{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T02:49:27Z","timestamp":1791514167150,"version":"4.3.4"},"reference-count":43,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["accpjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Am Coll Clin Pharm"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Infectious diseases (ID) pharmacists practice in an important therapeutic area and hold critical roles including leading antimicrobial stewardship (AMS) programs and participating in ID clinical services. High United States pharmacist burnout prevalence, before and after the coronavirus disease 2019 (COVID\u201019) pandemic, ensures pharmacist shortages into the foreseeable future, prioritizing a need to protect ID pharmacist well\u2010being. Accordingly, work exhaustion (exhaustion), low professional fulfillment (fulfillment), and high job turnover intention (turnover) are particularly concerning. This study evaluated associations between work system characteristics and fulfillment, exhaustion, and turnover among ID\/AMS pharmacists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The Systems Engineering Initiative for Patient Safety (SEIPS) 2.0 Model was used to guide classification and organization of items from a recent national ID\/AMS pharmacist survey to identify work system characteristics associated with exhaustion, fulfillment, and turnover. The sample consisted of 484 licensed US pharmacists reporting involvement in formal or informal ID and\/or AMS responsibilities. Multivariate binomial logistic regressions modeled the association of the independent variable domains on each outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The proportion of respondents reporting high levels of fulfillment, exhaustion, or turnover was 42%, 24%, and 15%, respectively. High autonomy predicted high fulfillment (odds ratio [OR]\u2009=\u200922.741,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003) and low turnover (OR\u2009=\u20090.202;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). A supervisor who listened to respondent concerns predicted low exhaustion (OR\u2009=\u20090.259,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and high fulfillment (OR\u2009=\u20093.972,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Adequate job resources predicted low exhaustion (OR\u2009=\u20090.200,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and high fulfillment (OR\u2009=\u20093.238,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Additionally, being asked to do activities beyond hiring expectations predicted high exhaustion (OR\u2009=\u20092.340,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.017), while organizational strategies to improve well\u2010being predicted low turnover (OR\u2009=\u20090.315,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.014).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings validate the need to examine work system characteristics influencing pharmacists' perceptions about their work life. Strategically, organizations should ensure that ID\/AMS programs are resourced appropriately, facilitate pharmacist autonomy, improve pharmacist\u2010leader communication, and manage ID\/AMS pharmacists' workload. Improving these work system aspects can facilitate well\u2010being and enable ID\/AMS pharmacists to successfully carry out their roles.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jac5.70288","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T10:59:53Z","timestamp":1789124393000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Associated With Professional Fulfillment, Work Exhaustion, and Job Turnover Intention Among Infectious Diseases Pharmacists"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1796-5875","authenticated-orcid":false,"given":"David A.","family":"Mott","sequence":"first","affiliation":[{"name":"University of Wisconsin\u2010Madison School of Pharmacy  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3627-9627","authenticated-orcid":false,"given":"Aaron M.","family":"Gilson","sequence":"additional","affiliation":[{"name":"University of Wisconsin\u2010Madison School of Pharmacy  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8659-4238","authenticated-orcid":false,"given":"Samuel L.","family":"Aitken","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Michigan Medicine  Ann Arbor Michigan USA"},{"name":"Department of Clinical Pharmacy University of Michigan College of Pharmacy  Ann Arbor Michigan USA"},{"name":"Division of Infectious Diseases University of Michigan Medical School  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6606-9460","authenticated-orcid":false,"given":"Melissa","family":"Johnson","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Medicine Duke University Medical Center  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6705-2225","authenticated-orcid":false,"given":"Erin K.","family":"McCreary","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases University of Pittsburgh School of Medicine  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0462-0421","authenticated-orcid":false,"given":"Elizabeth B.","family":"Hirsch","sequence":"additional","affiliation":[{"name":"University of Minnesota College of Pharmacy  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,11]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1086\/510393"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciaf106"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.2146\/ajhp170818"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11096-021-01268-5"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/jac5.1632"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/jac5.1326"},{"issue":"3","key":"e_1_2_11_8_1","first-page":"663","article-title":"Feeling the Burn? 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