Theoretical frameworks used to discuss ethical issues in private physiotherapy practice and proposal of a new ethical tool

Drolet, Marie-Josée; Hudon, Anne

doi:10.1007/s11019-014-9576-7

Cited by 27 publications

(46 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This would enable patients with SCI to make informed decisions with their physiotherapists about engaging in such programs. [60,62,63] In conclusion, despite calls for physiotherapists to promote a physically active lifestyle to their patients, within our sample in SCI rehabilitation this was largely not occurring. These findings echo the work of previous literature by identifying multiple barriers faced by healthcare professionals to PA promotion within their practice.…”

mentioning

confidence: 66%

“…[45] To address these concerns, physiotherapists should analyse and justify their ethical decision making by respecting their patients' rights to maintain a physically active lifestyle and appreciating their patients' beliefs and opinions about ABR. [60] Moreover, the physiotherapists should reflect on their own values and assumptions of what constitutes "the good life" and the well-being of their patients, and how this impacts upon their PA promotional practices within SCI rehabilitation.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Physical activity promotion for people with spinal cord injury: physiotherapists’ beliefs and actions

Williams

Smith

Papathomas

2016

Disability and Rehabilitation

View full text Add to dashboard Cite

Purpose: It is vital that people with spinal cord injury (SCI) lead a physically active lifestyle to promote long term health and well-being. Yet within rehabilitation and upon discharge into the community, people with SCI are largely inactive. Physiotherapists are well placed to promote a physically active lifestyle and are valued and trusted messengers of physical activity (PA) by people with SCI. Therefore this study aimed to explore the perceptions of physiotherapists in SCI rehabilitation on PA for people with SCI, and what is done to promote PA. Method: Semistructured interviews were completed with eighteen neurological physiotherapists (2-22 years experience) from SCI centres in the United Kingdom and Ireland. Framed by interpretivism, an inductive thematic analysis was conducted. Results: Three themes were identified: 1) perceived importance of PA; 2) inconsistent PA promotion efforts; and 3) concern regarding community PA. Conclusions: This article makes a significant contribution to the literature by identifying that although physiotherapists value PA, active promotion of PA remains largely absent from their practice. To enable physiotherapists to promote and prescribe PA as a structured and integral component of their practice, effective knowledge strategies need designing and implementing at the macro, meso and micro levels of healthcare.

show abstract

mentioning

confidence: 66%

mentioning

confidence: 99%

Physical activity promotion for people with spinal cord injury: physiotherapists’ beliefs and actions

Williams

Smith

Papathomas

2016

Disability and Rehabilitation

View full text Add to dashboard Cite

show abstract

“…62 We believe that increasing teaching about ethical theories and frameworks in university programs could facilitate PT students' and professionals' understanding of what is an ethical issue and how such issues can be resolved or dealt with. Teaching PT students and professionals different ways of approaching ethical issues using the lenses of deontology, utilitarianism, and virtues ethics (normative approaches), for example, as well as considering the values of the different stakeholders involved in any situation, could improve their ethical reasoning when faced with new ethical challenges.…”

Section: Discussionmentioning

confidence: 99%

Ethical Issues Raised by Private Practice Physiotherapy Are More Diverse than First Meets the Eye: Recommendations from a Literature Review

