An Assessment of Professional Burnout within Hospital Pharmacists: A Case Study of Abu Dhabi

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Background Studies have confirmed that burnout causes deterioration in teamwork and job satisfaction and negatively impacts and compromises services. Many studies have examined the impact of burnout on health. Aim This cross-sectional study aimed to assess the rate of burnout among hospital pharmacists working in Sheikh Khalifa Medical City. Method The Maslach Burnout Inventory-Human Services Survey for Medical Professionals was used to assess burnout. The survey measured three subscales: emotional exhaustion, depersonalization, and personal achievement. In addition, pharmacists were asked questions regarding their demographic years of practice and qualifications. The surveys were distributed to inpatients, discharge/emergency, outpatients, and clinical pharmacies. The data were collected over two weeks and analyzed. Results Sixty-eight of the 90 pharmacists participated in this study. The response rate was 75.5%. Seventeen pharmacists were considered to have high burnout as they had both high emotional exhaustion and high depersonalization scores. Two pharmacists were considered to have moderate burnout, as they had moderate emotional exhaustion, depersonalization, and personal achievement. Only 17 pharmacists reported a low level of burnout. Conclusion The study revealed that 25% of the pharmacists had high burnout rates. Although statistically insignificant (P > 0.05), all pharmacists with high burnout were female and working in different pharmacy settings. Moreover, an additional 25% experienced low burnout, and 3% had moderate burnout levels. The remaining items were difficult to classify because they did not fit the Maslach definition of high, moderate, or low burnout. Further investigation is needed to identify the levels and causes of burnout among Sheikh Khalifa Medical City pharmacists. 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F1000Research 2025, 14 :29 ( https://doi.org/10.12688/f1000research.159136.1 ) NOTE: If applicable, it is important to ensure the information in square brackets after the title is included in all citations of this article. Close Copy Citation Details Export Export Citation Sciwheel EndNote Ref. Manager Bibtex ProCite Sente EXPORT Select a format first Track Share ▬ ✚ Research Article An Assessment of Professional Burnout within Hospital Pharmacists: A Case Study of Abu Dhabi [version 1; peer review: 1 approved with reservations] Wadha Mohammed 1 , Beth Fylan 2 , Liz Breen 3 Wadha Mohammed 1 , Beth Fylan 2 , Liz Breen 3 PUBLISHED 06 Jan 2025 Author details Author details 1 Department of Research and Innovation, Department of Health Abu Dhabi, Abu Dhabi, United Arab Emirates 2 Department of Pharmacy and Medical Sciences, University of Bradford, Bradford, England, UK 3 Department of Pharmacy and Medical Sciences, University of Bradford, Bradford, England, UK Wadha Mohammed Roles: Conceptualization, Data Curation, Formal Analysis, Supervision, Writing – Original Draft Preparation, Writing – Review & Editing Beth Fylan Roles: Conceptualization, Data Curation, Formal Analysis, Supervision, Writing – Original Draft Preparation, Writing – Review & Editing Liz Breen Roles: Conceptualization, Data Curation, Formal Analysis, Supervision, Writing – Original Draft Preparation, Writing – Review & Editing OPEN PEER REVIEW DETAILS REVIEWER STATUS Abstract Introduction Burnout is a syndrome resulting from unsuccessful stress management in the workplace, and is characterized by three dimensions: energy depletion, reduced professional efficacy, and feelings of negativism. Background Studies have confirmed that burnout causes deterioration in teamwork and job satisfaction and negatively impacts and compromises services. Many studies have examined the impact of burnout on health. Aim This cross-sectional study aimed to assess the rate of burnout among hospital pharmacists working in Sheikh Khalifa Medical City. Method The Maslach Burnout Inventory-Human Services Survey for Medical Professionals was used to assess burnout. The survey measured three subscales: emotional exhaustion, depersonalization, and personal achievement. In addition, pharmacists were asked questions regarding their demographic years of practice and qualifications. The surveys were distributed to inpatients, discharge/emergency, outpatients, and clinical pharmacies. The data were collected over two weeks and analyzed. Results Sixty-eight of the 90 pharmacists participated in this study. The response rate was 75.5%. Seventeen pharmacists were considered to have high burnout as they had both high emotional exhaustion and high depersonalization scores. Two pharmacists were considered to have moderate burnout, as they had moderate emotional exhaustion, depersonalization, and personal achievement. Only 17 pharmacists reported a low level of burnout. Conclusion The study revealed that 25% of the pharmacists had high burnout rates. Although statistically insignificant (P > 0.05), all pharmacists with high burnout were female and working in different pharmacy settings. Moreover, an additional 25% experienced low burnout, and 3% had moderate burnout levels. The remaining items were difficult to classify because they did not fit the Maslach definition of high, moderate, or low burnout. Further investigation is needed to identify the levels and causes of burnout among Sheikh Khalifa Medical City pharmacists. READ ALL READ LESS Keywords Burnout, Healthcare Workforce, Occupational Stress, Pharmacist Wellbeing. Corresponding Author(s) Wadha Mohammed ( [email protected] ) Close Corresponding author: Wadha Mohammed Competing interests: No competing interests were disclosed. Grant information: The author(s) declared that no grants were involved in supporting this work. Copyright: © 2025 Mohammed W et al . This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. How to cite: Mohammed W, Fylan B and Breen L. An Assessment of Professional Burnout within Hospital Pharmacists: A Case Study of Abu Dhabi [version 1; peer review: 1 approved with reservations] . F1000Research 2025, 14 :29 ( https://doi.org/10.12688/f1000research.159136.1 ) First published: 06 Jan 2025, 14 :29 ( https://doi.org/10.12688/f1000research.159136.1 ) Latest published: 06 Jan 2025, 14 :29 ( https://doi.org/10.12688/f1000research.159136.1 ) Introduction Burnout is a syndrome that results from unsuccessful stress management in the workplace. 1 It is characterized by three dimensions: energy depletion, reduced professional efficacy, and feelings of negativity. Burnout terminology was first developed by American psychologist Herbert Freudenberger in the 1970s to describe the consequences of severe stress in helping professionals, such as social workers, nurses, and psychologists 2 , 3 In 1982, Maslach defined burnout as a psychological syndrome related to emotional exhaustion, depersonalization, and a diminished sense of personal accomplishment among those who work with others in challenging situations. 4 Maslach et al. (2018) described burnout dimensions in detail, where emotional exhaustion was defined as feeling tired, emotionally drained, lacking drive, and irritable due to work. 4 Depersonalization is defined as distancing oneself during interpersonal contact with customers, clients, or patients, and feelings of negativism. 3 Low personal accomplishment indicates a feeling of reduced competency and efficiency. 