácia da Universidade de Lisboa, Lisbon, Portugal
- Laboratory of Systems Integration Pharmacology, Clinical and Regulatory Science, Research Institute for Medicines (iMED.ULisboa), Lisbon, Portugal
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Al-Jumaili AA, Mohammed ZA, Yawuz MJ, Ahmed KK. Exploring Work Satisfaction and Characteristics of Iraqi Pharmacist Workforce. BRAZ J PHARM SCI 2022. [DOI: 10.1590/s2175-97902022e19929] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- Ali Azeez Al-Jumaili
- University of Baghdad College of Pharmacy, Iraq; The University of Iowa College of Pharmacy, USA
| | | | | | - Kawther Khalid Ahmed
- University of Baghdad College of Pharmacy, Iraq; The University of Iowa College of Pharmacy, USA
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Ibrahim IR, Ibrahim MI, Majeed IA, Alkhafaje Z. Assessment of job satisfaction among community pharmacists in Baghdad, Iraq: a cross-sectional study. Pharm Pract (Granada) 2021; 19:2190. [PMID: 33777262 PMCID: PMC7979314 DOI: 10.18549/pharmpract.2021.1.2190] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Accepted: 03/07/2021] [Indexed: 11/14/2022] Open
Abstract
Background Pharmacists have the unique position of providing safe and effective care. Hence, addressing their feelings about their working life is crucial to provide good pharmacy services. Objective this study aimed to assess job satisfaction among Iraqi community pharmacists and determine the effect of pharmacist characteristics on job satisfaction. Methods A cross-sectional study was conducted among community pharmacists in Baghdad, the capital of Iraq. A simple random sample technique was adopted to select community pharmacists. A survey questionnaire using Warr-Cook-Wall satisfaction scale (ranging from extremely dissatisfied to extremely satisfied) was used to assess job satisfaction. Results Community pharmacists experienced moderate satisfaction with their jobs. The mean satisfaction score for all pharmacists was 20.4 (SD 3.7). The lowest mean scores occurred for recognition (1.4; SD 0.7), public respect (1.8; SD 0.9), and pharmacy regulations (1.9; SD 0.9). Job satisfaction was significantly affected by pharmacist characteristics, including gender (p<0.001), age (p<0.001), degree level (p=0.003), years in practice (p<0.001), working patterns (p< 0.001), and working hours (p<0.001). Regression analysis indicated pharmacist gender and age had the highest effect on job satisfaction, while, years in practice, working hours, and working pattern had the lowest effect. Conclusions Community pharmacists expressed moderate satisfaction with their jobs with satisfaction levels being affected by gender, age, years in practice, working patterns, and working hours. New strategies will require support for Iraqi pharmacists by the Ministry of Health and Syndicate of Iraqi Pharmacists before being included in extended pharmacy services.
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Affiliation(s)
- Inas R Ibrahim
- PhD. College of Pharmacy, Uruk University . Baghdad ( Iraq ).
| | - Mohamed I Ibrahim
- PhD. Professor of Social & Administrative Pharmacy, Head of Research and Graduate Studies - Pharmacy, Department of Clinical Pharmacy and Practice, College of Pharmacy, Qatar University . Doha ( Qatar ).
| | - Ibrahim A Majeed
- Assistant Professor in Clinical Pharmacy and Therapeutics. College of Pharmacy, Uruk University . Baghdad ( Iraq ).
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Chang C, HSS AS, Hassali MA. Qualitative study of pharmacists’ perceptions of motivators, institutional supports and challenges towards career planning and advancement in a public tertiary hospital in Malaysia. JOURNAL OF PHARMACY PRACTICE AND RESEARCH 2020. [DOI: 10.1002/jppr.1606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Chee‐Tao Chang
- Discipline of Social & Administrative Pharmacy School of Pharmaceutical Sciences Universiti Sains Malaysia Gelugor, Penang Malaysia
- Clinical Research Centre Raja Permaisuri Bainun Hospital Ministry of Health Ipoh Perak Malaysia
| | - Amar-Singh HSS
- Clinical Research Centre Raja Permaisuri Bainun Hospital Ministry of Health Ipoh Perak Malaysia
| | - Mohamed Azmi Hassali
- Discipline of Social & Administrative Pharmacy School of Pharmaceutical Sciences Universiti Sains Malaysia Gelugor, Penang Malaysia
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Chang CT, Hassali MA, Hss AS, Lee JCY, Chan HK. Perceived motivators, training supports and challenges to career advancement among pharmacists in the Malaysian public healthcare system. INTERNATIONAL JOURNAL OF PHARMACY PRACTICE 2019; 27:555-564. [PMID: 31294496 DOI: 10.1111/ijpp.12559] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2019] [Accepted: 06/03/2019] [Indexed: 11/28/2022]
Abstract
OBJECTIVES To explore the perceived motivators, training supports and challenges to career advancement among fully and provisionally registered pharmacists (FRPs and PRPs) in the Malaysian public service. METHODS Nine hundred and fifty-three pharmacists in the public service of Perak State, Malaysia, were invited for participation in an online survey that was conducted in October 2018. Based on a 5-point Likert scale, they were required to respond to 56 items, ranging from the perceived availability and importance of both motivators and training supports, the challenges to career advancement, to the awareness of the need for career planning. Their responses were subsequently dichotomized into 'agree'/'important' and 'disagree'/'not important'. KEY FINDINGS Four hundred and eighty pharmacists participated in the survey, yielding a response rate of 51.2%. More than half of them agreed with the inflexibility of working time and the absence of a performance-based salary and promotion scheme. More than 80% of them also highly valued the training in both pharmacy-related areas and management. Apart from inadequate training, no specialization in pharmacy as a profession and the absence of a performance-based promotion scheme were identified as the major challenges to their career advancement. As compared with the PRPs, the FRPs had greater concern over the absence of a performance-based salary and promotion scheme, flexible working time and periodic feedback for their work performance. CONCLUSIONS The findings indicate the inadequacy of the current system in providing recognition, training, feedback for work performance and a clear career pathway to pharmacists in the Malaysian public service, which warrants a change.