Hudon

Drolet

Williams‐Jones

2015

Physiotherapy Canada

Self Cite

View full text Add to dashboard Cite

Purpose: Physiotherapy in private practice differs from physiotherapy practised in a public setting in several ways, the most evident of which is the for-profit nature of private physiotherapy clinics; these differences can generate distinct and challenging ethical issues. The objectives of this article are to identify ethical issues encountered by physiotherapists in private practice settings and to identify potential solutions and recommendations to address these issues. Method: After a literature search of eight databases, 39 studies addressing ethical issues in a private practice context were analyzed. Results: A total of 25 ethical issues emerging from the included studies were classified into three main categories: (1) business and economic issues (e.g., conflicts of interests, inequity in a managed care context, lack of time affecting quality of care); (2) professional issues (e.g., professional autonomy, clinical judgment, treatment effectiveness, professional conduct); and (3) patients' rights and welfare issues (e.g., confidentiality, power asymmetries, paternalism vs. patient autonomy, informed consent). Recommendations as to how physiotherapists could better manage these issues were then identified and categorized. Conclusions: The physiotherapy community should reflect on the challenges raised by private practice so that professionals can be supported-through education, research, and good governance-in providing the best possible care for their patients.Key Words: ethics, professional; private practice; private sector. RÉ SUMÉObjet : La pratique privé e de la physiothé rapie diffè re de la pratique de la physiothé rapie dans un é tablissement public pour plusieurs raisons, la plus é vidente é tant la nature lucrative des cliniques privé es. Ces diffé rences soulè vent des questions d'é thique uniques et é pineuses. Le pré sent article vise à cerner les enjeux é thiques qui se pré sentent aux physiothé rapeutes qui travaillent en pratique privé e et à identifier des solutions et des recommandations é ventuelles. Mé thode : À la suite d'une revue de la litté rature dans huit bases de donné es, trente-neuf é tudes portant sur les enjeux é thiques dans le contexte de la pratique privé e ont é té analysé es. Ré sultats : Au total, vingt-cinq enjeux é thiques dé coulant des é tudes retenues ont é té classé s en trois principales caté gories : (1) les enjeux commerciaux et é conomiques (p. ex., les conflits d'inté rê ts, l'iniquité dans le contexte de la gestion des soins, le manque de temps influant sur la qualité des soins); (2) les enjeux professionnels (p. ex., l'autonomie professionnelle, le jugement clinique, l'efficacité des traitements, la conduite professionnelle) et (3) les enjeux lié s aux droits et au bien-ê tre des patients (p. ex., la confidentialité , l'asymé trie du pouvoir, le consentement é clairé ainsi que le paternalisme contre l'autonomie des patients). Des recommandations sur la fac¸on dont les physiothé rapeutes pourraient mieux gé rer ces enjeux ont aussi é té identifié es e...

show abstract

“…These theoretical foundations can help students organize their thoughts and develop new ways of addressing ethical issues with greater nuance, by fostering ethical analyses that are grounded in relevant philosophical and axiological foundations [19]. However these foundations should not be taught as single frameworks for perceiving and reflecting on ethical issues, as such an approach could restrict students' ability to appreciate the multiple perspectives and insights that need to be used in their efforts to think through ethical challenges [26].…”

Section: Discussionmentioning

confidence: 99%

“…Drolet and Hudon [19] also proposed a Quadripartite Ethical Tool that uses central contemporary ethical theories (deductive-universalist approach) and the values, virtues and ethical principles of the primary stakeholders in a given situation (inductive-particularist approach) to help PT students recognize and analyze ethical issues in their practice. While the literature about teaching methods for ethics is growing, there remains a lack of consensus on the most appropriate methods of teaching ethics to rehabilitation students, and no specific approaches have been broadly recognized as "evidenced-based".…”

Section: Introductionmentioning

confidence: 99%

Ethics teaching in rehabilitation: results of a pan-Canadian workshop with occupational and physical therapy educators

Hudon

Perreault

Laliberté

et al. 2016

Disability and Rehabilitation

Self Cite

View full text Add to dashboard Cite

Purpose: Ethical practice is an essential competency for occupational and physical therapists.However, rehabilitation educators have few points of reference for choosing appropriate pedagogical and evaluation methods related to ethics. The objectives of this study were to: 1) identify priority content to cover in ethics teaching in occupational therapy (OT) and physical therapy (PT) programs and 2) explore useful and innovative teaching and evaluation methods.

show abstract

Theoretical frameworks used to discuss ethical issues in private physiotherapy practice and proposal of a new ethical tool

Cited by 27 publications

References 23 publications

Physical activity promotion for people with spinal cord injury: physiotherapists’ beliefs and actions

Physical activity promotion for people with spinal cord injury: physiotherapists’ beliefs and actions

Ethical Issues Raised by Private Practice Physiotherapy Are More Diverse than First Meets the Eye: Recommendations from a Literature Review

Ethics teaching in rehabilitation: results of a pan-Canadian workshop with occupational and physical therapy educators

Contact Info

Product

Resources

About