Martine Kruijtbosch

53 Pro f es s i ona l va l ues wi t h i n mo ra l d i l emmas narratives. See Table 1 (first column) for the four core values. Other values that emerged from the moral dilemmas, but were not covered by the Charter’s professional values’ descriptions, were inductively coded (see Table 1). An expert panel consisting of the first author (MK) and eleven senior practicing pharmacists performed the coding. The pharmacists of the expert panel were members of the ethics working group of the KNMP and were trained in a half-day ethics course to identify (core) values. MK coded all narratives, and each other panellist coded twenty narratives. If consensus about coding was not reached, a third pharmacist from the research group (AF, MB or WG) was consulted. Coding and counting of values were facilitated by ATLAS.ti (version 7.5.17, GmbH, Berlin). Customisation of professional core values for community pharmacy After coding, the research group independently analysed the ‘other values’ to either match them with the professional values of the Charter or categorise them separately. The matched ‘other values’ were used to revise the original description of each of the professional values of the Charter into descriptions more accordant with the practice of community pharmacy. This customisation expressed the considerations of the pharmacist when deliberating on how to proceed with the dilemma. Subsequently the expert panel was consulted to reach consensus on these adapted core values descriptions. Ethics and confidentiality The Medical Ethics Review Committee of the University Medical Centre Leiden concluded that the Dutch Medical Research Involving Human Subjects Act (WMO) was not applicable. All participants consented that their narratives could be used for the purpose of the study. Data that could give clues about the origin of dilemmas (e.g. names of patients, cities, pharmacies, pharmacists or physicians) were removed.

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