社区药房工作条件：压力是否影响病人护理？

IF 1.8 Q3 PHARMACOLOGY & PHARMACY

Exploratory research in clinical and social pharmacy Pub Date : 2025-07-31 DOI:10.1016/j.rcsop.2025.100641

Goar Alvarez , Taylor Harris , Erika Zwachte Fennick , Leanne Lai , Jesús Sánchez , Rawan Alkhamisi

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引用次数: 0

摘要

社区药剂师已经扩大了他们的角色，超越了传统的药物分配，包括各种临床服务。它们在减少与药物有关的错误和加强患者安全方面发挥着关键作用。然而，他们的工作效率受到工作环境和相关挑战的显著影响。目的：本横断面研究评估美国佛罗里达州社区药剂师的压力水平，并探讨压力如何影响患者护理。方法开展了一项调查，并通过电子邮件向佛罗里达州23,016名有执照的药剂师进行了调查。调查于2022年3月9日至4月15日进行。主要测量结果是社区药房工作场所压力源频率以及工作环境因素与患者护理质量的关系。次要结果评估连锁药剂师和独立药剂师以及管理角色和非管理角色之间的平均感知压力得分（PSS）差异。结果361份问卷中，完成调查的药师257名。连锁药师占84.8%，独立药师占15.2%。主要压力源为人员配备问题（57.98%）。此外，71.9%的人认为工作条件不安全，78.4%的人由于工作压力而难以提供高质量的护理。连锁药师的PSS评分为22.72分，独立药师的PSS评分为22.82分，p = 0.0034分。管理药师（25.44）与非管理药师（25.11,p = 0.5962）差异无统计学意义。Spearman相关性显示PSS评分与提供优质护理的难度呈显著负相关(ρ = - 0.47, p <；0.0001)和不安全条件感知(ρ = - 0.51, p <；0.0001)。患者护理措施正相关(ρ = 0.71, p <；0.0001)。结论应激对社区药师提供优质护理的能力有显著影响。

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Community pharmacy working conditions: Is stress impacting patient care?

Background

Community pharmacists have expanded their roles beyond traditional medication dispensing to include various clinical services. They play a critical role in reducing medication-related errors and enhancing patient safety. However, their effectiveness is significantly influenced by their work environment and associated challenges.

Objectives

This cross-sectional study evaluates the stress levels of community pharmacists in Florida, USA, and examines how stress impacts patient care.

Methods

A survey was developed and emailed to 23,016 licensed pharmacists in Florida. Responses were collected from March 9 to April 15, 2022. The primary outcomes measured were workplace stressor frequency in community pharmacies and the relationship between work environment factors and patient care quality. Secondary outcomes assessed differences in average Perceived Stress Scores (PSS) between chain and independent pharmacists and between those in managerial versus non-managerial roles.

Results

Of 361 responses, 257 pharmacists completed the survey. Most (84.8 %) were chain pharmacists, 15.2 % independent. The primary stressor was staffing issues (57.98 %). Additionally, 71.9 % deemed working conditions unsafe, and 78.4 % struggled to provide quality care due to work stress. Chain pharmacists had significantly different PSS scores (22.72) versus independent pharmacists (22.82, p = 0.0034). No difference existed between managerial (25.44) and non-managerial pharmacists (25.11, p = 0.5962). Spearman correlations showed significant negative associations between PSS scores and difficulty providing quality care (ρ = −0.47, p < 0.0001) and unsafe conditions perceptions (ρ = −0.51, p < 0.0001). Patient care measures correlated positively (ρ = 0.71, p < 0.0001).