# Resilience among clinical pharmacists and related factors: a cross-sectional study

**Authors:** Yusuke Tsuchiya, Wataru Arai, Nobuko Sunami, Hiroyuki Hosono, Tae Maeshima, Fumio Itagaki, Machiko Watanabe

PMC · DOI: 10.1186/s40780-025-00498-3 · 2025-10-24

## TL;DR

This study explores resilience among clinical pharmacists in Japan and identifies factors like self-efficacy and work responsibilities that influence it.

## Contribution

The study identifies RTOW (research, teaching, and other work) as a new factor associated with resilience among clinical pharmacists.

## Key findings

- Self-efficacy was the strongest factor associated with resilience in clinical pharmacists.
- RTOW was newly identified as a significant factor related to resilience.
- The study confirmed the reliability and validity of the Bidimensional Resilience Scale in this context.

## Abstract

Resilience has recently attracted attention as a means of coping with challenging situations. Although there have been several studies on resilience among healthcare professionals, there are limited reports on resilience among pharmacists. In this study, we conducted a survey of resilience among clinical pharmacists and examined factors related to self-efficacy, burnout, and work.

Clinical pharmacists at 38 medical institutions were surveyed regarding basic attributes, work status, resilience, self-efficacy, and burnout using a web-based questionnaire. Descriptive statistics for each survey item were calculated, and exploratory factor analysis was conducted. The relationships between resilience scores and each factor were examined using Spearman’s rank correlation coefficient (ρ), the Mann–Whitney U test, and the Kruskal–Wallis test. A multiple regression analysis was conducted using resilience scores as the objective variable and other factors as explanatory variables. The “Bidimensional Resilience Scale” was used to measure resilience.

Responses were obtained from 285 participants, which confirmed the reliability of the psychological scale. Factor analysis extracted five new factor structures but confirmed that the two-dimensional structure was maintained. The correlations were significant for self-efficacy, burnout, and the percentages of research, teaching, and other work (RTOW). Multiple regression analysis suggested that “self-efficacy” was the factor most strongly associated with resilience (overall), innate resilience, and acquired resilience.

This study revealed the relationship between resilience, self-efficacy, and RTOW among clinical pharmacists in Japan. Criterion-related validity was also evidenced by high self-efficacy. RTOW being newly identified as an associated factor in this context provides insights for further development of the scale.

## Full-text entities

- **Diseases:** burnout (MESH:D002055)

## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC12553247/full.md

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Source: https://tomesphere.com/paper/PMC12553247