Ethical competence - exploring situations in physiotherapy practice

Naamanka, Kati; Suhonen, Riitta; Tolvanen, Anna; Leino‐Kilpi, Helena

doi:10.1080/09593985.2022.2039817

Cited by 2 publications

(2 citation statements)

References 48 publications

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“…According to previous research, physiotherapists do not usually refer to ethical principles or guidelines in ethical decision-making ( 30 , 31 ). These guidelines should be specific enough in different professional fields, but still loose enough to be applied to different situations and leave room for the professional’s thinking.…”

Section: Discussionmentioning

confidence: 99%

“…According to Meine and Dunn ( 9 ), codes that are goal-oriented and include operational guidelines would better support the professional in ethical decision-making. In a previous study, Naamanka et al ( 31 ) stated, that the principles the physiotherapists mostly emphasized were a respectful attitude toward patients, honesty, justice, equality, self-determination, humanity, and professionalism including a professional attitude toward a patient but also the expertise and professional skills. This study complements these findings by also addressing confidentiality and privacy issues.…”

Section: Discussionmentioning

confidence: 99%

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Physiotherapists’ ethical behavior in professional practice: a qualitative study

Mármol-López,

Marques-Sule,

Naamanka

et al. 2023

Front. Med.

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BackgroundIn health professions, ethics is considered a fundamental competence. The increase in clinical autonomy in the field of physiotherapy is associated with an increase in ethical situations in their clinical practice.ObjectiveTo explore the ethics of the clinical relationship between physiotherapists and patients, the ethics training received by physiotherapists, and if in the clinical context, physiotherapists identify the necessary attitudes and apply the ethical recommendations of the profession for the ethical situations they experience.MethodsA qualitative exploratory and descriptive study was performed with physiotherapists. Data were collected through semi-structured interviews. The data were analyzed using content analysis, as proposed by Krippendorf. The study protocol was approved by the University of Valencia Ethics Committee of Human Research.ResultsThis study included 15 physiotherapists (66.66% women, average age = 42.2 years), which was sufficient to reach data saturation. We identified four categories: (i) Ethics of the clinical relationship (ethical values, principles, and norms; type of clinical relationship), (ii) Ethics training received (during the physiotherapy studies; current training of students; low importance of ethics in the curriculum), (iii) Necessary attitudes for professional ethical practice (main attitudes were identified: personal attitudes and professional attitudes); (iv) Experiences from professional practice (general; public sector vs. private sector).ConclusionThe ethics of the clinical relationship between physiotherapists and patients is determined by the attitudes of the practitioner, which are the result of his or her values and previous experiences; and are very centered on ethics of indication (founded mainly on the principles of Beneficence and Non-Maleficence). It is necessary to improve the ethical training received by physiotherapists, which is poorly focused on professional attitudes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Physiotherapists’ ethical behavior in professional practice: a qualitative study

Mármol-López,

Marques-Sule,

Naamanka

et al. 2023

Front. Med.

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Physiotherapists’ moral distress: Mixed-method study reveals new insights

Inbar,

Doron,

Laufer

2024

Nurs Ethics

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Background Moral distress is a well-recognized term for emotional, cognitive, and physical reactions of professionals, when facing conflicts between perceived obligations and institutional constraints. Though studied across medical roles, limited research exists among physiotherapists. Research Question What factors contribute to Moral distress among physiotherapists and how do they cope? Objectives To develop and test a multifaceted model of Moral distress and gain an in-depth understanding of the phenomena. Research Design A 2017–2022 mixed-methods study: (1) Survey of 407 physiotherapists quantitatively testing a literature-based model analyzing relationships between Moral distress, Moral sensitivity, Locus of control, Self-efficacy, Ethical climate perceptions and demographics, analyzed by descriptive and inferential statistics, multiple comparisons and structural equation modelling (SPSS26, SAS, AMOS); (2) Semi-structured interviews with 21 physiotherapists examining Moral distress experiences using meticulous phenomenological analysis. Participants and Context Israeli physiotherapists from various occupational settings recruited via professional networks. Ethical Considerations The Haifa University Ethics Committee authorized the study. Informed consent was obtained for the anonymous survey and before interviews regarding recording, and quote use. Findings Quantitative results showed moderately high average Moral distress, significantly higher among women and paediatric physiotherapists, positively correlating with Moral sensitivity. Qualitative findings revealed intense emotions around Moral distress experiences, inner conflicts between care ideals and constraints, and coping strategies like reflective skills. Senior therapists, despite higher self-efficacy and moral sensitivity, still reported persistent high distress. Discussion Moral distress has complex links with moral sensitivity, self-efficacy, perceived professional autonomy and organizational support. A renewed framework emerged explaining relations between moral distress and personal, professional and organizational factors. Conclusions Multidimensional insights help identify Moral distress causes and coping strategies among physiotherapists, advancing theory. Conclusions can shape ethics training programs and competencies.

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Ethical competence - exploring situations in physiotherapy practice

Cited by 2 publications

References 48 publications

Physiotherapists’ ethical behavior in professional practice: a qualitative study

Physiotherapists’ ethical behavior in professional practice: a qualitative study

Physiotherapists’ moral distress: Mixed-method study reveals new insights

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