{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T10:35:47Z","timestamp":1763807747187,"version":"build-2065373602"},"reference-count":29,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T00:00:00Z","timestamp":1727136000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pharmacy"],"abstract":"<jats:p>Ethical practice is a universal concern for healthcare professionals, independent of their social, cultural, or religious background. This study aimed to assess and categorise statements published in codes of ethics for pharmacists from three diverse societies within the wider European area. The study followed a qualitative exploratory and triangular design, comparing the leading professional and ethical statements between three geographically apart countries (Portugal, Lithuania, and Turkey) and using the International Pharmaceutical Federation Code of Ethics proposal as a gold standard. Common core values such as honesty, integrity, and professional autonomy were identified across the countries\u2019 codes, suggesting that shared recognised core values underpin pharmacists\u2019 practice and policies in culturally diverse settings. None of the codes fully correspond to the framework the International Pharmaceutical Federation proposed. The analysis elicited significant inconsistencies between the codes for analogous practice models within the same continent. Further studies are needed to gain a more profound and comprehensive understanding of the underlying reasons for these discrepancies so that ethical weaknesses can be improved and harmonisation towards best-practice principles can benefit patients and healthcare systems.<\/jats:p>","DOI":"10.3390\/pharmacy12050143","type":"journal-article","created":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T03:49:46Z","timestamp":1727149786000},"page":"143","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["\u201cI Solemnly Swear\u201d: A Comparative Study of Codes of Professional Ethics amongst Pharmacists from Culturally Diverse European Countries"],"prefix":"10.3390","volume":"12","author":[{"given":"Raquel","family":"Raimundo","sequence":"first","affiliation":[{"name":"Faculdade de Farm\u00e1cia, Universidade de Lisboa, Av. Prof. Gama Pinto, 1649-003 Lisboa, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8466-0484","authenticated-orcid":false,"given":"Afonso","family":"Cavaco","sequence":"additional","affiliation":[{"name":"Departamento de Farm\u00e1cia, Farmacologia e Tecnologias em Sa\u00fade, Faculdade de Farm\u00e1cia, Universidade de Lisboa, Av. Prof. Gama Pinto, 1649-003 Lisboa, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2024,9,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Khakurel, B., Shrestha, R., Joshi, S., and Thomas, D. (2019). Evolution of the Pharmacy Profession and Public Health. Clinical Pharmacy Education, Practice and Research, Elsevier.","DOI":"10.1016\/B978-0-12-814276-9.00002-7"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1187","DOI":"10.1016\/0277-9536(86)90338-2","article-title":"New clinical roles for pharmacists: A study of role expansion","volume":"23","author":"Adamcik","year":"1986","journal-title":"Soc. Sci. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1295","DOI":"10.1503\/cmaj.070041","article-title":"Evolution in the practice of pharmacy--Not a revolution!","volume":"176","author":"Pearson","year":"2007","journal-title":"Can. Med. Assoc. J."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1007\/s11096-005-3798-y","article-title":"Pharmaceutical Policy and the Pharmacy Profession*","volume":"27","author":"Traulsen","year":"2005","journal-title":"Pharm. World Sci."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1136\/jme.2005.015297","article-title":"A new prescription for empirical ethics research in pharmacy: A critical review of the literature","volume":"33","author":"Cooper","year":"2007","journal-title":"J. Med. Ethics"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"442","DOI":"10.5688\/ajpe8643","article-title":"Professional Dilemmas Experienced by Pharmacy Graduates in the United Kingdom When Transitioning to Practice","volume":"86","author":"Allinson","year":"2022","journal-title":"Am. J. Pharm. Educ."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1007\/s11096-017-0561-0","article-title":"Moral dilemmas of community pharmacists: A narrative study","volume":"40","author":"Kruijtbosch","year":"2018","journal-title":"Int. J. Clin. Pharm."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1111\/ijpp.12174","article-title":"The issue of moral distress in community pharmacy practice: Background and research agenda","volume":"23","author":"Astbury","year":"2015","journal-title":"Int. J. Pharm. Pract."