Martine Kruijtbosch

178 Chap t e r 5 The studies of Chapters 2.1, 2.2, 3.1-3.3 focus on the individual moral reflection of community pharmacists’ in the processes of moral sensitivity and reasoning in situations of moral dilemmas. Chapter 4 presents the moral reflection of pharmacists in dialogue in the processes of moral sensitivity, reasoning and intention. See Figure 1 below. FIGURE 1: Position of the thesis studies within the ethical decision-making processes Thesis studies Four cognitive-affective processes of ethical decision-making Moral sensitivity Moral reasoning Moral intention Moral character Individual moral reflection Chapters 2.1 + 2.1 Finding themes and professional values in moral dilemmas   Chapter 3.1 Testing the Australian moral reasoning test  Chapters 3.2 + 3.3 Measuring moral reasoning perspectives in drug shortage situations  Moral reflection in dialogue Chapter 4 Evaluating moral case deliberation    We have not studied community pharmacists’ moral reflections in the process of moral character. In recommendations for future research we will shortly elaborate on the need to study community pharmacists’ reflections in that process. The discussion will be structured along the first three processes of ethical decision-making: moral sensitivity, moral reasoning and moral intention. Moral sensitivity Moral sensitivity in healthcare means that health professionals recognise the conflicts between (professional) values during decision-making in clinical practice. 22,23 Moral sensitive professionals have the ethical competence to see the perspectives of patients and other health professionals, and to see the legal, institutional, and social perspectives. They realise how one’s actions can affect the well-being or interests of others. 32-35