4 Burnout is included in the 11th revision of the International Classification of Diseases - 11 (ICD-11) as an occupational phenomenon; however, it is not considered a medical diagnosis. 1 According to Padgett and Grantner (2020), burnout causes are difficult to isolate because of their individual-specific nature and wide-ranging symptoms. 5 Workload is considered a burnout risk factor, particularly if job requirements exceed reasonable human limits. 3 Other burnout risk factors include having no establishment of an individual role within the work environment and insufficient rewards or the absence of a reward system. 5 In addition, having minimal opportunities for social interaction, unfair workplace decisions, and inconsistent motivation among workers are all well-known risk factors. Other risk factors contributing to burnout in the healthcare sector include the challenges of clinical work, performance metrics, time constraints, conflict of leadership, technology limitations, and competing demands. 5 To date, no studies have assessed burnout prevalence among hospital pharmacists in the United Arab Emirates. Consequently, this study aimed to measure burnout levels among hospital pharmacists in Sheikh Khalifa Medical City, Abu Dhabi, using a valid and reliable data collection tool to establish non-biased results. Background Many studies have shown the impact of burnout on the brain and health of those suffering from burnout. 4 A study in which magnetic resonance imaging of 110 participants was analyzed, in addition to other psychological measures, concluded that burnout changed brain anatomy. Changes in the amygdala specifically affect negative emotion regulation in participants with high levels of burnout. 4 Among Swedish healthcare workers, those with burnout reported anxiety, depression, neck and back pain, and memory impairment compared to Swedish healthcare workers without burnout. 6 Another study confirmed a strong association between somatic symptoms, such as sleep disturbance and headache, in those reporting high degrees of emotional exhaustion. Furthermore, there is an elevated rate of general physical illnesses in people experiencing higher grades of burnout compared to those with lower stages of burnout. 4 A study published by the American Psychological Association indicated that the impact of burnout on one’s health might be greater than expected. 7 The researchers presented evidence supporting several mechanisms related to burnout and sickness, including metabolic syndrome, dysregulation of the hypothalamic-pituitary-adrenal axis, sympathetic nervous system activation, systemic inflammation, impaired immunity functions, blood coagulation, fibrinolysis, and poor health behaviors. 7 Another study concluded that burnout is associated with physical and mental health problems such as hypertension, gastrointestinal disorders, and insomnia. 8 A systemic review conducted by Elbarazi et al. (2017), which evaluated 19 studies measuring burnout among healthcare professionals, claimed that burnout was assessed mainly among physicians, medical residents, nurses, social workers, surgeons, and physiotherapists, but not among pharmacists. 9 The review included Middle Eastern countries such as Bahrain, Egypt, Jordan, Lebanon, Palestine, Saudi Arabia, and Yemen (9). This systematic review, which took place in 2017, indicated the need for future burnout research in Gulf countries to include a broader spectrum of healthcare professionals, such as dentists, dieticians, medical technicians, laboratory scientists, midwives, pharmacists, and radiographers. 9 The availability of stress and burnout management materials may aid in reducing stress and burnout. A study evaluating burnout among hospital and health system pharmacists in North Carolina indicated that the decreased risk of burnout was associated with the availability and awareness of burnout resources. 10 The American Pharmacists Association (APhA) and The American Society of Health-Systems Pharmacists (ASHP) provide resources for pharmacy teams to maintain pharmacy personnel’s well-being, resilience, and professional engagement. In addition to the programs offered by APhA and ASHP, pharmacy staff in the United States have access to a well-being index. The well-being index is a useful screening tool created by the Mayo Clinic to assess fatigue, depression, burnout, anxiety, stress, and mental/physical quality of life. 11 Methods Ethical approval This study was conducted in accordance with the principles set forth in the Declaration of Helsinki. Ethical approval was obtained from the University of Bradford Ethics Committee (Approval Number: E987) on March 20, 2022, and from the SKMC Institutional Review Board (IRB) prior to data collection. A certificate of Good Research Practice from the United Kingdom Research and Innovation Medical Research Council (MRC) was also obtained and submitted to the respective committees. All participants provided written informed consent, were assured of confidentiality, and informed that participation was voluntary and could be withdrawn at any time without consequence. Study design and setting This research was designed as a single-center, cross-sectional study conducted at Sheikh Khalifa Medical City (SKMC) in Abu Dhabi, United Arab Emirates. SKMC is a Joint Commission International-accredited hospital with a 560-bed capacity and provides both inpatient and outpatient services. It is one of the Abu Dhabi Health Services (SEHA) hospitals. 12 , 13 The study was conducted over a two-week period starting on June 20, 2022. Participant recruitment and inclusion criteria Pharmacists working at SKMC were the target population. To be eligible for inclusion, participants had to be licensed pharmacists currently employed at SKMC in any pharmacy practice setting (inpatient, outpatient, discharge/emergency, behavioral sciences pavilion, clinical pharmacy, or pharmacy administration). Exclusion criteria included pharmacy technicians, residents, clerks, interns, or any non-pharmacist staff. No age or gender restrictions were applied beyond professional licensure as a pharmacist. A recruitment e-mail was sent to pharmacy managers who then informed their teams about the study. The primary researcher subsequently visited each pharmacy area, provided a brief verbal explanation of the study’s purpose, scope, and objectives, and distributed the surveys in sealed envelopes along with participant information sheets. Participation was entirely voluntary and pharmacists were given two weeks to complete the survey. Completed surveys were returned in sealed envelopes to a secure collection box to maintain anonymity. Sample size determination This study aimed to assess burnout among all hospital pharmacists employed at Sheikh Khalifa Medical City (SKMC), Abu Dhabi. The total population of eligible participants was 90 licensed pharmacists working across various pharmacy practice settings within SKMC. Given the finite and manageable population size, a census approach was employed, wherein every eligible pharmacist was invited to participate in the study. This approach eliminates the need for sampling and ensures that the findings are fully representative of the entire population of hospital pharmacists at SKMC. Consequently, the response rate of 75.5% (68 out of 90 pharmacists) is considered adequate to provide reliable estimates of burnout prevalence and its association with demographic factors within this specific setting. Non-participation among some pharmacists was primarily attributed to reported time constraints and personal reluctance to engage in research activities. Our analysis methods directly reflect the census approach used, analyzing the entire eligible pharmacist population at SKMC without the need for sampling adjustments. This straightforward approach ensured that the results accurately represented the target demographic. Data collection instruments Data were collected using a validated instrument, the Maslach Burnout Inventory – Human Services Survey for Medical Personnel (MBI-HSS MP), 4 along with supplementary demographic questions. The MBI-HSS MP consists of 22 items measuring three burnout dimensions: emotional exhaustion (9 items), depersonalization (5 items), and personal accomplishment (8 items). The MBI-HSS MP questionnaire is the most frequently used questionnaire in the medical research literature to assess burnout in healthcare professionals. 