Background:
Having a local code of ethics, based on moral obligations and virtues, known
to all practicing pharmacists is important in order to guide them in
relationships with patients, health professionals, and society.
Objective:
To investigate pharmacists’ attitude and barriers towards applying the
ethical principles published by the Jordanian Pharmacists Association in the
Jordanian code of ethics.
Methods:
The study objectives were addressed in a cross-sectional study completed by a
convenience sample of community pharmacists, in both cities; Amman and Irbid
A questionnaire was used to achieve the study objective. The questionnaire
was developed and validated, investigating pharmacists’
socio-demographic and practice characteristics, perceived attitude toward
certain practice scenarios, and perceived barriers towards applying the
locally published ethical principles while dealing with their patients. The
questionnaire was self-completed by pharmacists between January and August
2017. Collected data was analyzed using SPSS version 21. Descriptive
statistics and parametric tests were used with p<0.05 set a priori as
significant.
Results:
Seven hundred and four pharmacists (Amman n=486; Irbid n=218) responded to
the questionnaire, providing completely answered questionnaires with a
response rates of 69.4% in Amman and 99.6% in Irbid.
Pharmacists from both cities revealed that they use the Internet as their
main resource to obtain ethical information when they need it, to help them
deal with their patients (34.0% from Amman and 31.5% from
Irbid). More pharmacists in Amman (57.0%) had access to resources
regarding ethical information at their practice sites compared to
pharmacists in Irbid (24.0%). Significant differences in attitude was
found between pharmacists practicing in both cities, as significantly less
pharmacists from Amman (37.8%) declared that they would sell a
medication for an unreported indication according to national and
international guidelines, if recommended by the consultant, compared to
pharmacists from Irbid (77.7%, p<0.001).
Conclusions:
Despite having ethical guidance from the Jordanian Pharmacists Association,
the majority of pharmacists in Jordan do not use this resource; instead,
most choose to access ethical guidance on-line. Pharmacists from the
capital, Amman, reported to adhere more with the guidelines when selling a
medication for an unreported indication compared to pharmacists from the
smaller city, Irbid. Results of this study call for more actions from the
authorities in the country responsible for setting and enforcing the
pharmaceutical Code of Ethics.