Kruijtbosch Martine, Göttgens-Jansen Wilma, Floor-Schreudering Annemieke, van Leeuwen Evert, Bouvy Marcel L
SIR Institute for Pharmacy Practice and Policy, Leiden, The Netherlands.
Division of Pharmacoepidemiology and Clinical Pharmacology, Department of Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands.
Int J Pharm Pract. 2019 Apr;27(2):140-148. doi: 10.1111/ijpp.12490. Epub 2018 Oct 19.
The aim was to recognise the professional core values in the moral dilemmas of pharmacists in community pharmacy and to customise the descriptions of these values for community pharmacy practice.
The narratives of 128 moral dilemmas, collected from Dutch PharmD students and early career pharmacists who experienced these dilemmas in practice, were qualitatively analysed. An expert panel deductively coded relevant portions of these narratives with the core values as formulated by the Royal Dutch Pharmacists Association. Other values that emerged were inductively coded and if possible used to further customise the respective core values.
The expert panel identified all four professional core values, that is, commitment to the patient's well-being (117, 91.4%), reliable and caring (116, 90.6%), pharmaceutical expertise (72, 56.2%) and responsibility to society (30, 23.4%) in the 128 moral dilemma narratives. Thirteen other values that emerged in the analysis could all be used for the customisation of the professional core values in descriptions that better reflect community pharmacy practice.
Professional core values were identified in moral dilemma narratives of pharmacists in community pharmacy and customised for their practice. These customised core values can enable pharmacists to better recognise moral dilemmas in practice. This can add to the advancement of the profession as a pharmaceutical care practice.
旨在识别社区药房药剂师道德困境中的专业核心价值观,并针对社区药房实践对这些价值观的描述进行定制。
对从荷兰药学博士学生和在实践中经历过这些困境的早期职业药剂师那里收集到的128个道德困境的叙述进行定性分析。一个专家小组用荷兰皇家药剂师协会制定的核心价值观对这些叙述的相关部分进行演绎编码。对出现的其他价值观进行归纳编码,并在可能的情况下用于进一步定制各自的核心价值观。
专家小组在128个道德困境叙述中识别出了所有四个专业核心价值观,即致力于患者福祉(117个,91.4%)、可靠且有爱心(116个,90.6%)、药学专业知识(72个,56.2%)和对社会的责任(30个,23.4%)。分析中出现的其他13个价值观均可用于定制专业核心价值观的描述,使其更好地反映社区药房实践。
在社区药房药剂师的道德困境叙述中识别出了专业核心价值观,并针对其实践进行了定制。这些定制的核心价值观能够使药剂师在实践中更好地识别道德困境。这有助于将该职业发展成为药学服务实践。