Ethics interventions for healthcare professionals and students: A systematic review

Stolt, Minna; Leino‐Kilpi, Helena; Ruokonen, Minka; Repo, Hanna; Suhonen, Riitta

doi:10.1177/0969733017700237

Cited by 40 publications

(27 citation statements)

References 66 publications

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“…Furthermore, further ethics education is positively connected to physiotherapist's self-estimated ethical competence. That result is consistent with previous research which notes that ethical competence can be acquired through education [4,21,24]. Taking part in ethics education after graduation is still very uncommon among physiotherapists (20% had participated).…”

Section: Discussionsupporting

confidence: 92%

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Self-evaluated ethical competence of a practicing physiotherapist: a national study in Finland

et al. 2020

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Background: Patients have the right to equal, respectful treatment. Nowadays, one third of patient complaints concern health care staff's behavior towards patients. Ethically safe care requires ethical competence, which has been addressed as a core competence in physiotherapy. It has been defined in terms of character strength, ethical awareness, moral judgment skills in decision-making, and willingness to do good. The purpose of this study was to analyze the ethical competence of practicing physiotherapists. Method: A self-evaluation instrument (Physiotherapist's Ethical Competence Evaluation Tool) based on an analysis of a concept "ethical competence" was constructed in 2016 and physiotherapists (n = 839), working in public health services or private practice responded to the questionnaire. Results: Based on the results, most of the physiotherapists evaluated themselves highly ethically competent in all areas of ethical competence, subscales being Strength, Awareness, Skills and Will. Willingness to do good was evaluated as highest, while character strength, including the strength to support ethical processes and speak on behalf of the patient, was evaluated the lowest. Physiotherapists most commonly consult a colleague when encountering an ethical problem. Other methods for problem solving are not very familiar, neither are the international or national ethical codes of conduct. Conclusions: This was the first attempt to assess all aspects of ethical competence empirically in a clinical environment in physiotherapy, using a novel self-evaluation instrument. Even if physiotherapists evaluate themselves as competent in ethics, further exploration is needed for ethical awareness. Also the patients' viewpoints about ethically competent care should be considered, to better ensure ethical safety of the patient.

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Section: Discussionsupporting

confidence: 92%

“…All interaction with patients should be humanoriented, recognizing more clearly an individual patient in the center, to ensure dignity and respect in care [2]. This requires ethical competence of a professional and can be acquired through educational interventions [3,4].…”

Section: Introductionmentioning

confidence: 99%

Self-evaluated ethical competence of a practicing physiotherapist: a national study in Finland

et al. 2020

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“…To gain a deeper understanding of ethical competence, different multidimensional designs are needed. Intervention studies using educational interventions may offer a possibility to have an impact on the ethical competence of healthcare professionals (Stolt, Leino‐Kilpi, Ruokonen, Repo, & Suhonen, ). Most commonly, studies reported low‐response rates and sampling/participant bias as their limitations.…”

Section: Discussionmentioning

confidence: 99%

Healthcare professionals’ ethical competence: A scoping review

et al. 2018

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AimThe aim of this study was to examine the extent and nature of the available research literature on healthcare professionals’ ethical competence and to summarize the research findings in this field.DesignA scoping review guided by Arksey and O'Malleys methodological framework was conducted.MethodsSix databases including Pubmed/Medline, CINAHL, Web of Science Core Collection, PsycInfo, Philosophers’ Index, and Scopus were searched systematically. Of 1,476 nonduplicate citations, 17 matched the inclusion criteria.ResultsFindings revealed that healthcare professionals’ ethical competence is a limited but topical research area. The focus areas of the studies were conceptualization, measuring, and realization of the ethical competence. The studies provided varying definitions and constructions for ethical competence and a few instruments to measure ethical competence were identified. Research in this area seems to be in a transition phase from theorization to empirical measurement. Methodologically, the research was rather heterogeneous and mainly focused on nurses.

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“…The management and governance of healthcare organizations do face ethical challenges in the wake of competing needs or values or even in meeting various shareholders' demands etc. This is a likely happening in a competitive market, and also in markets, where consumers have limited knowledge, face uncertainty, and have to depend on marketers to provide ethical, customer-oriented guidance (Bush, Harris, & Bush, 1997;Stolt, Leino-Kilpi, Ruokonen, Repo, & Suhonen, 2018).…”

Section: Background Of the Studymentioning

confidence: 99%

“…It can easily be seen that this is not an absolute case of one-sided (from employees' end only) ethical challenge. Research in healthcare sector has highlighted that in facing an ethical dilemma when healthcare professionals perceive that their ethical standards are not shared or met by their respective organizations, these professionals go through an increased rate of burnout (Stolt et al, 2018).…”

Section: Literature Reviewmentioning

confidence: 99%

Determinants of Patients’ Perception of Healthcare Professionals’ Ethics in Bangladesh

Ahmed¹

2019

FMR

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Employees in organizations face a myriad of moral issues in their everyday decisionmaking. It is of great significance when the decisions entail a professional conduct where the individuals have fiduciary relationship with one or more stakeholders-as in the case of doctors and patients. In the healthcare sector of Bangladesh, a number of malpractices and unethical behaviours have been highlighted in the media and by the insiders to the industry. Hence, the aim of this exploratory research was to see the prevalence of such practices and try to relate these practices with the existing HR scenario of the respective organizations. The study was conducted using the questionnaire survey method, where response from 128 patients were taken to carry out a one-tailed hypotheses testing. Moreover, a few semi-structured interviews were also carried out with a number of industry experts (particularly representing the management of a number of healthcare organizations). The findings indicated that majority of patients do feel that doctors wilfully prescribe specific brands of medicine in majority of the cases and they also perceive prescription of brand drugs, repeat medical tests (particularly from referred diagnostic centres) as unethical. Such behaviours are further questioned on account of the presence of similar to commission-based pay in their respective organizations etc.

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Ethics interventions for healthcare professionals and students: A systematic review

Abstract: Patient-related outcomes followed by organisational outcomes can be improved by ethics interventions targeting professionals. Such outcomes are promising in developing ethical safety for healthcare patients and professionals.

Cited by 40 publications

References 66 publications

Self-evaluated ethical competence of a practicing physiotherapist: a national study in Finland

Self-evaluated ethical competence of a practicing physiotherapist: a national study in Finland

Healthcare professionals’ ethical competence: A scoping review

Determinants of Patients’ Perception of Healthcare Professionals’ Ethics in Bangladesh

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