14 Responses are recorded on a 7-point Likert scale (0 = never; 6 = every day). The survey typically requires 10–15 minutes to complete and no specialized knowledge is required. To ensure a comprehensive understanding of participant characteristics, demographic questions included age, gender, marital status, highest pharmacy qualification (Bachelor of Pharmacy or PharmD), years of professional practice at SKMC, and current pharmacy practice setting. Surveys were administered in hard copy format due to limited internet access and to prevent technical issues that could arise with an online format. Participants sealed their completed questionnaires in envelopes to ensure confidentiality. Scoring and classification of burnout For emotional exhaustion and depersonalization, higher scores indicate greater burnout, while for personal accomplishment, lower scores indicate greater burnout. 4 According to Maslach et al. (2018), emotional exhaustion scores ≤18 represent low burnout, 19–26 moderate, and ≥27 high burnout. Depersonalization scores ≤5 represent low burnout, 6–9 moderate, and ≥10 high burnout. Personal accomplishment scores ≤33 represent low burnout, 34–39 moderate, and ≥40 high. 15 Participants were classified as having a “high level of burnout” if they had both high emotional exhaustion and high depersonalization scores, regardless of their personal accomplishment scores. This approach is based on previous research indicating that the personal accomplishment dimension may have lower reliability in predicting burnout. 15 See Table 1 . Table 1. Burnout dimensions; scores and outcome level based on Maslach et al. 2018. EE Score Outcome DP Score Outcome PA Score Outcome ≤18 Low ≤5 Low ≤33 Low 12 to 26 Moderate 6 to 9 Moderate 34 to 39 Moderate ≥27 High ≥10 High ≥40 High Abbreviations: EE, emotional exhaustion; DP, depersonalization; PA, personal accomplishment. Data analysis All data were entered into and analyzed using the Statistical Package for the Social Sciences (SPSS) version 28. Descriptive statistics (frequency, percentage, mean, and standard deviation) were used to characterize the demographic variables and burnout dimensions. Inferential statistics, including univariate analysis, Spearman’s rho correlation, and multiple regression, were performed to explore associations between demographic factors and high burnout levels. To account for the distribution of participants across different pharmacy settings, practice settings were included as independent variables in the multiple regression analysis. This adjustment ensures that potential differences in burnout levels among various pharmacy environments are considered, thereby reducing confounding effects related to the diverse work settings. Results The MBI-HSS MP questionnaire was distributed at five pharmacy sites and a pharmacy administrative office (the pharmacy sites involved were an outpatient pharmacy, inpatient pharmacy, discharge pharmacy, behavioral science pavilion pharmacy, and clinical pharmacy). Sixty-eight pharmacists participated in the study out of ninety pharmacists, with a response rate of 75.5%. Twenty-five pharmacists were from discharge, behavioral science pavilions, and emergency department pharmacies. This number is amalgamated as pharmacists rotate between pharmacy sites and are managed by the same pharmacy supervisor. Seventeen pharmacists were from inpatient pharmacies, 12 from clinical pharmacies, 11 from outpatient pharmacies, and the remaining three were from pharmacy administrations. Since the pharmacists practicing in emergency departments rotate between discharge pharmacies and behavioral science pavilion pharmacies, they account for most of the participating pharmacists (36.8%), followed by inpatient pharmacists (25%). The majority of the participants were thirty-one to forty-five years old (48.5%), female (39%), and married (76.5%). The questionnaire showed that 4% revealed that their highest educational qualification was either a master’s degree or a diploma. The remaining 20% did not provide their educational level and left it blank. To address these missing data, analyses were conducted with and without these cases to check for consistency in the results. Additionally, such missing responses were excluded from statistical tests involving educational level to prevent any bias. Furthermore, most of the participants had practiced for approximately five years or less (41.2%). This was followed by six to fifteen years of practice experience (35.3%). See Table 2 for the demographic characteristics. Table 2. Demographic characteristics. Characteristics No. (%) Pharmacists (n=68) Age, y 20-30 11 (16.2%) 31-45 33 (48.5%) 46-60 15 (22%) Above 60 1 (1.5%) N/A 8 (11.8%) Gender Male 23 (33.8%) Female 39 (57.4%) N/A 6 (8.8%) Marital status Married 52 (76.5%) Divorced 5 (7.4%) Single 11 (16.1%) Educational level Pharm D 4 (8.8%) Bachelor 40 (58.8%) Other 4 (26.5%) N/A 20 (5.9%) Years practiced in SKMC 5 years and less 28 (41.2%) 6-15 years 24 (35.3%) More than 15 years 13 (19.1%) N/A 3 (4.4%) Practice settings Pharmacy Admin 3 (4.4%) Clinical pharmacy 12 (17.6%) Discharge/ER/BSP 25 (36.8%) Outpatient 11 (16.2%) Inpatient 17 (25%) Abbreviations: N/A, not available; ER, emergency; BSP, behavioral sciences pavilion; SKMC, Sheikh Khalifa Medical City. A breakdown of each MBI subscale, with the corresponding number of pharmacists who responded to a high, moderate, or low score, is shown in Table 3 . The mean MBI-HSS MP score indicated a moderate level of emotional exhaustion (M = 22), depersonalization (M = 7), and personal accomplishment (M = 38). The majority of pharmacists had low emotional exhaustion (n = 30), low depersonalization (n = 32), and a high sense of personal accomplishment (n = 34). Furthermore, 15 pharmacists (22.1%) were identified as having a moderate level of emotional exhaustion, 14 pharmacists (20.6%) were found to have a moderate level of depersonalization, and 12 pharmacists (17.6%) had a moderate sense of personal accomplishment. Twenty-three (33.8%) and twenty-two (32.4%) pharmacists had high emotional exhaustion and depersonalization scores, respectively. While only twenty-two (32.4%) pharmacists were identified as having a low level of personal accomplishment. Table 3. Level of burnout organized by MBI sub-scale for pharmacists (n=68). MBI subscale No. % Median score Mean score Emotional exhaustion 21.5 22 Low (18 and less) 30 (44.1%) Moderate (19 to 26) 15 (22.1%) High (27 and more) 23 (33.8%) Depersonalization 6 7 Low (5 and less) 32 (47%) Moderate (6 to 9) 14 (20.6%) High (10 and more) 22 (32.4%) Personal accomplishment 39.5 38 Low (33 and less) 22 (32.4%) Moderate (34 to 39) 12 (17.6%) High (40 and more) 34 (50%) Abbreviation: MBI, Maslach Burnout Inventory. Based on the definition of burnout, 17 pharmacists were considered to have high burnout (n = 17/68), as they had both high emotional exhaustion and high depersonalization scores. Moreover, 17 pharmacists were considered to have low burnout (n = 17/68) as they had both low emotional exhaustion and low depersonalization scores. Personal accomplishment scores were excluded when determining whether a pharmacist has high burnout, as a lower personal accomplishment subscale has low reliability in predicting burnout, as mentioned earlier by Kang and colleagues (2020). 