Martine Kruijtbosch

133 De t e rmi nan t s t ha t i n f l uence mo ra l r eason i ng pe r spec t i ves TABLE 3: Continued Intended action in three drug shortage scenarios Pharmacists with dominant PE-MRPs Pharmacists without dominant PE-MRPs Odds ratio a n (%) n (%) (95% CI) 7. I would likely have made agreements in advance with pharmacists in my area related to alternatives for this drug shortage Osteoporosis (low impact on patient outcomes) 85/199 (42.7) 24/68 (35.3) 1.37 (0.77–2.42) Contraceptive (medium impact on patient outcomes) 87/164 (53.0) 46/103 (44.7) 1.40 (0.85–2.30) Parkinson’s (high impact on patient outcomes) 85/212 (40.1) 19/55 (34.5) 1.27 (0.68–2.36) 8. I would likely advise the patient to check whether another pharmacy has this medicine in stock Osteoporosis (low impact on patient outcomes) 22/199 (11.1) 8/68 (11.8) 0.93 (0.39–2.20) Contraceptive (medium impact on patient outcomes) 20/164 (12.2) 13/103 (12.6) 0.96 (0.46–2.03) Parkinson’s (high impact on patient outcomes) 26/212 (12.3) 12/55 (21.8) 0.50 (0.23–1.07) 9. I would likely check other pharmacies in my area on behalf of the patient to see if they still have this medicine in stock Osteoporosis (low impact on patient outcomes) 129/199 (64.8) 51/68 (75.0) 0.61 (0.33–1.14) Contraceptive (medium impact on patient outcomes) 109/164 (66.5) 75/103 (72.8) 0.74 (0.43–1.27) Parkinson’s (high impact on patient outcomes) 174/212 (82.1) 47/55 (85.5) 0.78 (0.34–1.78) a Bold values indicate statistical significance. DISCUSSION This study showed that a professional ethics moral reasoning perspective (PE-MRP) was the dominant reasoning perspective for the majority of pharmacists independent of those pharmacists’ characteristics. The perceived impact of a drug shortage scenario showed a stronger association with the MRP than with the characteristics of the pharmacists. Pharmacists confronted with the Parkinson’s drug shortage scenario were more likely to have dominant PE-MRPs compared to pharmacists confronted with the Contraceptive drug shortage scenario. Compared to the Osteoporosis scenario, the Parkinson scenario showed a trend towards an association with a dominant PE-MRP. Managing pharmacists were less likely to have a dominant PE-MRP compared to locum pharmacists. As for the association