Work fatigue among Lebanese community pharmacists: prevalence and correlates
Objective: To assess work fatigue and its associated factors among community pharmacists in Lebanon.
Methods: This cross-sectional study was conducted between March and July 2018. A proportionate sample of 435 community pharmacists was selected from all regions of Lebanon. A standardized self-administered questionnaire, distributed by trained interviewers, was used to assess the studied variables.
Results: The results showed that 50.12% of the pharmacists had emotional work fatigue [95%CI 0.454-0.549], 55.01% had mental work fatigue [95%CI 0.503-0.597], and 54.78% had physical work fatigue [95%CI 0.501-0.595]. Higher mental work fatigue was significantly associated with higher stress (Beta=0.185) and having a master’s degree compared to a bachelor’s degree (Beta=2.23). Higher emotional work fatigue was significantly associated with higher stress (Beta=0.219), working more than 40 hours compared to ≤ 16 hours (Beta=2.742), and having 6 months to less than 1 year of practice compared to less than 6 months (Beta=-5.238). Higher physical work fatigue was significantly associated with higher stress (Beta=0.169) and having better soft skills (Beta=-0.163).
Conclusions: Work-related fatigue is high among community pharmacists and touches all aspects: physical, mental, and emotional. In our study, community pharmacists’ fatigue levels were associated with educational level, years of experience, working hours, stress, depression, and soft skills, while no relation was found with gender, age, position in the pharmacy, and economic status. Interventions are recommended to tackle this public health problem that affects pharmacists, and eventually, patients.
Frone MR, Tidwell MCO. The meaning and measurement of work fatigue: Development and evaluation of the three-dimensional work fatigue inventory (3d-wfi). J Occup Health Psychol. 2015;20(3):273-288. https://doi.org/10.1037/a0038700
Maslach C, Leiter MP. Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry. 2016;15(2):103-111. https://doi.org/10.1002/wps.20311
Joyce MC. Fight burnout with three Rs | American Pharmacists Association [Internet]. Available at: https://www.pharmacist.com/fight-burnout-three-rs (accessed Oct 1, 2019).
Durham ME, Bush PW, Ball AM. Evidence of burnout in health-system pharmacists. Am J Health Syst Pharm. 2018;75(23 Supplement 4):S93‐S100. https://doi.org/10.2146/ajhp170818
Jones GM, Roe NA, Louden L, Tubbs CR. Factors Associated With Burnout Among US Hospital Clinical Pharmacy Practitioners: Results of a Nationwide Pilot Survey. Hosp Pharm. 2017;52(11):742‐751. https://doi.org/10.1177/0018578717732339
Dugani S, Afari H, Hirschhorn LR, et al. Prevalence and factors associated with burnout among frontline primary health care providers in low- and middle-income countries: A systematic review. Gates Open Res. 2018;2:4. https://doi.org/10.12688/gatesopenres.12779.3
Elbarazi I, Loney T, Yousef S, Elias A. Prevalence of and factors associated with burnout among health care professionals in Arab countries: a systematic review. BMC Health Serv Res. 2017;17(1):491. https://doi.org/10.1186/s12913-017-2319-8
Salvagioni DAJ, Melanda FN, Mesas AE, González AD, Gabani FL, Andrade SM. Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies. PLoS One. 2017;12(10):e0185781. https://doi.org/10.1371/journal.pone.0185781
Golkar A, Johansson E, Kasahara M, Osika W, Perski A, Savic I. The influence of work-related chronic stress on the regulation of emotion and on functional connectivity in the brain. PLoS One. 2014;9(9):e104550. https://doi.org/10.1371/journal.pone.0104550
Papathanasiou IV. Work-related Mental Consequences: Implications of Burnout on Mental Health Status Among Health Care Providers. Acta Inform Med. 2015;23(1):22‐28. https://doi.org/10.5455/aim.2015.23.22-28
Burnout - an overview | ScienceDirect Topics. Available at: https://www.sciencedirect.com/topics/economics-econometrics-and-finance/burnout (accessed Nov 27, 2019).
Gubbins PO, Ragland D, Castleberry AN, Payakachat N. Family Commitment and Work Characteristics among Pharmacists. Pharmacy (Basel). 2015;3(4):386‐398.
Reith TP. Burnout in United States Healthcare Professionals: A Narrative Review. Cureus. 2018;10(12):e3681. https://doi.org/10.7759/cureus.3681
Balayssac D, Pereira B, Virot J, Collin A, Alapini D, Cuny D, Gagnaire JM, Authier N, Vennat B. Burnout, associated comorbidities and coping strategies in French community pharmacies-BOP study: A nationwide cross-sectional study. PLoS One. 2017;12(8):e0182956.
Midwest Pharmacy Workforce Research Consortium. National Pharmacist workforce survey. Madison: MPWRC; 2014. Available at: https://www.aacp.org/sites/default/files/finalreportofthenationalpharmacistworkforcestudy2014.pdf (accessed Nov 27, 2019).
Peeples L. Battling Burnout: Nearly Two-Thirds of Pharmacists Say They’re Vulnerable - Pharmacy Practice News. Available at: https://www.pharmacypracticenews.com/Operations-and-Management/Article/03-19/Battling-Burnout-Nearly-Two-Thirds-of-Pharmacists-Say-They-re-Vulnerable/54260?sub=31D69684AEB1E89FB835F42F5E7AFCABF2EB378D903AF6B27750490CC64ED30&enl=true&dgid=--DGID--&utm_sour (accessed Sep 11, 2019).
