Ethics in Physiotherapy Practice – An African Perspective

Bello, Ajediran I; Adegoke, Babatunde O. A.

doi:10.1007/978-3-319-93230-9_10

Cited by 3 publications

(7 citation statements)

References 12 publications

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“…Physiotherapy services, which are concentrated in urban, private settings, do not address the profound scarcity in the public sector and in communities. It is there where physiotherapy is needed in order to develop alongside other health care professionals and within society [12]. As long as appropriate rehabilitation service coverage is not promoted, chances for the sector to advance are impeded.…”

Section: Full Integration In Health Systemsmentioning

confidence: 99%

“…This has led to a growing body of research exploring topics such as advanced practice [1], direct access [2], best practice [3][4][5], and costeffectiveness [6][7][8][9][10]. The highest burden of disease globally, however, is in low-resource and conflict contexts (LR-CC), resulting in enormous rehabilitation needs [11,12]. Service models from HIC applied to these contexts often struggle in adjusting to the specificities and complexities of LR-CC [13].…”

Section: Introductionmentioning

confidence: 99%

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A Focus Group Study to Understand the Perspectives of Physiotherapists on Barriers and Facilitators to Advancing Rehabilitation in Low-Resource and Conflict Settings

Barth

Donovan‐Hall

Blake

et al. 2021

IJERPH

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Physiotherapy as a health profession is continuously evolving in high-income countries (HIC). The highest burden of disease globally, however, is in low-resource and conflict contexts (LR-CC), resulting in unmet rehabilitation needs. Rehabilitation service models from HIC often face challenges when applied to the fragile health systems of LR-CC. It is important to engage rehabilitation experts living and working in LR-CC to guide service development. This study aims to understand physiotherapists’ views and perspectives of current rehabilitation services, of how these services can be strengthened over the next 10 years and of the role of physiotherapy within this development. Focus group discussions (FGDs) were conducted with 31 physiotherapists from 18 LR-CC using English as a common language. Audio recordings were transcribed verbatim. Data analysis was guided by thematic analysis. Participants provided deep insights into the complexity of developing rehabilitation services within fragile health systems. Participants agreed that physiotherapy lacked recognition and resources to be utilised effectively. Interacting themes as crucial prerequisites for strengthening the sector included (1) significance of context, (2) professional identity, and (3) professionalisation supported by workforce development and advocacy. These results are an important evidence base for informing the development of rehabilitation programmes in LR-CC and for future research.

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Section: Full Integration In Health Systemsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Focus Group Study to Understand the Perspectives of Physiotherapists on Barriers and Facilitators to Advancing Rehabilitation in Low-Resource and Conflict Settings

Barth

Donovan‐Hall

Blake

et al. 2021

IJERPH

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“…As advocated by Bello and Adegoke, there is an urgent need to infuse ethical theory and skills into their daily decision-making processes. 1 Ethics training creates room for critical thinking, objective analysis and clinical reasoning processes to inform decision making in different contexts and patients' backgrounds which should be free of bias. 15,5…”

Section: Other Ethical Issuesmentioning

confidence: 99%

“…Code of ethics remains a valid indicator for professional identity and provides a positive framework for therapists' personal conduct, their relationship with the patients and other health care team members. 1 Regulations or laws set the pace for professional behaviour whilst codes of ethics set goals for professionalism. All healthcare professionals through training are bound by specific frameworks of ethics as dictated by their peculiar approaches.…”

Section: Introductionmentioning

confidence: 99%

“…The on-going professional expansion in healthcare service has also challenged Physiotherapists to adhere to all social etiquettes associated with their practice on a daily basis. 1 Ethics knowledge and practice in physiotherapy continues to suggest further identification and examination of ethical issues as an important activity and hallmark of professionalism. Thus, it is relevant to ascertain ethical issues that arise in the course of physiotherapy sessions in Ghana and the challenges encountered in making decisions.…”

Section: Introductionmentioning

confidence: 99%

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Patterns of ethical issues and decision-making challenges in clinical practice among Ghanaian physiotherapists

Nyante

Andoh

Bello

2020

gmj

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Objectives: To determine the patterns of ethical issues and decision-making challenges encountered by practicing physiotherapists in Ghana.Design: This is a cross-sectional study in which the stratified sampling technique was adopted to sample the participants.Setting: The study involved physiotherapists at the private healthcare setting and from different levels of public healthcare facilities.Participants: Eighty-two duly registered physiotherapists who were practising in Ghana participated in the study.Interventions: Participants completed a 30-item questionnaire related to ethical issues and challenges encountered in making ethical decisions. Data analysis was premised on the frequency of occurrence of ethical tensions and difficulty in decision making which were dichotomized as 'high' and 'low' issues, and 'extreme' and 'low' difficult decisions, respectively.Results: The age range of the participants was 21-49 years (mean 31.5 ± 1.4years). 18 (22%), 31 (37.8%) and 33 (40.2%) physiotherapists practice in the primary, secondary and tertiary healthcare settings respectively. 56 (68.3%) and 43 (52.4%) of the participants affirmed that 'establishing priorities for patient's treatment amidst limited time resources' was the most frequently encountered and the most extremely difficult ethical issue to make a decision on respectively. Whereas, limiting physical therapy services for personal or organizational gains sub-theme was the least occurred issue which was also the least difficult to make a decision on as indicated by the respective 16 (19.5%) and 18 (22.0%) physiotherapists.Conclusion: A wide range of primary and secondary ethical issues were reported by the sampled physiotherapists, which tend to pose difficulty during the decision-making process in practice.Keywords: Ethical issues; code of ethics; decision making; physiotherapy practice, ethical judgementFunding: The research work was self-funded by the authors.

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“ Otherwise … he will be a beggar ”: a focus group study to understand the Perspectives of physiotherapists about measuring rehabilitation outcomes and impact in low-resource and conflict-affected settings

Barth,

Donovan-Hall,

Blake

et al. 2023

Disability and Rehabilitation

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Ethics in Physiotherapy Practice – An African Perspective

Cited by 3 publications

References 12 publications

A Focus Group Study to Understand the Perspectives of Physiotherapists on Barriers and Facilitators to Advancing Rehabilitation in Low-Resource and Conflict Settings

A Focus Group Study to Understand the Perspectives of Physiotherapists on Barriers and Facilitators to Advancing Rehabilitation in Low-Resource and Conflict Settings

Patterns of ethical issues and decision-making challenges in clinical practice among Ghanaian physiotherapists

“ Otherwise … he will be a beggar ”: a focus group study to understand the Perspectives of physiotherapists about measuring rehabilitation outcomes and impact in low-resource and conflict-affected settings

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