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. 2019 Mar 17;17(1):1386. doi: 10.18549/PharmPract.2019.1.1386

Table 2. Assessing pharmacists’ attitude towards specific ethical scenarios from both Amman (n= 486) and Irbid (n=218).

Statement Strongly agree Agree Neutral Disagree Strongly disagree p-value
1. A customer asks for an over-the-counter treatment. After talking to the patient you come to the conclusion that s/he does not really need the treatment, but you give him/her the medication. Amman 47 (9.7) 92 (19.0) 93 (19.3) 180 (37.3) 71 (14.7) 0.000
Irbid 4 (1.9) 25 (11.6) 5 (2.3) 169 (78.2) 13 (6.0)
2. The prescription states a specific brand of drug. You do not have this in stock but you have a generic clinically equivalent brand in stock. Will you inform the patient before you dispense the generic drug? Amman 207(42.8) 206 (42.6) 50 (10.3) 17(3.5) 4 (0.8) 0.118
Irbid 60 (27.8) 134 (62.0) 9 (4.2) 13 (6.0) 0 (0.0)
3. After questioning, a patient makes it known s/he is going to use the medication she/he is asking to buy against guidelines (e.g. hydrocortisone cream for his/her face). Will you dispense the drug? Amman 28 (5.8) 76 (15.8) 126 (26.1) 179 (37.1) 73 (15.1) 0.012
Irbid 0(0.0) 66 (30.6) 20 (9.3) 112 (51.9) 17 (7.9)
4. A customer wants to buy an over-the-counter medicine you suspect s/he might be abusing (may be this appears likely after speaking to him/ her about it) and the customer does not want an alternative. Will you dispense the drug? Amman 20(4.1) 65 (13.5) 92 (19.0) 163 (33.7) 143 (29.6) 0.000
Irbid 2(0.9) 14(6.5) 6 (2.8) 107 (49.5) 87 (40.3)
5. The husband or wife, or another close family member (other than the parent of a child) of a patient asks for confidential information about that patient’s treatment. Will you tell them? Amman 67 (13.9) 114 (23.6) 108 (22.4) 90 (18.6) 104 (21.5) 0.000
Irbid 3 (1.4) 19 (8.8) 7 (3.2) 53 (24.5) 134 (62.0)
6. Someone comes into the pharmacy/phones asking you to identify a particular tablet that does not belong to him/her and you are able to identify the tablet. Will you identify that for the patient? Amman 95 (19.8) 209 (43.5) 115 (24.0) 38 (7.9) 23 (4.8) 0.000
Irbid 105 (48.6) 83 (38.4) 15 (6.9) 10 (4.6) 2 (0.9)
7. You believe that withholding the truth from, or deliberately misleading, a patient would mean s/he would be compliant with a treatment you believe is very important to him/her. Are you going to hold the truth? Amman 60 (12.6) 177 (37.2) 140 (29.4) 72 (15.1) 27 (5.7) 0.287
Irbid 7 (3.2) 91 (42.1) 32 (14.8) 79 (36.6) 7 (3.2)
8. You feel something a colleague has done is unethical and you talk to your colleague, but still s/he does not change his/her behavior. Will you report this to your manager? Amman 131 (27.4) 205 (42.9) 98(20.5) 32 (6.7) 11 (2.3) 0.214
Irbid 47 (21.8) 118 (54.6) 11 (5.1) 35 (16.2) 5 (2.3)
9. A parent of a patient asks for confidential information about his/her son/daughter’s treatment. Will you inform the parents? Amman 155 (32.2) 170 (35.3) 91 (18.9) 37 (7.7) 28 (5.8) 0.479
Irbid 29 (13.6) 122 (57.0) 25 (11.7) 35 (16.4) 3 (1.4)
10. A doctor is prescribing, on private scripts, medication you suspect s/he is abusing. You’ve already talked to him/her about it but s/he has clearly ignored you. Will you dispense it? Amman 37 (7.7) 87 (18.1) 89 (18.5) 155 (32.2) 111 (23.1) 0.000
Irbid 2 (0.9) 23 (10.6) 17 (7.9) 116 (53.7) 57 (26.4)
