The Australian pharmacist workforce: employment status, practice profile and job satisfaction
Vivienne S. L. Mak A B , Alice Clark A , Geoff March A and Andrew L. Gilbert AA Quality Use of Medicines and Pharmacy Research Centre, Sansom Institute for Health Research, School of Pharmacy and Medical Sciences, University of South Australia, GPO Box 2471, Adelaide SA 5001, Australia. Email: alice.clark@unisa.edu.au; geoff.march@unisa.edu.au; Andrew.Gilbert@unisa.edu.au
B Corresponding author. Email: Sook.Mak@mymail.unisa.edu.au
Australian Health Review 37(1) 127-130 https://doi.org/10.1071/AH12180
Submitted: 14 May 2012 Accepted: 21 August 2012 Published: 19 November 2012
Abstract
Objective. The aims were to determine Australian registered pharmacists’ current employment status, practice profile and professional satisfaction.
Method. A questionnaire was mailed to all registered pharmacists (n = 7764) on the Pharmacy Boards of Victoria and South Australia’s registers; 19 were returned undeliverable. Quantitative data were entered and analysed using the Statistical Package for Social Sciences Version 17. Qualitative data were subjected to a thematic analysis.
Results. 1627 (21%) pharmacists responded: 259 (16%) were registered as pharmacists but no longer worked in the pharmacy profession. A total of 1366 respondents reported still working as pharmacists. Of the 1366, 912 (67%) indicated that they spend most of their time in a clinical area; 233 (17%) spend most of their time in ‘non-clinical pharmacist work (i.e. dispensing as technical supply)’; 216 (16%) worked in other non-clinical roles and; 1053 (77%) were professionally satisfied.
Conclusion. Measuring the pharmacist workforce based on registration data significantly overestimates the available clinical pharmacist workforce: 708 (44%) respondents were no longer working in the profession, were not mainly involved in clinical practice or were working in non-clinical roles. A significant re-professionalisation program is needed if pharmacists’ unique knowledge and skills are to contribute to better healthcare delivery.
What is known about the topic? A well trained and sufficient workforce is an essential requirement if the objectives of Australia’s healthcare reform agenda are to be met. For the pharmacy profession, a change in practice profile of pharmacists from a product supply focus to a patient care focus is also required. Recent workforce studies have used pharmacist registration data to model the supply of pharmacists.
What does this paper add? This paper reports on a survey of registered pharmacists to more closely examine the available pharmacist workforce. The insights into the current employment status and practice profile of pharmacists provide an understanding of the available clinical pharmacist workforce.
What are the implications for practitioners? Previous workforce modelling may seriously overestimate the ‘available’ pharmacist workforce to meet the needs of the community as the health reform agenda rolls out. Strategies are needed to retain pharmacists within the pharmacy profession, and to attract and retain pharmacists in clinical roles.
References
[1] Department of Health and Ageing. Building a 21st century primary health care system: Australia’s first national primary health care strategy. Canberra (Australia): Commonwealth of Australia; 2010.[2] Department of Health and Ageing. A national health and hospitals network for Australia’s future: delivering the reforms. Canberra (Australia): Commonwealth of Australia; 2010.
[3] Health Workforce Australia. National health workforce innovation and reform strategic framework for action 2011–2014. Adelaide (Australia); 2011.
[4] Morris S, Gilbert AL. Clinical pharmacists in primary care - reform and opportunity. Journal of Pharmacy Practice and Research 2010; 40 261–2.
[5] Australian Health Practitioner Regulation Agency. The Australian Health Practitioner Regulation Agency and the National Boards, reporting on the National Registration and Accreditation Scheme: Annual Report 2010–11; 2011 Available at http://www.ahpra.gov.au/documents/default.aspx?record=WD11%2F6030&dbid=AP&chksum=pTM1u6EU%2BetQIekGFKrfOQ%3D%3D [verified 28 February 2012].
[6] Long M, Ridoutt L, Bagnulo J, Braddock D, Chen T, Gissing P, Lennon B, Sansom L, et al. Pharmacy workforce planning study. Department of Health and Ageing and The Pharmacy Guild for Australia; 2011.
[7] Pharmacy Board of Australia. Recency of practice registration standard. Australian Health Practitioner Regulation Agency. 2012. Available at http://www.pharmacyboard.gov.au/documents/default.aspx?record=WD10%2f195&dbid=AP&chksum=ziYpcLowXZ2BBxqiEXXqQw%3d%3d [verified 11 May 2012].
[8] Hassell K, Eden M. Workforce update - joiners, leavers, and practising and non-practising pharmacists on the 2005 Register. Pharmaceutical Journal 2006; 276 40–2.
[9] Seston E, Hassell K. Pharmacy Workforce Census 2008: main findings. London (UK): Royal Pharmaceutical Society of Great Britain; 2009.
