A systematic review on pharmacists’ turnover and turnover intention

Thin, Su Myat; Chongmelaxme, Bunchai; Watcharadamrongkun, Suntaree; Kanjanarach, Tipaporn; Sorofman, Bernard A.; Kittisopee, Tanattha

doi:10.1016/j.sapharm.2022.05.014

Cited by 19 publications

(7 citation statements)

References 28 publications

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“…Using POCT for determining kidney function markers in community pharmacies, the proposed study aims to fill this gap and promote pharmacists’ contributions to CKD care. Finally, the high staff turnover rates and uneven distribution of the pharmacy workforce based on remoteness may affect the recruitment of pharmacists and patients in certain settings, particularly in remote and rural areas 52 53…”

Section: Discussionmentioning

confidence: 99%

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Impact of a pharmacy-led screening and intervention in people at risk of or living with chronic kidney disease in a primary care setting: a cluster randomised trial protocol

Tesfaye,

Krass,

Sud

et al. 2023

BMJ Open

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IntroductionChronic kidney disease (CKD) is increasingly recognised as a growing global public health problem. Early detection and management can significantly reduce the loss of kidney function. The proposed trial aims to evaluate the impact of a community pharmacy-led intervention combining CKD screening and medication review on CKD detection and quality use of medicines (QUM) for patients with CKD. We hypothesise that the proposed intervention will enhance detection of newly diagnosed CKD cases and reduce potentially inappropriate medications use by people at risk of or living with CKD.Methods and analysisThis study is a multicentre, pragmatic, two-level cluster randomised controlled trial which will be conducted across different regions in Australia. Clusters of community pharmacies from geographical groups of co-located postcodes will be randomised. The project will be conducted in 122 community pharmacies distributed across metropolitan and rural areas. The trial consists of two arms: (1) Control Group: a risk assessment using the QKidney CKD risk assessment tool, and (2) Intervention Group: a risk assessment using the QKidney CKD plus Point-of-Care Testing for kidney function markers (serum creatinine and estimated glomerular filtration rate), followed by a QUM service. The primary outcomes of the study are the proportion of patients newly diagnosed with CKD at the end of the study period (12 months); and rates of changes in the number of medications considered problematic in kidney disease (number of medications prescribed at inappropriate doses based on kidney function and/or number of nephrotoxic medications) over the same period. Secondary outcomes include proportion of people on potentially inappropriate medications, types of recommendations provided by the pharmacist (and acceptance rate by general practitioners), proportion of people who were screened, referred, and took up the referral to visit their general practitioners, and economic and other patient-centred outcomes.Ethics and disseminationThe trial protocol has been approved by the Human Research Ethics Committee at the University of Sydney (2022/044) and the findings of the study will be presented at scientific conferences and published in peer-reviewed journal(s).Trial registration numberAustralian New Zealand Clinical Trials Registry (ACTRN12622000329763).

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Section: Discussionmentioning

confidence: 99%

“…Finally, the high staff turnover rates and uneven distribution of the pharmacy workforce based on remoteness may affect the recruitment of pharmacists and patients in certain settings, particularly in remote and rural areas. 52 53 …”

Section: Discussionmentioning

confidence: 99%

Impact of a pharmacy-led screening and intervention in people at risk of or living with chronic kidney disease in a primary care setting: a cluster randomised trial protocol

Tesfaye,

Krass,

Sud

et al. 2023

BMJ Open

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“…The intention of pharmacists to leave the profession has been increasing over time. 71 In a study looking at pharmacists practicing in nine different countries, the reported intention of pharmacists to leave the profession of pharmacy ranged from 6.5% - 18.8%. 71 When pharmacists in New Zealand were surveyed, 55% of respondents stated that they would not repeat their choice of choosing a career in pharmacy.…”

Section: Current State Of Pharmacy Workplace Well-being In the Litera...mentioning

confidence: 99%

“… 71 In a study looking at pharmacists practicing in nine different countries, the reported intention of pharmacists to leave the profession of pharmacy ranged from 6.5% - 18.8%. 71 When pharmacists in New Zealand were surveyed, 55% of respondents stated that they would not repeat their choice of choosing a career in pharmacy. 47 In a survey from 2015, pharmacy technicians in the United States reported low levels of satisfaction with respect to opportunities for advancement.…”

Section: Current State Of Pharmacy Workplace Well-being In the Litera...mentioning

confidence: 99%

Evaluation of community pharmacy workplace wellness: Literature review, environmental scan, and task force recommendations

Borowitz,

Trenaman,

Shiamptanis

2024

Exploratory Research in Clinical and Social Pharmacy

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“…Different studies conducted across the globe showed varied prevalence of turnover intention among different categories of healthcare workers. Global prevalence of turnover intention rate among general practitioners was found to be 0.47 while a systematic review conducted on pharmacists turnover intention revealed that turnover was found to be 13%–61.2% 7 8…”

Section: Introductionmentioning

confidence: 99%

Turnover intention among healthcare workers in Ethiopia: a systematic review and meta-analysis

Gebrekidan,

Enaro,

Azeze

et al. 2023

BMJ Open

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ObjectiveTo determine the pooled prevalence of turnover intention among healthcare workers in Ethiopia.DesignA systematic review and meta-analysis was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline.Data sourcesElectronic databases of Science Direct, Medline, African Journals Online, Excerpta Medica Database, Scopus and Google Scholar were searched to identify studies published in the English language before 31 December, 2021.Eligibility criteriaStudies were included with following criteria: (1) studies conducted or published until 31 December 2021; (2) observational studies; (3) Studies conducted on healthcare workers; (4) reporting turnover intention; (v) studies conducted in Ethiopia and (vi) tudies published in the English language were included.Data extraction and synthesisThree independent reviewers screened all the papers for eligibility criteria. Data were extracted by two independent investigators using a standardised data extraction format. Random effects model meta-analysis using STATA V.14.0 statistical software was conducted to estimate the pooled prevalence of turnover intention with 95% CI. Funnel plot and Forest plot were used to check publication bias and heterogeneity between studies, respectively. Leave-one-out sensitivity analysis was done.Primary outcomePrevalence of turnover intention.ResultA total of 29 cross-sectional studies with 9422 participants met the inclusion criteria. The estimated pooled prevalence of turnover intention among healthcare workers in Ethiopia was 58.09% (95% CI 54.24 to 61.93; p value <0.001, I2=93.5%).ConclusionThe finding of this systematic review and meta-analysis showed high prevalence of turnover intention among healthcare workers in Ethiopia. The Government and policy makers should come up with different mechanisms including a wide variety of healthcare workers retention strategies in order to reduce turnover intention of healthcare workers and retain them.

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A systematic review on pharmacists’ turnover and turnover intention

Cited by 19 publications

References 28 publications

Impact of a pharmacy-led screening and intervention in people at risk of or living with chronic kidney disease in a primary care setting: a cluster randomised trial protocol

Impact of a pharmacy-led screening and intervention in people at risk of or living with chronic kidney disease in a primary care setting: a cluster randomised trial protocol

Evaluation of community pharmacy workplace wellness: Literature review, environmental scan, and task force recommendations

Turnover intention among healthcare workers in Ethiopia: a systematic review and meta-analysis

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