15 All pharmacists with high burnout were female, 16 of whom were educated to a degree level and one pharmacist did not reveal their education level. More than half of those identified as having high burnout were from outpatient pharmacies (n = 11) and the remaining were from discharge (n = 2), inpatient pharmacies (n = 2), and clinical pharmacies (n = 2). Nine pharmacists who were identified to have high burnout were married, two were divorced, and six were single. The minimum years of experience in SKMC for those with high burnout was one year and the highest number of years of experience as a pharmacist in SKMC was 19 years. Seventeen married pharmacists and one single pharmacist had low burnout because they had low emotional exhaustion, low depersonalization, and a high sense of personal achievement or satisfaction with their personal accomplishment, keeping in mind that the majority of the study population was married (76.5%). Two of the participating pharmacists had moderate burnout, emotional exhaustion, depersonalization, and personal accomplishment (married and divorced). Univariate analysis revealed that none of the factors (age, sex, marital status, practice settings, and years of practice) significantly affected the level of burnout (p > 0.05). See Table 4 . Table 4. Univariate analysis for relation between study variables and high burnout. Variables Sig- P value Marital status 0.287 Age 0.549 Gender 0.959 Education level 0.992 Practice years 0.443 Practice settings 0.739 Spearman’s rho was used to identify the correlation between the study variables and high burnout. It revealed that there is a weak negative association between marital status and having high burnout, and between gender and high burnout, as well as between practice settings and burnout (see Table 5 ). Table 5. Correlation between study variables and high burnout. Age Gender Marital status Practice years Graduate level Practice settings Spearman’s Rho High burnout Correlation Coefficient 0.159 -.274 * -.308 * 0.192 0.085 -0.220 * Correlation is significant at the 0.05 level (2-tailed). Although a weak negative association was identified, the correlation between all variables and high burnout was not significant (p > 0.05). Multivariate regression analysis was used to identify how study variables affect the level of burnout. None of the variables significantly affected high levels of burnout. Refer to Table 6 . Table 6. Multivariate logistics regression to assess the relation between study variables and high burnout. B Sig. Age (20-30) -18.406 0.999 Age (31-45) -17.777 0.999 Age (40-60) -17.876 0.999 Age (>60) -17.239 1.000 Male 17.208 0.999 Female 16.349 0.999 Married - 0.495 Single -1.219 0.247 Divorced -0.805 0.525 Graduate level: BSc -0.932 0.442 Graduate level: Pharm D 19.949 0.999 Practice years 0.751 0.139 Practice settings -0.549 0.196 Discussion The aim of this study was to assess burnout presence/levels among SKMC pharmacists using the validated MBI-HSS (MP). The results of this study showed that 17 pharmacists had a high burnout status; all of those pharmacists were females. Based on the statistical analysis, there was no significant relationship between being female and high burnout. Previous studies failed to find a significant correlation between gender differences and burnout rates 15 ; however, this study confirmed that female medical residents have higher burnout levels than their male colleagues. Burnout was assessed among hospital and health-system pharmacists in North Carolina, and it was revealed that more than half of the pharmacists were at a high risk of burnout. Being female was among the three factors significantly associated with increased burnout among pharmacists with high burnout and working in hospitals and health system pharmacists in North Carolina. 15 In 2004, a MONICA study (Monitoring of Trends and Determinants in Cardiovascular Disease (MONICA) study was conducted in northern Sweden to assess the prevalence of burnout. Researchers have used the (SMBQ) as a burnout instrument to evaluate burnout among active workers. The study concluded that women had higher burnout levels than men. According to Norlund et al. (2010), the difference in burnout levels between each gender is explained by work-related stressors and situational life factors, where the level of education, socioeconomic status, work object, and varying working hours are the main factors affecting female tolerance to burnout. 16 A recent study during the COVID-19 pandemic supported the statement of different burnout levels among both sexes, where female workers had a higher burnout rate. A previous study conducted in Kuwait by Alsairafi et al. (2021) showed that the prevalence of severe depression is higher among females. The authors explained that females were at a higher risk of severe depression and anxiety due to hormonal fluctuation. 17 Moreover, a study published by Alanazi et al. (2020) assessing burnout showed that burnout was higher in all parameters in females than in males. 18 Another cross-sectional study that included hundred and two pharmacists in Saudi Arabia to evaluate burnout among pharmacists during the COVID-19 pandemic revealed that 59.1% of pharmacists were categorized as having burnout. Univariate analysis revealed that burnout levels were significantly higher among younger female pharmacists. 19 Studies from Montreal University have disclosed an increasing gender gap in workplace burnout. Additionally, data from the mental well-being platform illustrated that female workers are 23% more likely than men to struggle with poor work-life balance and 45% more likely to suffer from work stressors. Bowling (2022) explained that an unequal share of work-life tasks, having less time for self-care, and being less promoted compared to males contributes to a higher prevalence of burnout in women. 20 Although all previous studies concluded that females had a higher level of burnout compared to males, an analysis of seventy-eight studies among nurses revealed that male nurses had a higher rate of burnout in general and a higher rate of depersonalization compared to female nurses. This affects the quality of patient services. Additionally, it negatively affected their attitudes toward their colleagues. 21 This study did not find a significant association between burnout among SKMC pharmacists and different age groups. However, 11 pharmacists with high emotional exhaustion and high depersonalization were between thirty and forty-five years old. Seventeen pharmacists had low burnout, low emotional exhaustion, low depersonalization, and high satisfaction with their personal accomplishments. Excluding three pharmacists, two of them were more than forty-five years old and one pharmacist did not reveal their age; thus, confidentiality will not be breached, and identity will remain anonymous. There are various published data on age and burnout. According to a new survey, COVID-19 worsened employees’ feelings of burnout, especially those working from home, due to prolonged working hours. 