[10] Health Care Intelligence Pty Lid. A study of the demand and supply of pharmacists, 2000–2010. Canberra (Australia): the Pharmacy Guild of Australia; 2003.
[11] Gaither C. Career commitment: a mediator of the effects of job stress on pharmacists’ work-related attitudes. J Am Pharm Assoc 1999; 39 353–61.
| 1:STN:280:DyaK1M3ptFKnsw%3D%3D&md5=c5cbc182091cc69aa7d77a8ef1a3a5d2CAS |
[12] Smith SN, Stewart JE, Grussing PG. Factors influencing the rate of job turnover among hospital pharmacists. Am J Health Syst Pharm 1986; 43 1936–41.
| 1:STN:280:DyaL28zitVeiug%3D%3D&md5=22c226ba638ffd8db354852fdf679ea2CAS |
[13] Collins K, Jones ML, McDonnell A, Read S, Jones R, Cameron A. Do new roles contribute to job satisfaction and retention of staff in nursing and professions allied to medicine? J Nurs Manag 2000; 8 3–12.
| 1:STN:280:DC%2BD3cvmtlahtQ%3D%3D&md5=0353e9dcea4a7cc5a963f0746e0bde58CAS | 11013536PubMed |
[14] Strachota E, Normandin P, O’Brien N, Clary M, Krukow B. Reasons registered nurses leave or change employment status. J Nurs Adm 2003; 33 111–7.
| Reasons registered nurses leave or change employment status.Crossref | GoogleScholarGoogle Scholar | 12584464PubMed |
[15] Borda RG, Norman IJ. Factors influencing turnover and absence of nurses: a research review. Int J Nurs Stud 1997; 34 385–94.
| Factors influencing turnover and absence of nurses: a research review.Crossref | GoogleScholarGoogle Scholar |
[16] Jenkins M. The problems of recruitment: a local study. Br J Occup Ther 1991; 54 449–52.
[17] Weisman CS. Recruit from within: hospital nurse retention in the 1980s. J Nurs Adm 1982; 12 24–31.
| 1:STN:280:DyaL3s7htFWktg%3D%3D&md5=a7096c1b3c50bda8f2556c627ad746b8CAS | 6924958PubMed |
[18] Sibbald B, Bojke C, Gravelle H. National survey of job satisfaction and retirement intentions among general practitioners in England. BMJ 2003; 326 22–26.
| National survey of job satisfaction and retirement intentions among general practitioners in England.Crossref | GoogleScholarGoogle Scholar | 12511457PubMed |
[19] Schofield DJ, Beard JR. Baby boomer doctors and nurses: demographic change and transitions to retirement. Med J Aust 2005; 183 80–3.
| 16022613PubMed |
[20] Ezzy D. Qualitative analysis: practice and innovation. Crows Nest, NSW: Allen & Unwin; 2002.
[21] Willett V, Cooper C. Stress and job satisfaction in community pharmacy: a pilot study. Pharmaceutical Journal 1996; 256 94–8.
[22] Hardigan P, Carvajal M. Job satisfaction among practicing pharmacists: a rasch analysis. Internet Journal of Allied Health Sciences and Practice 2007; 5 1–9.
[23] Shields MA, Ward M. Improving nurse retention in the National Health Service in England: the impact of job satisfaction on intentions to quit. J Health Econ 2001; 20 677–701.
| Improving nurse retention in the National Health Service in England: the impact of job satisfaction on intentions to quit.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3MrhtFCrtA%3D%3D&md5=9026ee7660f0a051c0ee540f84d89761CAS | 11558644PubMed |
[24] Al-Aameri AS. Job satisfaction and organizational commitment for nurses. Saudi Med J 2000; 21 531–5.
| 1:STN:280:DC%2BD3Mvlt12qug%3D%3D&md5=7c0364477ffa7c406df6bc31363686aaCAS | 11500699PubMed |
[25] Noel MW, Hammel RJ, Bootman JL. Job satisfaction and the future of pharmacy. Am J Hosp Pharm 1982; 39 649–51.
| 1:STN:280:DyaL383gtlCrtw%3D%3D&md5=257cc1720824937de1ca4ef1cf98290bCAS | 7081246PubMed |
[26] Muir PR, Bortoletto DA. Burnout among Australian hospital pharmacists. Journal of Pharmacy Practice and Research 2007; 37 187–9.
[27] Mak VSL, Clark A, Poulsen JH, Udengaard KU, Gilbert AL. Pharmacists’ awareness of Australia’s health care reforms and their beliefs and attitudes about their current and future roles. Int J Pharm Pract 2012; 20 33–40.3.
[28] Rosenthal M, Austin Z, Tsuyuki RT. Are pharmacists the ultimate barrier to pharmacy practice change? Can Pharm J 2010; 143 37–42.
| Are pharmacists the ultimate barrier to pharmacy practice change?Crossref | GoogleScholarGoogle Scholar |