},{"key":"ref_9","first-page":"424","article-title":"Future pharmacists have many questions to ponder","volume":"44","author":"Stamos","year":"2004","journal-title":"J. Am. Pharm. Assoc."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1007\/s11019-014-9594-5","article-title":"Why comply with a code of ethics?","volume":"18","author":"Spielthenner","year":"2015","journal-title":"Med. Health Care Philos."},{"key":"ref_11","first-page":"45","article-title":"Attributes of a Profession","volume":"2","author":"Greenwood","year":"1957","journal-title":"Soc. Work"},{"key":"ref_12","unstructured":"(2023, February 16). FIP Statement of Professional Standards\u2014Code of Ethics for Pharmacists. FIP. Available online: www.fip.org\/statements."},{"key":"ref_13","unstructured":"(2023, February 16). Decreto-Lei n.\u00ba 307\/2007, de 31 de Agosto. Di\u00e1rio da Rep\u00fablica n.\u00ba 168\/2007, S\u00e9rie I. O Regime Jur\u00eddico das Farm\u00e1cias de Oficina. Available online: https:\/\/files.dre.pt\/1s\/2007\/08\/16800\/0608306091.pdf."},{"key":"ref_14","unstructured":"(2023, February 16). Di\u00e1rio da Rep\u00fablica, 2.\u00aa S\u00e9rie- Parte E. Ordem dos Farmac\u00eauticos. C\u00f3digo Deontol\u00f3gico da Ordem dos Farmac\u00eauticos. Portugal. Available online: https:\/\/ordemfarmaceuticos.pt\/fotos\/documentos\/0014300159_469595878620679aa0a805.pdf."},{"key":"ref_15","unstructured":"(2023, February 16). The Legal and Regulatory Framework for Community Pharmacies in the WHO European Region. Available online: https:\/\/www.pgeu.eu\/wp-content\/uploads\/2019\/10\/WHO-Europe-Report-Regulatory-framework-for-community-pharmacies-October-2019.pdf."},{"key":"ref_16","unstructured":"International Pharmaceutical Federation (FIP) (2023, June 11). Introduction to the Turkish Pharmacist Association 2019. Available online: https:\/\/ankara2019.fip.org\/welcome\/turkish-pharmacist-association\/."},{"key":"ref_17","first-page":"53","article-title":"A Qualitative Study with the Turkish Pharmacists\u2019 Association Chairman on the History and Activities of Turkish Pharmacists\u2019 Association","volume":"38","author":"Deniz","year":"2018","journal-title":"Hacet. Univ. J. Fac. Pharm."},{"key":"ref_18","unstructured":"(2023, June 24). QualCoder 2023. Available online: https:\/\/qualcoder.wordpress.com\/."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Siegrist, H. (2001). Professionalization\/Professions in History. Int. Encycl. Soc. Behav. Sci., 12154\u201312160.","DOI":"10.1016\/B0-08-043076-7\/02710-8"},{"key":"ref_20","unstructured":"Beauchamp, T., and Childress, J. (2009). Moral Norms. Principles of Biomedical Ethics, Oxford University Press. [6th ed.]."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1023\/A:1006280300427","article-title":"The Conflict between Ethics and Business in Community Pharmacy: What about Patient Counseling?","volume":"28","author":"Resnik","year":"2000","journal-title":"J. Bus. Ethics"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1177\/0969733012462049","article-title":"Moral distress in nursing","volume":"20","author":"Burston","year":"2013","journal-title":"Nurs. Ethics"},{"key":"ref_23","first-page":"2485","article-title":"Ethical dilemmas and moral distress in pharmacy: A qualitative study","volume":"6","author":"Crnjanski","year":"2012","journal-title":"HealthMED"},{"key":"ref_24","unstructured":"Beauchamp, T., and Childress, J. (2009). Moral Character. Principles of Biomedical Ethics, Oxford University Press. [6th ed.]."},{"key":"ref_25","unstructured":"Crowley, M. (2008). Conscience Clauses, Health Care Providers, and Parents. From Birth to Death and Bench to Clinic: The Hastings Center Bioethics Briefing Book for Journalists, Policymakers, and Campaigns, The Hastings Center."},{"key":"ref_26","unstructured":"(2024, June 25). The Role of Community Pharmacists in Vaccination. Available online: https:\/\/www.pgeu.eu\/publications\/pgeu-position-paper-on-the-role-of-community-pharmacists-in-vaccination\/."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"e38","DOI":"10.1017\/S1463423622000330","article-title":"Knowledge, attitudes, and practices regarding vaccination among community pharmacists","volume":"23","author":"Ozdemir","year":"2022","journal-title":"Prim. Health Care Res. Dev."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1136\/jme.2007.022624","article-title":"Ethical decision-making, passivity and pharmacy","volume":"34","author":"Cooper","year":"2008","journal-title":"J Med. Ethics"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1093\/ajhp\/62.2.142","article-title":"A resident\u2019s perspective on professionalism in pharmacy","volume":"62","author":"Masters","year":"2005","journal-title":"Am. J. Health-Syst. 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