Australian community pharmacy service provision factors, stresses and strains: A qualitative study

Yong, Faith R.; Hor, Su-yin; Bajorek, Beata

doi:10.1016/j.rcsop.2023.100247

Cited by 8 publications

(6 citation statements)

References 60 publications

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“…Yong et al (2023) recently stated that high levels of stress and strain are endemic in community pharmacists and exacerbated by an increasing demand for the delivery of additional services. 64 Several pharmacists interviewed referred to their increasing workload with the provision of extra professional services in the absence of any additional pharmacist or other support staff being provided. This added to the already stressful nature of the job along with the undoubted strains placed on them by the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 99%

“… 65 , 66 These are consistent with physiological, psychological and social stressors reported by community pharmacists which impacts on their health and well-being, often accompanied by burnout. 64 The RPS Survey in 2022 found that community pharmacists were at higher risk of burnout and more likely to rate their mental health as poor compared to pharmacists in other sectors. 33 However, there are additional stressors pertinent to the Irish setting including the onerous professional responsibility of the supervising pharmacist role for employee pharmacists, as previously described.…”

Section: Discussionmentioning

confidence: 99%

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Understanding the factors influencing community pharmacist retention – A qualitative study

Lynch,

O'Leary

2023

Exploratory Research in Clinical and Social Pharmacy

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Understanding the factors influencing community pharmacist retention – A qualitative study

Lynch,

O'Leary

2023

Exploratory Research in Clinical and Social Pharmacy

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“…There is a mass of anecdotal evidence but a scarcity of empirical evidence. Understanding patient and staff outcomes across various models of community pharmacy is warranted to improve our understanding of stress, corporatization, and the role in healthcare from a pharmacy perspective, particularly at a time in New Zealand where access to healthcare providers and discussion around pharmacists’ scope of practices are occurring [ 34 , 35 ].…”

Section: Discussionmentioning

confidence: 99%

Understanding the Risk Factors and Stressors Impacting Optimal Work Practices in New Zealand Pharmacies: A S.H.E.L.L Model Analysis

2023

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(1) Background: The safe performance of pharmacists is an important issue for patients and regulators. It is recognized that pharmacists interact with a variety of healthcare professionals and act as a bridge between other healthcare providers and systems and patients in the health setting. There has been growing activity in exploring factors that impact optimal performance and determinants that are linked with medication errors and practice incidents. The aviation and military industries have used S.H.E.L.L modeling to identify how personnel interact with factors that affect outcomes. A human factors approach is a useful angle to take when trying to improve optimal practice. Little is known about the experiences of New Zealand pharmacists and S.H.E.L.L factors that affect day-to-day practices in their work environment. (2) Methods: We investigated environment, team, and organizational considerations as the determining factors of optimal work practices using an anonymous online questionnaire. The questionnaire was built from a modified version of the software, hardware, environment, and liveware (S.H.E.L.L) model. This identified components of a work system that were vulnerable and that provided risks to optimal practice. Participants were New Zealand pharmacists approached through a subscriber list provided by the regulatory authority of the profession. (3) Results: We received responses from 260 participants (8.56%). The majority of participants indicated that optimal practice was occurring. More than 95% of respondents agreed that knowledge, fatigue interruptions, complacency, and stress affected optimal practice. Equipment and tools, medication arrangement on the shelf, lighting, physical layout, and communication with staff and patients were important factors for optimal practice. A smaller cohort of participants, 13 percent (n = 21), stated that dispensing processes, dissemination, and enforcement of standard operating procedures and procedural guidance did not affect pharmacy practice, 21.3% responded that professional and ethical requirements did not affect optimal practice, 20% stated that having a staffroom affected optimal practice, 20% did not think substance use affected optimal practice, and 30% did not state that cultural differences affected optimal practice. Optimal practice is constrained when there is a lack of experience, professionalism, and communication among staff, patients, and external agencies. COVID-19 also has had an impact on pharmacists both personally and in their work environments. Exploring how the pandemic has affected pharmacists and their work environment warrants further research. (4) Conclusions: Pharmacists across New Zealand agreed that optimal practices were occurring and considered other factors that were perceived to not affect optimal practice. A human factor S.H.E.L.L framework has been used to analyze themes to understand the optimal practice. The rising body of international literature on the effect of the pandemic on pharmacy practice serves as a foundation for many of these themes. Longitudinal data would be useful in exploring some factors, such as pharmacist well-being over time.

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“… 7 The main factors identified as contributing to burnout were fewer years of experience in the profession, working in the community pharmacy setting, a heavy workload, the number of hours worked per week, staffing shortages, workplace culture, and female gender. 4 , 25 , 26 , 27 , 28 , 29. , 30.…”

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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Australian community pharmacy service provision factors, stresses and strains: A qualitative study

Cited by 8 publications

References 60 publications

Understanding the factors influencing community pharmacist retention – A qualitative study

Understanding the factors influencing community pharmacist retention – A qualitative study

Understanding the Risk Factors and Stressors Impacting Optimal Work Practices in New Zealand Pharmacies: A S.H.E.L.L Model Analysis

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

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