American Society of Health-System Pharmacists. Three Quarters of Americans Concerned about Burnout Among Healthcare Professionals-ASHP. Available at: https://www.ashp.org/News/2019/06/17/Clinician-Wellbeing-Survey (accessed Sep 11, 2019).
Calgan Z, Aslan D, Yegenoglu S. Community pharmacists' burnout levels and related factors: an example from Turkey. Int J Clin Pharm. 2011;33(1):92‐100. https://doi.org/10.1007/s11096-010-9461-2
Hallit S, Zeenny RM, Sili G, Salameh P. Situation analysis of community pharmacy owners in Lebanon. Pharm Pract (Granada). 2017;15(1):853. https://doi.org/10.18549/pharmpract.2017.01.853
Obeid S, Abi Elias Hallit C, Haddad C, Hany Z, Hallit S. Validation of the Hamilton Depression Rating Scale (HDRS) and sociodemographic factors associated with Lebanese depressed patients. Encephale. 2018;44(5):397‐402. https://doi.org/10.1016/j.encep.2017.10.010
Hamilton M. A rating scale for depression. J Neurol Neurosurg Psychiatry. 1960;23(1):56‐62. https://doi.org/10.1136/jnnp.23.1.56
Barbour B, Saadeh N, Salameh PR. Psychological distress in Lebanese young adults: Constructing the screening tool “BDS-22.” Int J Cult Ment Health. 2012;5(2):94-108. https://doi.org/10.1080/17542863.2011.563043
Pancorbo G, Laros JA. Validity evidence of the Social and Emotional Nationwide Assessment (SENNA 1.0) inventory. Paideia. 2017;27(68):339-347. https://doi.org/10.1590/1982-43272768201712
McCann L, Hughes CM, Adair CG, Cardwell C. Assessing job satisfaction and stress among pharmacists in Northern Ireland. Pharm World Sci. 2009;31(2):188‐194. https://doi.org/10.1007/s11096-008-9277-5
Sacre H, Obeid S, Choueiry G, Hobeika E, Farah R, Hajj A, Akel M, Hallit S, Salameh P. Factors associated with quality of life among community pharmacists in Lebanon: results of a cross-sectional study. Pharm Pract (Granada). 2019;17(4):1613. https://doi.org/10.18549/pharmpract.2019.4.1613
Suleiman A. Stress and job satisfaction among pharmacists in Riyadh, Saudi Arabia. Saudi J Med Med Sci. 2015;3(3):213. https://doi.org/10.4103/1658-631X.162025
Balayssac D, Pereira B, Virot J, Lambert C, Collin A, Alapini D, Gagnaire JM, Authier N, Cuny D, Vennat B. Work-related stress, associated comorbidities and stress causes in French community pharmacies: a nationwide cross-sectional study. PeerJ. 2017;5:e3973. https://doi.org/10.7717/peerj.3973
Higuchi Y, Inagaki M, Koyama T, Kitamura Y, Sendo T, Fujimori M, Uchitomi Y, Yamada N. A cross-sectional study of psychological distress, burnout, and the associated risk factors in hospital pharmacists in Japan. BMC Public Health. 2016;16:534. https://doi.org/10.1186/s12889-016-3208-5
Sacre H, Hallit S, Hajj A, Zeenny RM, Akel M, Raad E, Salameh P. Developing core competencies for pharmacy graduates: The Lebanese Experience. Available at: https://www.researchsquare.com/article/rs-11850/v1 (accessed Sep 11, 2019).
Gruman J, Rovner MH, French ME, Jeffress D, Sofaer S, Shaller D, Prager DJ. From patient education to patient engagement: implications for the field of patient education. Patient Educ Couns. 2010;78(3):350‐356. https://doi.org/10.1016/j.pec.2010.02.002
Dalton K, Byrne S. Role of the pharmacist in reducing healthcare costs: current insights. Integr Pharm Res Pract. 2017;6:37‐46. https://doi.org/10.2147/iprp.s108047
Harari MB, Manapragada A, Viswesvaran C. Who thinks they’re a big fish in a small pond and why does it matter? A meta-analysis of perceived overqualification. J Vocat Behav. 2017;102:28-47. https://doi.org/10.1016/j.jvb.2017.06.002
Sadeghniiat-Haghighi K, Yazdi Z. Fatigue management in the workplace. Ind Psychiatry J. 2015;24(1):12‐17. https://doi.org/10.4103/0972-6748.160915
Grissinger M. An exhausted workforce increases the risk of errors. P T. 2009;34(3):120‐123.
Darban F, Balouchi A, Narouipour A, Safarzaei E, Shahdadi H. Effect of Communication Skills Training on the Burnout of Nurses: A Cross-Sectional Study. J Clin Diagn Res. 2016;10(4):IC01‐IC04. https://doi.org/10.7860/jcdr/2016/19312.7667
Shimizu T, Mizoue T, Kubota S, Mishima N, Nagata S. Relationship between burnout and communication skill training among Japanese hospital nurses: a pilot study. J Occup Health. 2003;45(3):185‐190. https://doi.org/10.1539/joh.45.185
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