22 The average age of workers who reported a higher level of exhaustion and burnout was thirty-two years old. 22 During the COVID-19 pandemic, one study reported a higher burnout rate in those aged twenty-nine years old and younger with chronic conditions compared to other healthcare professionals without chronic conditions from the same age group. 17 The same study concluded that, in general, the incidence of burnout was higher among females aged < 50 years. At the same time, a study from Saudi Arabia reported a higher incidence of burnout during COVID-19 among those younger than forty years old. 18 Furthermore, a study evaluating the relationship between age and burnout in Canadian workers showed that burnout symptoms differed significantly according to the different life stages of working females and males. Males and females aged between twenty to thirty-five and fifty-five years and older were at a higher risk for burnout. 23 Moreover, among pharmacists working in different Singaporean hospitals, the burnout rate was higher among young pharmacists aged thirty-two years old and less than those thirty-five years and older. 24 In this study, the majority of pharmacists reporting high burnout were married (53%), and there was no significant relationship between being married and high burnout. Furthermore, most pharmacists with low burnout were married. This can be explained by the fact that the majority of participants in this study were married (76.5%). Similarly, many studies have claimed that marital status is unrelated to burnout dimensions. For instance, a survey to check community pharmacist resilience and burnout in Lebanon found that being married or single was not significantly related to burnout and resilience. 25 Another study assessing burnout among hospital pharmacists in Qatar claimed that marital status was unrelated to burnout. 26 On the other hand, a higher level of burnout was reported in unmarried hospital pharmacists and in unstable relationships in the United States. Moreover, single pharmacists working in Singapore reported a more elevated level of burnout, and in Turkey, it was established that marital status strongly affects burnout and resilience. 27 In addition, a published study assessing burnout among nurses confirmed that marital status is strongly related to a high level of burnout, with unmarried nurses being the most affected. 28 Participants were not asked about their working hours, as all pharmacists working in SKMC worked for eight hours, in addition to one hour of mandatory breaks. The main difference was in the evening and night shifts. There was no statistically significant correlation between practice settings and burnout among pharmacists working in SKMC. Different published papers have demonstrated that long work hours are a risk factor for psychological and work-related stress. Working ten hours or more per day, 40 hours of overtime per month, and 60 hours or more per week increased stress levels. 29 A study conducted in one of the Taiwanese medical centers among healthcare workers revealed a nonlinear association between working hours and burnout. The odds ratio was doubled in those hours exceeding 60 hours compared to those working 40 hours per week, tripled when hours exceeded seventy-four, and quadrupled when hours exceeded eighty-four. 30 Hospital pharmacists generally work eight hours per day, while retail pharmacists work around 12–14 hours per day. 31 In contrast, National Health Service hospital pharmacists work around thirty-seven and half hours a week, and additional hours may be required in specific situations. Hospital pharmacists may be part of an on-call rota. 32 The Manitoba Pharmaceutical Association (2004) confirmed that one of the pharmacy department’s responsibilities is to provide clinical drug information services—i.e., non-laboratory, advisory support to healthcare professionals regarding medications—twenty-four hours a day, seven days a week. 33 As a result, when staffing is unavailable after working hours, on-call pharmacists usually provide this service. As per the study by Padgett and Grantner (2020), it was confirmed that pharmacists working more than forty hours per week had a higher burnout level than those working less than forty hours per week. 5 This study did not evaluate whether the number of dispensed items and prescriptions were related to higher burnout among SKMC pharmacists. The number of patients seen by outpatient pharmacists decreased during the COVID-19 pandemic, and even after COVID-19, the hospital was designated as a COVID-19 hospital, and patients were followed up in other non-COVID-19 hospitals. Nowadays, outpatient pharmacists verify hundred and thirty prescriptions per month with an average of thousand and four hundred items. Inpatient pharmacists verify approximately 70 orders per hour per shift and approximately fifty thousand medications are verified per month. Based on studies by Peat et al. (2022) and Bookwalter (2021), an increased volume of daily prescriptions is associated with higher burnout among community pharmacists. 11 , 34 While trying to assess the undergraduate level, four pharmacists left the question blank, nine pharmacists answered yes or no, and nine pharmacists answered higher or lower educational level. All pharmacists identified as having a high burnout were bachelor’s degree holders, except for one who did not reveal the educational level. In a study that evaluated burnout among hospital and health system pharmacists in North Carolina, 95% of the pharmacists had a graduate level degree and only forty-nine (13.7%) had an additional advanced degree other than Pharm D. However, education level, additional advanced degree, or obtaining certification through the Board of Pharmacy Specialties did significantly affect burnout subscales. 15 Recent studies that assessed burnout, depression, and anxiety during the COVID-19 pandemic did not correlate this with healthcare professionals’ education level or examine the relationship between educational level and burnout or depression subscales. 17 , 18 , 35 However, the degree of burnout assessed among graduate pharmacists of Mercer University Southern School of Pharmacy from 1973 to 1983 showed that pharmacists holding a Pharm D degree experienced a lower degree of burnout than those holding a bachelor’s degree only. 36 A study assessing the impact of burnout on the academic achievement of Saudi female students enrolled in the College of Health Sciences confirmed that there was no association between burnout and academic achievement. There was no relationship between burnout and academic level of study. Students of pharmacy colleges were the only students among all other health sciences colleges to suffer from high burnout. 37 Moreover, a study assessing the job satisfaction among hospital pharmacists in Tikur Anbesa specialized hospital in Addis Ababa revealed that almost half of the pharmacists were poorly satisfied with their current job thinking that their formal education overqualified them for the current job they are practicing. 38 Additionally, the Abu Dhabi Health Services Company (SEHA), including its hospitals, is undergoing privatization. Privatization and changing the pharmacist’s contracts, including the housing and end of services, are of concern for many pharmacists, and this leads to job insecurity. A study conducted in Turkey by Aybas et al. (2015) confirmed an association between job insecurity and burnout, which is worth further investigation among SKMC and SEHA pharmacists. 