Evidence map›Paper›PMID 41718227›Full record

ArticlePharmacy (Basel, Switzerland)2026

Roles and Responsibilities in Pharmacy Practice as Determinants of Burnout: A Comparative Cross-Sectional Survey of Community Pharmacists and Pharmacy Assistants in the Northeastern Region of Bulgaria.

Mariya Ivanova, Antoaneta Tsvetkova, Anna Todorova

Abstract read
In one paragraph

Article in Pharmacy (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

3 authors.

Mariya IvanovaDepartment of Organisation and Economics of Pharmacy, Faculty of Pharmacy, Medical University of Varna, 9002 Varna, Bulgaria.ORCID 0000-0002-6766-056X
Antoaneta TsvetkovaMedical College, Medical University of Varna, 9002 Varna, Bulgaria.ORCID 0000-0002-6072-513X
Anna TodorovaDepartment of Organisation and Economics of Pharmacy, Faculty of Pharmacy, Medical University of Varna, 9002 Varna, Bulgaria.ORCID 0000-0001-9273-3487

Funding

The study was financed with funds from the state budget, provided through the Ministry of Education and Science (MES) to the Science Fund at the Medical University-Varna for fi-nancing the scientific activity inherent in state higher education institution project No. 22018
6 · The paper itself

Abstract

backgroundBurnout is a significant occupational risk among healthcare professionals, including community pharmacy staff, whose differing roles and responsibilities may influence burnout determinants. This study aimed to compare burnout levels and associated work characteristics between master pharmacists (MPs) and assistant pharmacists (APs) working in community pharmacies in Northeastern Bulgaria.

methodsA cross-sectional observational survey was conducted between November 2023 and December 2024 using an anonymous, self-administered online questionnaire completed by 221 MPs and 151 APs. Burnout was assessed using the Maslach Burnout Inventory-Human Services Survey for Medical Personnel, measuring emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA). Work characteristics were evaluated using items adapted from an internationally recognized European Commission guideline on occupational health and safety risks in the healthcare sector.

resultsHigh levels of EE and DP were observed in both groups, with no statistically significant differences in mean burnout scores. Age and years of professional experience were not significantly associated with burnout. However, work environment factors differed: poor team communication and a negative workplace climate affected both groups, whereas lack of recognition and support was more influential for MPs, and physical workload and frequent interruptions were more prominent stressors for APs.

conclusionsBurnout is prevalent among community pharmacy professionals, with role-specific organizational factors shaping its determinants and highlighting the need for targeted preventive strategies.

Indexed as

assistant pharmacistsburnoutcommunity pharmacymaster pharmacistsoccupational stresswork environment

Identifiers

PMID41718227
PMCPMC12921743

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