Abstract：
:Background Pharmacists are increasingly involved in patient care. This new role in a complex healthcare system with demanding patients may lead to moral dilemmas. There has been little research into pharmacy ethics, and existing data are limited by their retrospective nature and small sample sizes. A thematic overview of the moral dilemmas experienced by community pharmacists is still missing. Objective To make a thematic overview of moral dilemmas experienced in daily pharmacy practice. Setting Dutch community pharmacy. Methods Dutch community pharmacists wrote a narrative about a moral dilemma they had experienced in clinical practice. The narratives were analysed using qualitative content analysis to identify underlying themes. Main outcome measure Themes of moral dilemmas. Results Twenty-two themes were identified in 128 narratives. These moral dilemmas arose predominantly during pharmacists' contact with patients and other health professionals. The relationship between the pharmacist, patient and other health professionals was complicated by other parties, such as legal representatives, health insurance companies, and regulators. Conclusion The moral dilemmas experienced by community pharmacists are more diverse than previously reported. The main dilemmas arose in their professional contacts, frequently when their professional autonomy was challenged by the behaviour of patients and other health professionals.
journal_name
Int J Clin Pharmjournal_title
International journal of clinical pharmacyauthors
Kruijtbosch M,Göttgens-Jansen W,Floor-Schreudering A,van Leeuwen E,Bouvy MLdoi
10.1007/s11096-017-0561-0subject
Has Abstractpub_date
2018-02-01 00:00:00pages
74-83issue
1eissn
2210-7703issn
2210-7711pii
10.1007/s11096-017-0561-0journal_volume
40pub_type
杂志文章abstract：BACKGROUND:Underuse of medication considered beneficial is particularly common in elderly patients. A new Screening Tool to Alert Doctors to the Right Treatment (START) has been published to identify potential prescribing omissions. OBJECTIVE:To quantify and characterize potential prescribing omissions of cardiovascul...
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journal_title：International journal of clinical pharmacy
pub_type： 临床试验,杂志文章
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journal_title：International journal of clinical pharmacy
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更新日期：2019-08-01 00:00:00
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journal_title：International journal of clinical pharmacy
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更新日期：2012-02-01 00:00:00
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pub_type： 杂志文章
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更新日期：2015-02-01 00:00:00
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更新日期：2014-12-01 00:00:00
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journal_title：International journal of clinical pharmacy
pub_type： 杂志文章
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更新日期：2011-12-01 00:00:00
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journal_title：International journal of clinical pharmacy
pub_type： 杂志文章
doi：10.1007/s11096-017-0587-3
更新日期：2018-04-01 00:00:00
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journal_title：International journal of clinical pharmacy
pub_type： 杂志文章,多中心研究
doi：10.1007/s11096-016-0275-8
更新日期：2016-04-01 00:00:00