39 The correlation between years of experience and high burnout was not significant. Among pharmacists identified as having high burnout, there were pharmacists who worked for more than 15 years and pharmacists who worked in SKMC for less than five years. To date, no study has specifically examined the correlation or association between years of experience and level of burnout. However, a study conducted among teachers of special education revealed that years of work experience is an important predictor of burnout and is significantly correlated with exhaustion and depersonalization. 40 A meta-analysis conducted by Brewer and Shapard (2004) illustrated that prolonged years of experience are associated with a lower level of burnout among employees working in some fields in the United States, including social workers, educators, nurses, psychologists, and mental health workers. Additionally, a small negative correlation between years of experience in the field and emotional exhaustion has been identified. 41 Many preventative strategies suggested by Padgett and Grantner (2020) can be followed to reduce the risk of burnout in those with a low level of burnout, including encouraging a work-life balance by offering a flexible working schedule, enhancing organizational promotion and rewarding systems, defining wellness and burnout to the team, and communicating plans to the team. Furthermore, the same resource encourages pharmacists with high burnout levels to seek help and personal care, including emotional health, fitness, and nutrition. 5 At the organizational level, in addition to offering a wellness program by the SKMC psychologist team, a progressive strategy to mitigate employees in general and pharmacists in specific needs to be implemented. In Stanford Medicine in California, a position was created years ago, called the chief wellness officer. 42 As per Flemings and Desselle (2021), the chief wellness officer’s responsibility is to create initiatives to combat physician burnout; the same approach can be adopted toward combat burnout in SKMC. 42 Additionally, SKMC can consider expanding or implementing access to mental health and self-care resources other than stress management resources as part of annual compliance exams and increasing the number of seats in the wellness program so that more pharmacists and SKMC healthcare professionals can join. Limitations Several limitations were noted in the completion of this study, which are discussed below. Access to an electronic version of the survey and modifying the survey layout were noted as desirable by many SKMC pharmacists (as opposed to the paper-based survey). The use of the online survey may have prompted greater engagement rates and fuller survey completion. Despite piloting the survey, at least two pharmacists said that the survey language was not easy and that some of the words used in the survey were difficult for them, so they struggled to respond. The last limitation noticed after conducting the study was that three inpatient pharmacists commented either on the questionnaire or verbally that questions that specify patients are not applicable in inpatient pharmacy settings. This was not considered and, as such, should be factored into future surveys. Further investigation and research are required to assess the rate and prevalence of burnout among pharmacy residents, pharmacy technicians, pharmacy store workers, and pharmacy interns in SKMC, Abu Dhabi, and the U.A.E in general, as well as to identify the causes of burnout such as having more evening or night shifts, being on-call 24/7, delayed promotion, impact of privatization, and lack of a reward system. Conclusion Burnout is a psychological syndrome related to emotional exhaustion, depersonalization, and a diminished sense of personal accomplishment. 4 Burnout has been assessed among hospital pharmacists in many Gulf countries but not in the United Arab Emirates. This study is the first to evaluate burnout among hospital pharmacists working in SKMC and SEHA. The study used the MBI-HSS for medical professionals to assess burnout among SKMC pharmacists. Sixty-eight pharmacists participated in the study, with a response rate of 75.5%. 25% of pharmacists working at SKMC had high burnout rates. Although statistically insignificant (P > 0.05), all pharmacists with high burnout were female and working in different pharmacy settings. Moreover, an additional 25% experienced low burnout, and 3% had moderate burnout levels. The remaining items were difficult to classify because they did not fit the Maslach definition of high, moderate, or low burnout. Moreover, marital status, age, and level of education were statistically insignificant in relation to burnout level. The research methodology did not allow the identification of the causes of burnout, and further investigation is required to identify burnout causes among SKMC pharmacists. Moreover, assessing burnout among pharmacy residents, interns, pharmacy store workers, and technicians is another area for future research. Ethical approval Ethical approval for this study was granted by the University of Bradford Ethics Committee (Approval Number: E987) on March 20, 2022, and by the Institutional Review Board (IRB) at the SKMC study site prior to data collection. Additionally, a Certificate of Good Research Practice was obtained from the United Kingdom Research and Innovation Medical Research Council (MRC) and submitted to the respective committees. All participants provided written informed consent, were assured of confidentiality, and were informed that their participation was voluntary and could be withdrawn at any time without consequence. Consent to participate All participants provided written informed consent prior to their inclusion in the study. The consent process was approved by the University of Bradford Ethical Committee, and the consent procedure was waived by the ethics committee for this study. Participants were assured of the confidentiality and anonymity of their responses. Author contributions Wadha Mohammed, Beth Fylan, and Liz Breen contributed equally to the study design, data collection, analysis, and writing of the manuscript. All authors reviewed and approved the final version of the manuscript. Data availability The underlying data for this study were de-identified to protect participant confidentiality and are available in the Zenodo repository at https://doi.org/10.5281/zenodo.14497075 . 43 The dataset, titled Data for ‘An Assessment of Professional Burnout within Hospital Pharmacists: A Case Study of Abu Dhabi’ , includes raw, de-identified responses collected using the Maslach Burnout Inventory - Human Services Survey for Medical Professionals, encompassing measures of emotional exhaustion, depersonalization, and personal achievement, as well as demographic information such as years of practice and qualifications. The dataset supports the findings presented in the manuscript and adheres to Safe Harbor de-identification guidelines to ensure participant confidentiality. Data are available under the terms of the ( Creative Commons Zero “No rights reserved” data waiver (CC0 1.0 Public domain dedication). Extended data The extended data for this study are available in a Zenodo repository at https://doi.org/10.5281/zenodo.14497115 . 44 The file (Extended Data.pdf ) contains the Hospital Pharmacist Burnout Assessment Survey form, which includes: • Demographic Information Section: Questions on participants’ age, gender, marital status, qualifications, and years of experience. • Survey Sections: The Maslach Burnout Inventory–Human Services Survey (MBI-HSS MP) items with a 0–6 frequency scale for assessing burnout dimensions (emotional exhaustion, depersonalization, and personal achievement). This form adheres to Safe Harbor de-identification standards and is shared under a CC0 1.0 license. Reporting guidelines This study is an observational, cross-sectional study, and it has been reported in adherence to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. 