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Affiliation(s)
- Chee-Tao Chang
- Discipline of Social & Administrative Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Gelugor, Penang, Malaysia.,Clinical Research Centre, Raja Permaisuri Bainun Hospital, Ipoh, Perak, Ministry of Health Malaysia, Malaysia
| | - Mohamed Azmi Hassali
- Discipline of Social & Administrative Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Gelugor, Penang, Malaysia
| | - Amar-Singh Hss
- Clinical Research Centre, Raja Permaisuri Bainun Hospital, Ipoh, Perak, Ministry of Health Malaysia, Malaysia
| | - Jason Choong Yin Lee
- Pharmaceutical Services Division, Perak State Health Department, Ipoh, Perak, Ministry of Health Malaysia, Malaysia
| | - Huan-Keat Chan
- Clinical Research Centre, Sultanah Bahiyah Hospital, Alor Setar, Kedah, Ministry of Health Malaysia
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Iorga M, Manole I, Pop L, Muraru ID, Petrariu FD. Eating Disorders in Relationship with Dietary Habits among Pharmacy Students in Romania. PHARMACY 2018; 6:pharmacy6030097. [PMID: 30200444 PMCID: PMC6164212 DOI: 10.3390/pharmacy6030097] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2018] [Revised: 08/23/2018] [Accepted: 08/31/2018] [Indexed: 11/16/2022] Open
Abstract
Changing dietary habits of university students is due to personal, social, educational or religious factors. The relationship between dietary habits and presence of eating disorders among university students is less known in Romania. Material and Methods: Ninety-one pharmacy students (91.21% women) were included in the research. Socio-demographic, anthropometric, medical, and psychological data were collected. Dietary self-declared habits were registered. The analysis of data was done using SPSS, v23. Results: A total of 69.2% of students had normal weight, 64.84% preferred to have lunch, and 23.08% eat during nights. The majority of subjects (95.6%), stated that they eat snacks daily. More than one-third of students keep diets to reduce their weight. Younger students tend to eat more main meals per week, snack more, and eat later after getting up in the morning. Subjects with high body dissatisfaction tended to have fewer main meals (r = −0.265, p = 0.011) and to skip breakfasts (−0.235, p = 0.025) and dinners (r = −0.303, p < 0.001). Pharmacy students that presented higher rate of emotional problems tend to sleep less and skip breakfast. Conclusions: Female pharmacy students had higher mean scores on all subscales than those found among Romanian women. A strong relationship between dietary habits and eating disorders was identified.
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Affiliation(s)
- Magdalena Iorga
- Department of Behavioral Sciences, Faculty of Medicine, University of Medicine and Pharmacy "Grigore T. Popa" of Iasi, Iasi 700115, Romania.
| | - Isabela Manole
- Faculty of Pharmacy, University of Medicine and Pharmacy "Grigore T. Popa" of Iasi, Iasi 700115, Romania.
| | - Lavinia Pop
- Nutrition and Dietetics, Faculty of Medicine, University of Medicine and Pharmacy "Grigore T. Popa" of Iasi, Iasi 700117, Romania.
| | - Iulia-Diana Muraru
- Department of Behavioral Sciences, Faculty of Medicine, University of Medicine and Pharmacy "Grigore T. Popa" of Iasi, Iasi 700115, Romania.
| | - Florin-Dumitru Petrariu
- Department of Preventive Medicine and Interdisciplinarity, Faculty of Medicine, University of Medicine and Pharmacy "Grigore T. Popa" of Iasi, Iasi 700115, Romania.
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Depressed as Freshmen, Stressed as Seniors: The Relationship between Depression, Perceived Stress and Academic Results among Medical Students. Behav Sci (Basel) 2018; 8:bs8080070. [PMID: 30081444 PMCID: PMC6115777 DOI: 10.3390/bs8080070] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2018] [Revised: 07/28/2018] [Accepted: 08/01/2018] [Indexed: 11/29/2022] Open
Abstract
Research in the field has identified the presence of stress and depression among medical students. However, no other study has pointed out the differences between years of study. The objectives of the study are to identify the levels of stress and depression among medical students and to point out the relationship between these two variables. Methods: The cross-sectional study gathered data regarding socio-demographic characteristics, depression, self-identified psychological and physical symptoms during stressful periods and perceived stress among medical students in a university in Romania. Statistical analysis was performed using IBM SPSS Statistics v23. For comparative analysis the t-test for independent samples and one-way ANOVA was used and for correlational analysis, Pearson and Spearman correlations was used. Results: Freshmen are the most depressed and graduating students are the most stressed medical students. Statistical analysis reveals an average score of perceived stress (M = 17.31 ± 6.79) and mild-moderate depression (M = 10.11 ± 7.69). Women are more prone to symptoms of depression. Students enrolled in the third year of study are the least depressed and the least stressed. Perceived stress is significantly positive correlated with depression and negative in strong correlation with the number of course credits received. More than half of students experience an increased rate of anxiety and consumption of alcohol, coffee, sweets or cigarettes during stressful academic periods. Over 60% declare themselves satisfied with their academic results. Conclusions: Strategies to diminish the level of stress and depression among medical students are necessary. Psychological support and educational counseling should start from admission, since freshmen experience the highest rate of depression.
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