Moral distress among community pharmacists: causes and achievable remedies

Astbury, Jayne; Gallagher, Cathal T.

doi:10.1016/j.sapharm.2019.05.019

Cited by 14 publications

(6 citation statements)

References 46 publications

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“…This finding disagrees with Filisbino & Moraes (2013), that reported several weaknesses and difficulties of several faculties to form pharmacists able to apply the theoretical knowledge of pharmaceutical care in real scenarios. Probably, the involvement of several actors, such as the regional and federal councils, has contributed to the strengthening of pharmaceutical care in the graduation courses in Brazil (Chagas et al, 2017;Astbury et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Professional and Academic Perspectives of Pharmacy Students: A Cross Sectional-Study from Brazil

Sena¹,

Pantoja²,

Lima³

et al. 2023

JETS

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The study aims to assess the professional and academic expectations of pharmacy students of faculties that lives in the northern region of Brazil. Data were collected via a printed questionnaire. The number of students that answered the questionnaire was 600. Regards to academic life, 74.6% believe that faculties offer ideal opportunities. The most desired areas of activity were clinical and hospital pharmacies (45%) and commercial pharmacies (32.3%). Their salary expectations are higher than six national minimum wages. The profession is experiencing a period of enormous positive transformations. The study provides a general view of the several fields of work for pharmacy students to plan and conduct their professional activities to improve the health of the population.

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Section: Discussionmentioning

confidence: 99%

Professional and Academic Perspectives of Pharmacy Students: A Cross Sectional-Study from Brazil

Sena¹,

Pantoja²,

Lima³

et al. 2023

JETS

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“…82,83 Alienation has been recently found in pharmacists working in NHS Scotland. 84 • Burnout: The inability to employ professional judgement in dayto-day practice is a known cause of moral distress in pharmacists, 21,85 and a conflict between work pressures and service quality is linked to professional burnout. 86 Pharmacists are now commonly at high risk of burnout.…”

Section: The 'Atomistic' Modelmentioning

confidence: 99%

The Collaborative Care Model: Realizing healthcare values and increasing responsiveness in the pharmacy workforce

Forsyth

Radley²,

Rushworth³

et al. 2023

Research in Social and Administrative Pharmacy

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“…30,31 In the UK, Astbury and Gallagher measured levels of moral distress experienced among community pharmacists, and found that moral distress was reported to be more frequent and intense among newly qualified pharmacists when compared with their more experienced colleagues. 32 Moral distress must be seen within the context of ethical dilemmas and not separate from them. 33 This means that the focus should not solely be on the individual to be able to make a wellreasoned judgement.…”

Section: A J P Ementioning

confidence: 99%

Professional Dilemmas Experienced by Pharmacy Graduates in the United Kingdom When Transitioning to Practice

Allinson

Black

White

2022

American Journal of Pharmaceutical Education

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Objective. For many UK pharmacy students there are minimal opportunities to learn, or be exposed to, different ways of dealing with ethical and professional dilemmas in real life practice during undergraduate education. This study aimed to explore the experiences of graduates during their pre-registration year and early practice (up to two years post qualification) on their perceived preparedness to make professional decisions when faced with problems or dilemmas once in practice. Method. Semi-structured interviews were undertaken with pre-registration trainees and early careers pharmacists (up to two years qualified). Interviews were transcribed verbatim and analysed thematically using the Framework Approach. Ethical approval was obtained to undertake the study. Results. Eighteen interviews were conducted: nine pre-registration trainees and nine qualified pharmacists. Four key themes emerged: continued learning in practice; exposure to role-modelling; moral courage; and stress and moral distress. Conclusion.This study found that there is a perceived need for further support, challenge and positive role-modelling to help pre-registration trainees and early career pharmacists continue to develop their ethical and professional decision-making skills in the practice setting. The level and quality of support reported was variable, and there was a reliance on informal networks of peer support in many cases. This study suggests a need to raise awareness among pre-registration tutors and line managers to improve and increase support in this area.

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Moral distress among community pharmacists: causes and achievable remedies

Cited by 14 publications

References 46 publications

Professional and Academic Perspectives of Pharmacy Students: A Cross Sectional-Study from Brazil

Professional and Academic Perspectives of Pharmacy Students: A Cross Sectional-Study from Brazil

The Collaborative Care Model: Realizing healthcare values and increasing responsiveness in the pharmacy workforce

Professional Dilemmas Experienced by Pharmacy Graduates in the United Kingdom When Transitioning to Practice

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