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Publisher Full Text Comments on this article Comments (0) Version 1 VERSION 1 PUBLISHED 06 Jan 2025 ADD YOUR COMMENT Comment Author details Author details 1 Department of Research and Innovation, Department of Health Abu Dhabi, Abu Dhabi, United Arab Emirates 2 Department of Pharmacy and Medical Sciences, University of Bradford, Bradford, England, UK 3 Department of Pharmacy and Medical Sciences, University of Bradford, Bradford, England, UK Wadha Mohammed Roles: Conceptualization, Data Curation, Formal Analysis, Supervision, Writing – Original Draft Preparation, Writing – Review & Editing Beth Fylan Roles: Conceptualization, Data Curation, Formal Analysis, Supervision, Writing – Original Draft Preparation, Writing – Review & Editing Liz Breen Roles: Conceptualization, Data Curation, Formal Analysis, Supervision, Writing – Original Draft Preparation, Writing – Review & Editing Competing interests No competing interests were disclosed. Grant information The author(s) declared that no grants were involved in supporting this work. Article Versions (1) version 1 Published: 06 Jan 2025, 14:29 https://doi.org/10.12688/f1000research.159136.1 Copyright © 2025 Mohammed W et al . This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Download Export To Sciwheel Bibtex EndNote ProCite Ref. Manager (RIS) Sente metrics Views Downloads F1000Research - - PubMed Central info_outline Data from PMC are received and updated monthly. - - Citations open_in_new 0 open_in_new 0 open_in_new SEE MORE DETAILS CITE how to cite this article Mohammed W, Fylan B and Breen L. An Assessment of Professional Burnout within Hospital Pharmacists: A Case Study of Abu Dhabi [version 1; peer review: 1 approved with reservations] . F1000Research 2025, 14 :29 ( https://doi.org/10.12688/f1000research.159136.1 ) NOTE: If applicable, it is important to ensure the information in square brackets after the title is included in all citations of this article. COPY CITATION DETAILS track receive updates on this article Track an article to receive email alerts on any updates to this article. TRACK THIS ARTICLE Share Open Peer Review Current Reviewer Status: ? Key to Reviewer Statuses VIEW HIDE Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions Version 1 VERSION 1 PUBLISHED 06 Jan 2025 Views 0 Cite How to cite this report: Ivanova M. Reviewer Report For: An Assessment of Professional Burnout within Hospital Pharmacists: A Case Study of Abu Dhabi [version 1; peer review: 1 approved with reservations] . F1000Research 2025, 14 :29 ( https://doi.org/10.5256/f1000research.174822.r357197 ) The direct URL for this report is: https://f1000research.com/articles/14-29/v1#referee-response-357197 NOTE: it is important to ensure the information in square brackets after the title is included in this citation. Close Copy Citation Details Reviewer Report 11 Jan 2025 Mariya Ivanova , Prof. Dr. Paraskev Stoyanov Medical University, Varna, Bulgaria Approved with Reservations VIEWS 0 https://doi.org/10.5256/f1000research.174822.r357197 An Assessment of Professional Burnout within Hospital Pharmacists: A Case Study of Abu Dhabi Burnout has significant impacts on both physical and mental health. Brain Changes: Burnout alters brain anatomy, particularly the amygdala, impairing ... Continue reading READ ALL An Assessment of Professional Burnout within Hospital Pharmacists: A Case Study of Abu Dhabi Burnout has significant impacts on both physical and mental health. Brain Changes: Burnout alters brain anatomy, particularly the amygdala, impairing negative emotion regulation. Health Impacts: Burnout is linked to anxiety, depression, memory impairment, neck/back pain, sleep disturbances, headaches, hypertension, gastrointestinal disorders, and insomnia. It also increases the risk of physical illnesses due to mechanisms like metabolic syndrome, immune dysfunction, and systemic inflammation. Burnout in Healthcare Workers: Studies highlight burnout among physicians, nurses, and other healthcare professionals but note a lack of research on pharmacists, especially in Middle Eastern countries, prompting calls for broader studies. Burnout Management: Resources and awareness significantly reduce burnout risks. In the U.S., organizations like the American Pharmacists Association (APhA) and the American Society of Health-System Pharmacists (ASHP) offer well-being programs and tools, such as the Mayo Clinic’s well-being index, to assess and manage burnout-related issues. The study aimed to assess burnout among SKMC pharmacists using the MBI-HSS (MP). Key findings include: High Burnout Prevalence: 25% of pharmacists experienced high burnout, predominantly females. However, the correlation between gender and burnout was statistically insignificant. Past studies show mixed results on gender differences in burnout, though females often reported higher burnout levels due to factors like work stress, hormonal fluctuations, and unequal work-life balance. Age and Burnout: Burnout was common among pharmacists aged 30-45, but no significant correlation was found between age and burnout. Studies elsewhere suggest higher burnout among younger professionals and those under 40, especially during COVID-19. Marital Status: Most participants were married, but marital status showed no significant link to burnout. Other studies have yielded mixed results, with some linking higher burnout to being unmarried. Work Hours: Long working hours and night shifts are known risk factors for burnout. Although SKMC pharmacists work standard hours, burnout risks may still arise from work volume and shift patterns. Educational Level: All pharmacists with high burnout held bachelor’s degrees, though education level was not significantly correlated with burnout. Some studies suggest that higher qualifications like Pharm D may mitigate burnout. Conclusion: Burnout is prevalent among SKMC pharmacists, with emotional exhaustion and depersonalization being key issues. Gender, age, and marital status were not statistically significant predictors. Further investigation is needed to identify specific causes and extend research to other pharmacy professionals in the UAE. Additional comments: 1. The study would be more accurate if the introduction specifies whether there have been other studies on professional burnout in the country. 2. For Table 1, it would be better to propose an alternative way of presenting the data. 3. The scale for low, medium, and high values is indicated as developed by Maslach, but the source is different. Is the scale according to Maslach or tailored for a population of hospital pharmacists? 4. Under Table 3, the source is cited as Kang and colleagues (2020), but a more accurate reference would be: Garden M: Manual 4th Edition (printed for shipping) - Maslach Burnout Inventory. n.d. Retrieved June 5, 2024. Reference Source. 