论文部分内容阅读
目的:调查广州市5家三甲医院门诊调剂药师的工作强度和压力,为改善药师生活质量,提高工作效率和服务水平提供依据。方法:随机入组广州市5家三级甲等医院60位门诊西药房调剂药师,采用可携带实时量化工具采集药师的岗位日步数,同时收集药师调剂岗位日步行时间、岗位日调剂和发药药品条目数,并通过手机扫二维码,在线完成药师基本情况调查,MBI-GS职业倦怠量表和药师压力源问卷。用SPSS软件对数据进行整理和分析。结果:79.7%药师岗位日步数超过10 000步,42.4%药师超过15 000步,10.2%药师超过20 000步。所有参与药师的岗位日人均步数远远超过全国人均日步数(5 112步),且超过2016年步数最多的快递员群体人均日步数(8 803步)。调剂药师每日至少行走4 h,当排班到急诊、直落或者夜班时,药师需行走7 h。不同性别、年龄、职称和工作经验的药师职业倦怠各因素得分和总分均无统计学差异;不同学历的药师在情感衰竭和个人成就感方面的得分无统计学差异;但在去人性化得分方面,专科学历药师得分最高,且倦怠总分也最高(P<0.01)。81.36%药师工作压力在中等以上,其中工作压力高占22.03%,工作压力非常高占6.78%。40.98%参与药师对患者纪律感到压力,31.15%参与药师对药房工作强度大充满压力,8.20%参与药师对职称、待遇感到压力,18.03%药师有问责压力,只有1.64%参与药师无工作压力。结论:门诊调剂药师存在工作强度高、压力大的问题,应当引起管理者重视。
Objective: To investigate the work intensity and pressure of outpatient pharmacists in five top three hospitals in Guangzhou, and to provide basis for improving the quality of life and working efficiency and service level of pharmacists. Methods: A total of 60 outpatient western pharmacy dispensing pharmacists were recruited from 5 first-class hospitals in Guangzhou. Random pharmacists were recruited with real-time quantification tools to collect the number of pharmacist posts. At the same time, pharmacists were trained to adjust the walking time, post adjustment and post The number of drug items, and scan the two-dimensional code by mobile phone to complete the basic situation of pharmacists online survey, MBI-GS burnout scale and pharmacists stressors questionnaire. Using SPSS software to organize and analyze the data. Results: 79.7% of the pharmacists took more than 10,000 steps per day, 42.4% more than 15,000 pharmacists, and 10.2% more than 20,000 steps. The average number of daily steps per worker for participating pharmacists far exceeds the national average number of daily steps (5 112 steps) and exceeds the maximum number of steps per day for the courier groups in 2016 (8 803 steps). Pharmacists to walk at least 4 h daily training, when scheduling shift to emergency, direct or night shift, pharmacists need to walk 7 h. There was no significant difference between the scores of the burnout factors and the total scores of pharmacists under different sex, age, job title and working experience. The scores of the emotional failure and personal accomplishment of the pharmacists with different qualifications were not statistically different. However, In terms of academic records, pharmacists scored highest and burnout scores were the highest (P <0.01). 81.36% pharmacists work at medium or above pressure, among which, work pressure is high, accounting for 22.03% and work pressure is very high, accounting for 6.78%. 40.98% participated in the pharmacists’ pressure on patient discipline, 31.15% participated in the pharmacists working pressure on the pharmacy, 8.20% participated in the pharmacists on the job title, treatment pressure, 18.03% pharmacists have accountability pressure, only 1.64% participate in pharmacists without work pressure. Conclusion: Outpatient pharmacy pharmacists have the problem of high working intensity and stress, which should be paid more attention to by managers.