Abstract
Objective and Setting The pharmacy profession in Northern Ireland (NI) is currently experiencing major changes in practice development. The aim of this study was to determine the levels of job satisfaction and stress in pharmacists in NI in the context of these changes. Method A questionnaire was adapted from one previously used in the United States (US). Following minor amendments and piloting, the survey was distributed by mail on two occasions (January/February 2007) to all registered community and hospital pharmacists in NI (n = 1,965). Data were entered into SPSS (version 15) and analysed using descriptive statistics, t-test and regression analysis. The significance level was set at P < 0.05. Results The overall response rate was 39% (n = 766). Of the potentially highest stress score of 165, overall mean scores were significantly higher for community than hospital pharmacists (P < 0.05). Both groups found interruptions, excessive workload, and inadequate staffing to be the most stressful aspects of their employment. Just over 30% (n = 178) of community pharmacists and half of all hospital pharmacists cited feeling often or frequently stressed because of imminent changes in contractual or organisational arrangements. Regression analysis indicated that sector of work (community or hospital) appeared to account for differences in self-reported stress. Conclusion Any developments in professional practice need to be considered in the context of the well-being of the health professionals who implement, and are affected by, the changes. Unless stress in pharmacy is recognised and reduced, pharmacists and patients may be at risk.
Similar content being viewed by others
References
McEwen B. Stressed or stressed out: what is the difference? J Psychiatry Neurosci. 2005;30:315–8.
Michie S. Causes and management of stress at work. Occup Environ Med. 2002;59:67–72. doi:10.1136/oem.59.1.67.
Clegg SR, Hardy C, Nord WR. Handbook of organisation studies. London: Sage; 1996.
Price JL. Reflections on the determinants of voluntary turnover. Int J Manage. 2001;22:600–24.
Marine A, Ruotsalainen J, Serra C, Verbeek J (2006) Preventing occupational stress in healthcare workers. Coch Database of System Reviews; Issue 4: Art. No.: CD002892. doi:10.1002/14651858.CD002892.pub2.
Felton JS. Burnout as a clinical entity—its importance in health care workers. Occup Med. 2000;48:237–50. doi:10.1093/occmed/48.4.237.
Firth-Cozens J, Payne R. Stress in health professionals. Chichester: Wiley; 1999.
McNeely E. The consequences of job stress for nurses’ health: time for a check-up. Nurs Outlook. 2005;53:291–9. doi:10.1016/j.outlook.2005.10.001.
Royal Pharmaceutical Society of Great Britain. Stress: It’s not just patients who get stressed…Leaflet produced by the Benevolent Fund (2006).
Royal Pharmaceutical Society of Great Britain (2006) Code of ethics and standards http://www.rpsgb.org/pdfs/coe. Accessed 11 May 2007.
Lapane KL, Hughes CM. Baseline job satisfaction and stress among pharmacists and pharmacy technicians participating in the Fleetwood Phase III study. Consult Pharm. 2004;19:1029–37.
Wolfgang AP, Perri M, Wolfgang CF. Job-related stress experienced by hospital pharmacists and nurses. Am J Hosp Pharm. 1988;45:1342–5.
Boardman H, Blenkinsopp A, Jesson J, Wilson K. A pharmacy workforce survey in the West Midlands: (4) Morale and motivation. Pharm J. 2001;267:685–90.
National Health Service (2007) http://www.nhsemployers.org/pay-conditions/agenda-for-change. Accessed 12 May 2007.
Fitzpatrick R. Reflecting on 2006—a year of change for hospital pharmacy. Hosp Pharm. 2006;13:386.
Wolfgang AP. The health professions stress inventory. Psychol Rep. 1988;62:220–2.
Dowell AC, Westcott T, McLeod DK, Hamilton S. A survey of job satisfaction, sources of stress and psychological symptoms among New Zealand health professionals. N Z Med J. 2001;114:540–3.
De Vogli R, Ferrie J, Chandola T, Kivimäki M, Marmot M. Unfairness and health: evidence from the Whitehall II Study. J Epidemiol Community Health. 2007;61:513–8. doi:10.1136/jech.2006.052563.
Kahneman D, Knetsch JL, Thaler RH. Fairness and the assumptions of economics. J Bus. 1986;59(4):S285–300. doi:10.1086/296367.
Marmot M. Status syndrome: how your social standing directly affects your health and life expectancy. London: Bloomsbury; 2004.
Wilkinson R. The impact of inequality: how to make sick societies healthier. New York: The New Press; 2005.
Mott DA, Doucette WR, Gaither CA, Pedersen CA, Schommer JC. Pharmacists’ attitudes toward worklife: results from a national survey of pharmacists. J Am Pharm Assoc. 2004;44:326–36. doi:10.1331/154434504323063968.
Penna S, Paylor I, Soothill K (1995) Job satisfaction and dissatisfaction amongst residential care workers. Social Care Research, Issue 69. Joseph Rowntree Foundation. www.jrf.org.uk/knowledge/findings/socialcare/SC69.asp. Accessed 19 Sep 2008.
Cooper CL, Sutherland VJ. Job stress, satisfaction, and mental health among general practitioners before and after introduction of new contract. BMJ. 1992;304:1545–8.
Humphris GM, Cooper CL. New stressors for GDPs in the past ten years: a qualitative study. Br Dent J. 1998;185:404–6. doi:10.1038/sj.bdj.4809826.
British Medical Association (BMA) (2000) Work-related stress among senior doctors. http://www.bma.org.uk/ap.nsf/Content/Workrelatedstresssenior. Accessed 29 Jan 2008.
Rothman S, Malan M. Occupational stress of hospital pharmacists in South Africa. Int J Pharm Pract. 2007;15:235–42. doi:10.1211/ijpp.15.3.0011.
Michie S, Williams S. Reducing work related psychological ill health and sickness absence: a systematic literature review. Occup Environ Med. 2003;60:3–9. doi:10.1136/oem.60.1.3.
Ortmeier BG, Wolfgang AP. Career commitment, career plans, and job-related stress: a follow-up study of pharmacy students as pharmacists. Am J Pharm Educ. 1993;57:25–8.
Gupchup GV, Wolfgang AP. The health professions stress inventory: factor structures for pharmacists. Percept Mot Skills. 1994;79:515–9.
Fowler J. Survey research methods. 3rd ed. London: Sage; 2002.
Acknowledgements
We thank all pharmacists who took time to respond to the questionnaire.
Funding:
This study was funded under a studentship provided to Laura McCann from the Northern Ireland Centre for Pharmacy Learning and Development.
Conflicts of interest:
None declared.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
McCann, L., Hughes, C.M., Adair, C.G. et al. Assessing job satisfaction and stress among pharmacists in Northern Ireland. Pharm World Sci 31, 188–194 (2009). https://doi.org/10.1007/s11096-008-9277-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11096-008-9277-5