5. To align the title with the data, the study should not include individuals without pharmaceutical education. Is the work clearly and accurately presented and does it cite the current literature? Partly Is the study design appropriate and is the work technically sound? Yes Are sufficient details of methods and analysis provided to allow replication by others? Yes If applicable, is the statistical analysis and its interpretation appropriate? I cannot comment. A qualified statistician is required. Are all the source data underlying the results available to ensure full reproducibility? Yes Are the conclusions drawn adequately supported by the results? Yes References 1. Ivanova M, Todorova A, Georgieva L: Prevalence and risk factors of burnout among community pharmacists in Northeast region of Bulgaria - a pilot study. Pharmacia . 2023; 70 (4): 921-926 Publisher Full Text Competing Interests: No competing interests were disclosed. Reviewer Expertise: occupational burnout among pharmacists, pharmaceutical care, organization and economics of pharmacy I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above. Close READ LESS CITE CITE HOW TO CITE THIS REPORT Ivanova M. Reviewer Report For: An Assessment of Professional Burnout within Hospital Pharmacists: A Case Study of Abu Dhabi [version 1; peer review: 1 approved with reservations] . F1000Research 2025, 14 :29 ( https://doi.org/10.5256/f1000research.174822.r357197 ) The direct URL for this report is: https://f1000research.com/articles/14-29/v1#referee-response-357197 NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article. COPY CITATION DETAILS Report a concern Respond or Comment COMMENT ON THIS REPORT Comments on this article Comments (0) Version 1 VERSION 1 PUBLISHED 06 Jan 2025 ADD YOUR COMMENT Comment keyboard_arrow_left keyboard_arrow_right Open Peer Review Reviewer Status info_outline Alongside their report, reviewers assign a status to the article: Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions Reviewer Reports Invited Reviewers 1 Version 1 06 Jan 25 read Mariya Ivanova , Prof. Dr. Paraskev Stoyanov Medical University, Varna, Bulgaria Comments on this article All Comments (0) Add a comment Sign up for content alerts Sign Up You are now signed up to receive this alert Browse by related subjects keyboard_arrow_left Back to all reports Reviewer Report 0 Views copyright © 2025 Ivanova M. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 11 Jan 2025 | for Version 1 Mariya Ivanova , Prof. Dr. Paraskev Stoyanov Medical University, Varna, Bulgaria 0 Views copyright © 2025 Ivanova M. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. format_quote Cite this report speaker_notes Responses (0) Approved With Reservations info_outline Alongside their report, reviewers assign a status to the article: Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions An Assessment of Professional Burnout within Hospital Pharmacists: A Case Study of Abu Dhabi Burnout has significant impacts on both physical and mental health. Brain Changes: Burnout alters brain anatomy, particularly the amygdala, impairing negative emotion regulation. Health Impacts: Burnout is linked to anxiety, depression, memory impairment, neck/back pain, sleep disturbances, headaches, hypertension, gastrointestinal disorders, and insomnia. It also increases the risk of physical illnesses due to mechanisms like metabolic syndrome, immune dysfunction, and systemic inflammation. Burnout in Healthcare Workers: Studies highlight burnout among physicians, nurses, and other healthcare professionals but note a lack of research on pharmacists, especially in Middle Eastern countries, prompting calls for broader studies. Burnout Management: Resources and awareness significantly reduce burnout risks. In the U.S., organizations like the American Pharmacists Association (APhA) and the American Society of Health-System Pharmacists (ASHP) offer well-being programs and tools, such as the Mayo Clinic’s well-being index, to assess and manage burnout-related issues. The study aimed to assess burnout among SKMC pharmacists using the MBI-HSS (MP). Key findings include: High Burnout Prevalence: 25% of pharmacists experienced high burnout, predominantly females. However, the correlation between gender and burnout was statistically insignificant. Past studies show mixed results on gender differences in burnout, though females often reported higher burnout levels due to factors like work stress, hormonal fluctuations, and unequal work-life balance. Age and Burnout: Burnout was common among pharmacists aged 30-45, but no significant correlation was found between age and burnout. Studies elsewhere suggest higher burnout among younger professionals and those under 40, especially during COVID-19. Marital Status: Most participants were married, but marital status showed no significant link to burnout. Other studies have yielded mixed results, with some linking higher burnout to being unmarried. Work Hours: Long working hours and night shifts are known risk factors for burnout. Although SKMC pharmacists work standard hours, burnout risks may still arise from work volume and shift patterns. Educational Level: All pharmacists with high burnout held bachelor’s degrees, though education level was not significantly correlated with burnout. Some studies suggest that higher qualifications like Pharm D may mitigate burnout. Conclusion: Burnout is prevalent among SKMC pharmacists, with emotional exhaustion and depersonalization being key issues. Gender, age, and marital status were not statistically significant predictors. Further investigation is needed to identify specific causes and extend research to other pharmacy professionals in the UAE. Additional comments: 1. The study would be more accurate if the introduction specifies whether there have been other studies on professional burnout in the country. 2. For Table 1, it would be better to propose an alternative way of presenting the data. 3. The scale for low, medium, and high values is indicated as developed by Maslach, but the source is different. Is the scale according to Maslach or tailored for a population of hospital pharmacists? 4. Under Table 3, the source is cited as Kang and colleagues (2020), but a more accurate reference would be: Garden M: Manual 4th Edition (printed for shipping) - Maslach Burnout Inventory. n.d. Retrieved June 5, 2024. Reference Source. 5. To align the title with the data, the study should not include individuals without pharmaceutical education. Is the work clearly and accurately presented and does it cite the current literature? Partly Is the study design appropriate and is the work technically sound? Yes Are sufficient details of methods and analysis provided to allow replication by others? Yes If applicable, is the statistical analysis and its interpretation appropriate? I cannot comment. A qualified statistician is required. Are all the source data underlying the results available to ensure full reproducibility? Yes Are the conclusions drawn adequately supported by the results? Yes References 1. Ivanova M, Todorova A, Georgieva L: Prevalence and risk factors of burnout among community pharmacists in Northeast region of Bulgaria - a pilot study. Pharmacia . 2023; 70 (4): 921-926 Publisher Full Text Competing Interests No competing interests were disclosed. Reviewer Expertise occupational burnout among pharmacists, pharmaceutical care, organization and economics of pharmacy I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above. reply Respond to this report Responses (0) Ivanova M. Peer Review Report For: An Assessment of Professional Burnout within Hospital Pharmacists: A Case Study of Abu Dhabi [version 1; peer review: 1 approved with reservations] . F1000Research 2025, 14 :29 ( https://doi.org/10.5256/f1000research.174822.r357197) NOTE: it is important to ensure the information in square brackets after the title is included in this citation. 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