Introduction: Pharmacy technicians undertake a variety of tasks related to the dispensing of medicinal products under the supervision of pharmacists or other healthcare professionals.
Aim: Analysis of psychosocial factors among pharmacy technicians working in community and hospital pharmacies as determinants of stress, emotional exhaustion, and psychosomatic complaints.
Materials and Methods: A cross-sectional study among 208 pharmacy technicians was conducted using an anonymous questionnaire based on the short form of the Copenhagen Psychosocial Questionnaire, supplemented with items on demographic characteristics, working conditions, and health-related complaints.
Results: Most hospital pharmacy technicians worked day shifts, whereas those in community pharmacies more often worked morning/afternoon shifts and over 40% exceeded 40 working hours per week. Overall, pharmacy technicians reported high job satisfaction, perceived their work as meaningful, and rated opportunities for professional development positively, along with adequate information and supervisory support. High emotional demands from clients and moderate emotional exhaustion and stress were observed, with significantly higher levels among community pharmacy technicians. Most respondents rated their health as good or very good; psychosomatic complaints were comparable to other occupational groups, most commonly fatigue, anxiety, and musculoskeletal pain. Emotional exhaustion was a significant determinant of psychosomatic symptoms and was influenced by stress, work-family conflict, workload, opportunities for professional development, and job satisfaction.
Conclusion: Stress is associated with emotional exhaustion, which is directly related to an increased prevalence of psychosomatic complaints, thereby underscoring the need for targeted organizational and psychosocial interventions aimed at protecting the health of pharmacy technicians and enhancing their work ability.
Iheanacho CO, Adeyeri O, Eze UIH. Evolving role of pharmacy technicians in pharmaceutical care services: Involvement in counselling and medication reviews. Explor Res Clin Soc Pharm. 2022;5:100113. doi:10.1016/j.rcsop.2022.100113
Koehler T, Brown A. Documenting the evolution of the relationship between the pharmacy support workforce and pharmacists to support patient care. Res Soc Adm Pharm. 2017;13:280–285. doi: 10.1016/j.sapharm.2016.10.012.
Newby B. Expanding the role of pharmacy technicians to facilitate a proactive pharmacist practice. Am J Health Syst Pharm. 2019;76(6):398-402. doi:10.1093/ajhp/zxy065
Boughen M, Fenn T. Practice, Skill Mix, and Education: The Evolving Role of Pharmacy Technicians in Great Britain. Pharmacy (Basel). 2020; 8(2):50. doi:10.3390/pharmacy8020050
Стоянова Р, Цекова И, Станчев В, Вангелова К. Сравнителен анализ на психосоциални рискове при специалисти по здравни грижи в София. Българско списание за обществено здраве 2023; 15 (4): 40-50 (ISSN 1313-860X). https://ncpha.government.bg/uploads/pages/3218/4-2023-BG-Journal-PH.pdf
Цекова И. Професионални рискови фактори за здравето при фармацевти. Здраве и безопасност при работа 2022; 8 (1): 27-37. ISSN 2367-7171
Манасиев Е, Балабанов А, Илиев И, Григоров Е. Методически инструменти за изследване на стреса и личното представяне в работна среда. Медицински журнал УМБАЛ „Св. Анна“, 2021; 7(1-3): 3-12.
Balayssac D, Pereira B, Virot J, et al. Work-related stress, associated comorbidities and stress causes in French community pharmacies: a nationwide cross-sectional study. PeerJ. 2017;5:e3973. doi:10.7717/peerj.3973
Formuli E, Gohar B, Nowrouzi-Kia B. Occupational hazards and population-based prevention strategies for pharmacy workers in Canada. Discov Public Health. 2024. Volume 21, (123). doi:10.1186/s12982-024-00249-z
Ivanova M, Todorova A, Georgieva L. Burnout syndrome in bulgarian pharmacists – pilot study. Proceedings of CBU in Medicine and Pharmacy. 2020; 1:36-40. https://doi.org/10.12955/pmp.v1.95
Copenhagen Psychosocial Questionnaire (COPSOQ-II) Short version. National Research Centre for the Working Environment, Denmark
Kılıç M, Özbek T, Türksoy. Evaluation of Work Stress Levels and Influencing Factors Among Community Pharmacy Employees. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2025; 16(4): 503–514. https://doi.org/10.31067/acusaglik.1676358
Sparkmon W, Barnard M, Rosenthal M, et al. What is Important to Them? Occupational Values of Nationally Certified Pharmacy Technicians in Role Expansion. J Am Pharm Assoc (2003). Published online October 15, 2025. doi:10.1016/j.japh.2025.102944
Schlosser EG, Rennekamp T, Bald E, et al. Assessment of pharmacy technician job satisfaction and duties in ambulatory care pharmacy settings: A mixed-methods analysis. Am J Health Syst Pharm. 2023;80(3):137-147. doi:10.1093/ajhp/zxac297
Desselle SP, Holmes ER. Results of the 2015 National Certified Pharmacy Technician Workforce Survey. Am J Health Syst Pharm. 2017;74(13):981-991. doi:10.2146/ajhp160666
O'Connor Sh, Manuell A, Anderson K. et al. Evaluation of burnout among pharmacy technicians in South Dakota. Pharmacy practice & practice-based research, 2025 16(3) Article 6766. https://pubs.lib.umn.edu/index.php/innovations/article/view/6868/4019
Chong JJ, Tan YZ, Chew LST, Tan KH, Wang A. Burnout and resilience among pharmacy technicians: A Singapore study. J Am Pharm Assoc. 2022;62(1):86-94.e4. doi:10.1016/j.japh.2021.09.013
Ivanova M, Tsvetkova A, Todorova A. 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. Pharmacy. 2026; 14(1):26. https://doi.org/10.3390/pharmacy14010026
MacDonald V, Keir P.J. Assessment of Musculoskeletal Disorder Risk with Hand and Syringe use in Chemotherapy Nurses and Pharmacy Assistants, IISE Transactions on Occupational Ergonomics and Human Factors, 2018; 6 (3–4), pp. 128–142.
doi: 10.1080/24725838.2018.1502698.
Musolin K, Ramsey J. G. Ergonomic Evaluation of Pharmacy Tasks, 2018, https://doi.org/10.26616/NIOSHHHE201600423306
Filina I, Nikishina S, Snimshchikova I, Kulakova A, Ovchinnikova A, Leonidov I. Impact of working conditions on the health of pharmacy workers. BIO Web of Conferences. 2021;30. doi:10.1051/bioconf/20213003002