Table 2.

Participants experiences and ethical challenges

Experiences and challenges	Reasons and causes	Outcome
lack of proper pharmacists-patients relationship	Non awareness of both patients and pharmacists, time shortage, limited physical environment, no financial profit, type of pharmacy, patients noncompliance	Nonprofessional behavior, lack of patients records
Poor management of medication error	Lack of knowledge and education, no guideline, no clarification about pharmacists role in Iran Health System	Lack of trust between pharmacist, patients and physicians
Non-OTC drug dispensing without prescription	No guideline, no proper teaching, depends on pharmacists policy, no	higher income, patients satisfaction
Lack of inter and intra professional relationship	Lack of inter- and intra-professional trust, misconceptions	Nonprofessional behavior, lack of professional integrity
Lack of pharmacists awareness about their responsibilities	Lack of knowledge, no teaching,	No responsibility, lack of professional integrity
No collaboration with custodian organizations	No proper relationship with regulatory bodies, insufficient potency of custodian organizations	Disorganized activities
Lack of awareness about professional rules and regulations	No teaching in undergraduate period, no proper reference	Disorganized activities
Lack of proper support for internal productions	Improper quality of domestic productions	High requirement to imported drugs
Dissatisfaction from profession	No responsibility, lack of acceptance by society and health professionals, high dependence on financial profit, mismatch between responsibility and income, no need to provide scientific pharmaceutical care	No professional integrity
Financial problems	Low profit, high expenses, inappropriate pricing, influence of investors and nonprofessional stakeholders	Conflict between profession and business
Mismanagement in confronting with ads and offers of pharmaceutical companies	Financial problems	Participation in pharmaceutical industries propagation
no official retirement plan	No need to provide pharmaceutical care, lack of awareness about the probable harms	Dropping off the quality of health care services
Uneven drug distribution during shortage	No organized distribution system, jobbery, mismanagement, not considering justice	Unfair drug rationing and distribution
Conflict of interest	Lack of knowledge, no guideline	Not considering patients interests as the first priority, nonprofessional behavior