11. You suspect a pharmacist you work with is using prescription medicine from the controlled drugs cabinet without a prescription. You already talked to him/her about it but s/he clearly ignored. Will you report this to your manager? Amman 144 (29.9) 173 (36.0) 101 (21.0) 41 (8.5) 21 (4.4) 0.000
Irbid 61 (28.2) 118 (54.6) 6 (2.8) 29 (13.4) 2 (0.9)
12. A consultant asks you to dispense a drug for an unreported indication and tells you s/he knows it is used for this indication with great effect in USA. Will you dispense the drug? Amman 31 (6.4) 151 (31.4) 133 (27.7) 123 (25.6) 43 (8.9) 0.000
Irbid 64 (29.6) 104 (48.1) 26 (12.0) 21 (9.7) 1 (0.5)
13. A member of the public comes to the pharmacy and asks for some controlled or RX medications or large quantities. Will you dispense it! Amman 24 (5.0) 81 (16.9) 99 (20.7) 127 (26.5) 148 (30.9) 0.000
Irbid 0 (0.0) 10 (4.6) 8 (3.7) 43 (19.9) 155 (71.8)
14. A terminally ill patient asks you for a diagnosis or prognosis, telling you s/he does not feel the doctor is telling the whole truth. You know the full case history. Will you tell the patient the truth? Amman 78 (16.3) 145 (30.3) 125 (26.1) 77 (16.1) 54 (11.3) 0.000
Irbid 1 (0.5) 32 (14.8) 21 (9.7) 61 (28.2) 101 (46.8)
15. Disclosing to a mother information on contraceptive usage by a daughter Amman 53 (11.2) 99 (21.0) 152 (32.2) 112 (23.7) 56 (11.9) 0.000
Irbid 20 (9.3) 129 (60.0) 24 (11.2) 40 (18.6) 2 (0.9)
16. Dispensing natural health products when their efficacy and safety have not been demonstrated by a regulatory authority? Amman 22 (4.6) 79 (16.6) 106 (22.3) 155 (32.6) 113 (23.8) 0.003
Irbid 0 (0.0) 6 (2.8) 8 (3.7) 59 (27.6) 140 (65.4)
17. Dispensing sleeping aids (i.e. Xanax® (Alprazolam)) for sleeping disorder without prescription. Amman 19 (4.0) 29 (6.1) 53 (11.1) 101 (21.2) 275 (57.7) 0.000
Irbid 0 (0.0) 7 (3.3) 1 (0.5) 18 (8.5) 186 (87.3)
18. Proposing brands instead of generic drugs? Amman 52 (10.9) 152 (31.9) 174 (36.6) 78 (16.4) 19 (4.0) 0.714
Irbid 0 (0.0) 40 (18.9) 41 (19.3) 98 (46.2) 33 (15.6)
19. Disclosing side effect of a drug to a patient? Amman 68 (14.3) 165 (34.7) 130 (27.3) 77 (16.2) 36 (7.6) 0.299
Irbid 8 (3.7) 94 (43.7) 64 (29.8) 42 (19.5) 7 (3.3)
20. If a child has prescription for serious drug and has the money for paying it, do you dispense it to him? Amman 22 (4.6) 104 (21.8) 127 (26.6) 131 (27.5) 93 (19.5) 0.000
Irbid 4 (1.9) 61 (28.4) 22 (10.2) 54 (25.1) 74 (34.4)
Very highly Interested Interested Neutral Not interested Not interested at all
21. If you just finished your work and on your way to your home, suddenly a patient called you for a help and advice, you will help the patient. Amman 231 (48.2) 190 (39.7) 38 (7.9) 12 (2.5) 8 (1.7) 0.000
Irbid 174 (82.1) 37 (17.5) 0 (0.0) 0 (0.0) 1 (0.5)
22. Call a doctor if you noticed that there is something wrong in the prescription (about the name of drug for his indication or the dose) in front of the patient. Amman 231 (48.2) 171 (35.7) 55 (11.5) 14 (2.9) 8 (1.7) 0.419
Irbid 134 (63.2) 46 (21.7) 14 (6.6) 17 (8.0) 1 (0.5)
23. If a patient asked you for a drug that you don’t have now, and he wants it instantly, you refer the patient to another pharmacy that you know that it has this drug. Amman 166 (34.7) 187 (39.1) 92 (19.2) 22 (4.6) 11 (2.3) 0.000
Irbid 153 (72.2) 51 (24.0) 5 (2.4) 2 (0.9) 1 (0.5)
24. If a patient asked you to tell him the lethal dose of certain drug, you will give him all the information he/she asked for. Amman 112 (23.4) 78 (16.3) 99 (20.7) 84 (17.5) 106 (22.1) 0.000
Irbid 7 (3.3) 27 (12.7) 13 (6.1) 41 (19.3) 124 (58.5)