The Ethics of Care as Applied to Physiotherapy Training and Practice – A South African Perspective

Burgess, Theresa; Jelsma, Jennifer

doi:10.1007/978-3-319-93230-9_11

Cited by 4 publications

(4 citation statements)

References 14 publications

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“…According to Burges and Jelsma, ethics of care stipulates that junior physiotherapists need to pay attention to the health care recipients in order to be sensitive to them within their moral, cultural and social contexts whilst young physiotherapists should in turn be supported and cared for by their senior colleagues as well as the rest of the multidisciplinary team members. 10 Again, of all the participants, only 22% practice in a private healthcare setting compared to 37.8% and 40.2% who ply their trades in the secondary and tertiary health care settings respectively. It could thus be deduced that the patterns of presentation are largely tilted towards public health care setting.…”

Section: Discussionmentioning

confidence: 98%

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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Section: Discussionmentioning

confidence: 98%

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

Nyante

Andoh

Bello

2020

gmj

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“…The highest approval rates were related to these three survey statements: item 36 "Physiotherapists need to behave ethically because it is socially expected as their professional role"; item 27 The highest level of agreement ("strongly agree" and "agree"; range: 21.3 -91.6%) by over 80% of the participants was identified for seven items, which also determined the ranking of agreement by the mean values (item 36,27,34,35,21,13,22). Ten items still achieved an agreement by more than 70% of the participants* (item 32,39,15,17,40,29,43,18,28,16). The highest rejection ("strongly disagree" and "disagree", range 1.1 -52.7%) by over 40% of the participants occurred with four items (25,23,33,20) and one item (26) was rejected by almost 40% of the participants (38.9%).…”

Section: Rating and Ranking Of Statementsmentioning

confidence: 96%

“…The neutral category ("neither disagree nor agree", range: 6.5 -29.3%) increased for statements where agreement decreased. It was used by over 20% of the participants for items 18,28,31,37,42,30,24,19,26,25,23,33,20 and indicates that there was some uncertainty when weighing these statements (Table 5).…”

Section: Rating and Ranking Of Statementsmentioning

confidence: 99%

“…They need to holistically understand ethical issues and moral values at stake, as well as to know the ethical principles, theories, professional obligations and the national rules that govern the scope of their practice. Before making a decision and determining and implementing a plan of action, it is important to gather and discuss all relevant information with others involved in the ethical decisionmaking process [8,[28][29][30]. Social, cultural and/or religious values and behaviours that influence decisions within health care settings can differ greatly between World Physiotherapy regions [31][32][33][34].…”

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confidence: 99%

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Views of physiotherapists on factors that play a role in ethical decision-making: an international online survey study

Sturm¹,

Roth

Ager

2023

Arch Physiother

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Background There is a lack of knowledge about the ways physiotherapists around the world learn about professional code of ethics and ethical decision-making frameworks. The profession has a gap in the understanding about physiotherapists’ views on factors that play a role in ethical decision-making and whether these views differ between World Physiotherapy regions. Methods An online survey study in English was conducted from October 2018 to October 2019. Participants included 559 physiotherapists located in 72 countries. The self-designed survey questionnaire contained 13 items asking about demographic information and means of learning about ethical codes and decision-making frameworks. A further 30 items were presented which included statements underpinned with individual, organisational, situational and societal factors influencing ethical decision-making. Participants were asked to express their level of agreement or disagreement using a 5-point-Likert-scale. Results Participants’ highest rated responses endorsed that the professional role of physiotherapists is linked to social expectations of ethical behaviour and that ethical decision-making requires more skills than simply following a code of ethics. A recognisable organisational ethical culture was rated as supporting good ethical decisions. Comparing responses by World Physiotherapy regions showed significant differences in factors such as culture, religion, emotions, organisational values, significant others, consequences of professional misconduct and professional obligations. Entry level education was not perceived to provide a solid base for ethical decision-making in every World Physiotherapy region. Participants reported multiple sources for learning about a professional code of ethics and ethical decision-making frameworks. What’s more, the number of sources differed between World Physiotherapy regions. Conclusions Multiple factors play a role in physiotherapists’ ethical decision-making internationally. Physiotherapists’ ethical knowledge is informed by, and acquired from, several learning sources, which differ in both quality and quantity amongst World Physiotherapy regions. Easily accessible knowledge and education about professional codes of ethics and ethical decision-making can foster continuing professional development for physiotherapists. The establishment of constructive ethical cultures in workplaces can improve ethical decision-making, and should acknowledge the influence of individual, organisational, situational and societal factors. The establishment of collaborative learning environments can support knowledge translation which acknowledges practice-based methods of knowing and learning.

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(Almost) 50 shades of an ethical situation — international physiotherapists’ experiences of everyday ethics: a qualitative analysis

Sturm¹,

Edwards

Fryer

et al. 2022

Physiotherapy Theory and Practice

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The Ethics of Care as Applied to Physiotherapy Training and Practice – A South African Perspective

Cited by 4 publications

References 14 publications

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

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

Views of physiotherapists on factors that play a role in ethical decision-making: an international online survey study

(Almost) 50 shades of an ethical situation — international physiotherapists’ experiences of everyday ethics: a qualitative analysis

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