Factors Affecting Burnout among Pharmacists in Siriraj Hospital
Main Article Content
Abstract
Objective: To determine the incidence of burnout and factors associated with burnout among pharmacists in Siriraj hospital. Methods: The study employed paper-based questionnaire to collect the data on demographic data, relationship with colleagues, supervisors and families, stress and burnout in 230 pharmacists in Siriraj hospital. Burnout was measured by the 22-item burnout questionnaire for public health officers modified from the Maslach Burnout Inventory. Burnout consisted of three domains including emotional exhaustion, depersonalization, and reduced personal accomplishment. Those having high degree of burnout was defined as those having a high level of score in at least one of the domains i.e., high level of emotional exhaustion (with the score 27-54), high level of depersonalization (with the score 13-30) or high level of reduced personal accomplishment (with the score 39-48). Results: Response rate with completed questionnaires was 77.8%. The majority of respondents were females (82.1%). Median (interquartile range) of age and working years were 34 (30-38) and 10 (5-13) years, respectively. Mean scores (±SD) for emotional exhaustion, depersonalization, and reduced personal accomplishment were 18.6±10.44 (out of 54), 9.0±5.94 (out of 30) and 15.4±9.09 (out of 48), respectively. Overall, percentage of pharmacists with burnout was 29.6% with 20.7%, 24.0% and 0.6% having high degree of emotional exhaustion, high degree of depersonalization and 0.6% high degree of reduced personal accomplishment, respectively. Significant predictive factors of burnout were stress (b=0.326, P<0.001), intention to quit within one year (b=1.228, P=0.003) and jobs requiring skill utilization (b=-0.948, P=0.015). Conclusion: This study revealed the magnitude, severity and factors associated with burnout among pharmacists at Siriraj hospital. The results provide information for the management to design the measures for preventing and resolving burnout in pharmacists.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
ผลการวิจัยและความคิดเห็นที่ปรากฏในบทความถือเป็นความคิดเห็นและอยู่ในความรับผิดชอบของผู้นิพนธ์ มิใช่ความเห็นหรือความรับผิดชอบของกองบรรณาธิการ หรือคณะเภสัชศาสตร์ มหาวิทยาลัยสงขลานครินทร์ ทั้งนี้ไม่รวมความผิดพลาดอันเกิดจากการพิมพ์ บทความที่ได้รับการเผยแพร่โดยวารสารเภสัชกรรมไทยถือเป็นสิทธิ์ของวารสารฯ
References
Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory manual. 3rd ed. Palo Alto, CA: Consulting Psychologists Press; 1996.
Zeytinoglu IU, Denton M, Davies S, Baumann A, Blythe J, Boos L. Retaining nurses in their employing hospitals and in the profession: effects of job preference, unpaid overtime, importance of earnings and stress. Health Policy 2006; 79: 57-72.
Saelor C, Puttapitukpol S. Factors affecting job burnout of professional nurses in Suratthani hospital. Journal of the Police Nurses. 2017; 9: 95-103.
Swangjang J, S H. Stress of sale representatives of international companies in Bangkok area. Chulalongkorn Medical Journal. 2009; 53: 531-43.
Saijo Y, Yoshioka E, Hanley SJB, Kitaoka K, Yoshida T. Job stress factors affect workplace resignation and burnout among Japanese rural physicians. Tohoku J Exp Med. 2018; 245: 167-77.
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: 742-51.
Gupchup G. Burnout in a sample of HMO pharmacists using the Maslach Burnout Inventory.
J Manag Care Pharm. 1998; 4: 495-503.
Dugani S, Afari H, Hirschhorn LR, Ratcliffe H, Veillard J, Martin G, 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: 1-14.
Siwakarn W, T.Sriwong B. Job burnout in hosptial pharmacists, office of the permanent secretary of the Ministry of Public Health. Silpakorn Educational Research Journal. 2011; 2: 331-41.
The Healthcare Accreditation Institute (Public Organization). Burnout and mental health disorder. In: The Healthcare Accreditation Institute (Public Organization), editor. Personnel safety goals: SIMPLE Thailand 2018. Nonthaburi: The Healthcare Accreditation Institute (Public Organization); 2018. p. 31-3.
Bhunnachet T, Kwantamrong A. Factor affecting student’s burnout at faculty of pharmacy, Mahidol University [dissertation]. Bangkok: Mahidol University; 2020.
Department of Mental Health. Stress Questionare (ST-5) [Online]. 2019 [cited Feb 21, 2021]. Available from: dmh.go.th/test/qtest5/.
Maslach C, Jackson SE. The measurement of expe- rienced burnout. J Organ Behav. 1981; 2: 99-113.
Summawart S. Burnout among the staff nurses in Ramathibodi hospital [master thesis]. Bangkok: Mahidol University; 1989.
The Seventh Mental Health Center at Khon Kaen. Burnout questionnaire for healthcare worker [online]. 2017 [cited Feb 21, 2021]. Available from: mhc7.go. th/archives/5996.
Durham ME, Bush PW, Ball AM. Evidence of burnout in health-system pharmacists. Am J Health Syst Pharm. 2018; 75: S93-S100.
Ball AM, Schultheis J, Lee H-J, Bush PW. Evidence of burnout in critical care pharmacists. Am J Health Syst Pharm. 2020; 77: 790-6.
Hosmer DW, Lemeshow S. Applied logistic regression. New York: Jhon Wiley; 1989.
McQuade BM, Reed BN, DiDomenico RJ, Baker WL, Shipper AG, Jarrett JB. Feeling the burn? A systematic review of burnout in pharmacists. J Am Coll Clin Pharm. 2020; 3: 663-75.
Calgan Z, Aslan D, Yegenoglu S. Community pharmacists’ burnout levels and related factors: an example from Turkey. Int J Clin Pharm. 2011; 33: 92-100.
Girardi D, Falco A, De Carlo A, Benevene P, Comar M, Tongiorgi E, et al. The mediating role of interper- sonal conflict at work in the relationship between negative affectivity and biomarkers of stress.
J Behav Med. 2015; 38: 922-31.
Melamed S, Shirom A, Toker S, Berliner S, Shapira I. Burnout and risk of cardiovascular disease: evidence, possible causal paths, and promising research directions. Psychol Bull. 2006; 132: 327–53.
Scanlan JN, Still M. Relationships between burnout, turnover intention, job satisfaction, job demands and job resources for mental health personnel in an Australian mental health service. BMC Health Serv Res. 2019; 19: 62.
Mobley WH, Horner SO, Hollingsworth AT. An evaluation of precursors of hospital employee turnover. J Appl Psychol. 1978; 63: 408-14.
Price JL. The study of turnover. Iowa: Iowa State University Press; 1977.
Maslow AH. A theory of human motivation (1943). Psychol Rev 2000; 50: 370-96.
Kim J. The contrary effects of intrinsic and extrinsic motivations on burnout and turnover intention in the public sector. Int J Manpow. 2018; 39: 486-500.
Demarzo M, García-Campayo J, Martínez-Rubio D, Pérez-Aranda A, Miraglia JL, Hirayama MS, et al. Frenetic, under-challenged, and worn-out burnout subtypes among Brazilian primary care personnel: Validation of the Brazilian “burnout clinical subtype questionnaire” (BCSQ-36/BCSQ-12). Int J Environ Res Public Health. 2020; 17: 1081.
Kulikowski K. Cognitive abilities-a new direction in burnout research. Eur J Work Organ Psychol.
; 30: 705-19.