Martine Kruijtbosch

55 Pro f es s i ona l va l ues wi t h i n mo ra l d i l emmas RESULTS The 128 narratives were written by pregraduates (49%: 51% male, 49% female) and postgraduates (51%: 39% male, 61% female). In addition to the professional core values, thirteen ‘other values’ initially emerged. All these ‘other values’, however, could be matched with the core values as the research group and the expert panel viewed them as relevant additions (Table 1). This resulted in customised descriptions of the core values reflecting community pharmacy practice, and in small adaptations in the names of two values (Table 1). For example, the ‘other value’ autonomy of the patient was included in the core value commitment to the patient’s well-being. The ‘other value’ protect life was also seen as part of this core value. However, this ‘other value’ was not explicitly included in the customised description because a situation can exist in which a patient prefers care that aims to end his or her life (e.g. euthanasia) rather than to protect it. The customised core values, in comparison to their original descriptions, were adapted to the greatest degree for reliability and care and social responsibility. The first value name was changed to reliable and caring in order to reflect the caring role of the pharmacist. This was motivated by the incorporation of identified other values listed under this core value (Table 1), such as being reliable within the pharmacist-patient relationship and collaboration with other health professionals . The term responsibility to society was considered more appropriate than social responsibility because it better reflects the responsibility that pharmacists expressed in the narratives to guarantee access to medicines and pharmaceutical care for all patients. Other identified values such as trust in pharmacy practice, sustainability of the pharmacy and continuity of care contributed to that consideration. Although no ‘other values’ were incorporated into pharmaceutical expertise (Table 1), the original description of this core value was adapted to the practice of community pharmacy based on the specific areas of knowledge that emerged from the narratives. Recognition of customised professional core values In the 128 moral dilemma narratives, the core values commitment to the patient’s well-being and reliable and caring emergedmost prominently. These values were identified in 117 (91.4%) and 116 (90.6%) moral dilemma narratives, respectively. Pharmaceutical expertise (72, 56.2%) and responsibility to society (30, 23.4%) were less often identified. When the combinations of the identified core values were counted, the combination of commitment to the patient’s well-being, reliable and caring and pharmaceutical expertise (combination of A, B and C in