Evidence map›Paper›PMID 29159520›Full record

ArticleInternational journal of clinical pharmacy2018

Moral dilemmas of community pharmacists: a narrative study.

Martine Kruijtbosch, Wilma Göttgens-Jansen, Annemieke Floor-Schreudering, Evert van Leeuwen, Marcel L Bouvy

Abstract read
In one paragraph

Article in International journal of clinical pharmacy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  11. Observational
  12. Factors impacting job satisfaction among pharmacists in the Arab world: A qualitative study.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2023
    Article
  13. Article
  14. The ethical challenges in pharmacy practice in community Pharmacies: A qualitative study.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2021
    Article
  15. Article
  16. Article
  17. Incorporating Ethics Content Throughout an Integrated Pharmacy Curriculum.American journal of pharmaceutical education · 2020
    Article
  18. Exploring Ethical Pharmacy Practice in Jordan.Science and engineering ethics · 2020
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Martine KruijtboschSIR Institute for Pharmacy Practice and Policy, Leiden, The Netherlands. m.kruijtbosch@sirstevenshof.nl.
Wilma Göttgens-JansenRadboud University Medical Center, Radboud Institute for Health Sciences (RIHS), Scientific Center for Quality of Healthcare (IQ Healthcare), Nijmegen, The Netherlands.
Annemieke Floor-SchreuderingSIR Institute for Pharmacy Practice and Policy, Leiden, The Netherlands.
Evert van LeeuwenRadboud University Medical Center, Radboud Institute for Health Sciences (RIHS), Scientific Center for Quality of Healthcare (IQ Healthcare), Nijmegen, The Netherlands.
Marcel L BouvyDivision of Pharmacoepidemiology and Clinical Pharmacology, Department of Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

Ethics, PharmacyMoralsNarrationCommunity Pharmacy ServicesFemaleHumansMalePharmaciesPharmacistsCommunity pharmacistsMoral dilemmasNetherlandsPharmacy ethics

Identifiers

PMID29159520
PMCPMC5840248

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.