Document Type : Original Articles
Authors
1 Department of Physiotherapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
2 Department of Medical Ethics, School of Medicine, Shiraz University of Medical Sciences
3 Department of Physiotherapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences
Abstract
Background: Understanding the principles of professional ethics is crucial for physiotherapists as it equips them to navigate ethical dilemmas effectively. This study aimed to assess the awareness level of physiotherapists in Shiraz regarding the ethical principles outlined in the codes of professional ethics within the field of physiotherapy.
Method: To carry out this cross-sectional study, a checklist comprising 20 items was developed and distributed to 163 physiotherapists practicing in Shiraz. Each item was scored using a 5-point Likert scale. The checklist allowed for a maximum score of 100 and a minimum score of 20.
Results: Out of the 163 physiotherapists approached, 109 completed the checklist. The mean score this study's participating physiotherapists achieved was 80.1 ± 6.5. The mean score showed correlations with both age (rs=0.9, p < 0.001) and clinical experience (rs=0.32, p < 0.001) of the physiotherapists. No significant differences were observed in the level of awareness of professional ethics codes between genders (p = 0.99) or among those working in private, public, or mixed sectors (p = 0.39).
Conclusion: Overall, the findings of this study indicate that the awareness level of Shiraz physiotherapists regarding the codes of professional ethics is generally good. However, certain codes may benefit from further training and emphasis.
Keywords
- Gabard DL, Martin MW. Physical therapy ethics: FA Davis; 2010. https://books.google.com/books?id=aqqISAAACAAJ
- Olejarczyk JP, Young M. Patient rights and ethics. StatPearls Publishing; 2021. https://www.ncbi.nlm.nih.gov/books/NBK538279/
- Sabzevari A, Kiani MA, Saeidi M, Jafari SA, Kianifar H, Ahanchian H, et al. Evaluation of patients' rights observance according to patients' rights charter in educational hospitals affiliated to Mashhad University of medical sciences: medical staffs’ views. Electron Physician. 2016; 8(10):3102-9.
- Woogara J. Patients' rights to privacy and dignity in the NHS. Nurs Stand. 2005; 19(18):33.
- MESH terms: Ethics, Professional. https://www.ncbi.nlm.nih.gov/mesh/68004995
- Edwards I, Delany CM, Townsend AF, Swisher LL. New perspectives on the theory of justice: implications for physical therapy ethics and clinical practice. Phys Ther. 2011; 91(11):1642-52.
- Code of Ethics for the Physical Therapist. https://www.apta.org/apta-and-you/leadership-and-governance/policies/code-of-ethics-for-the-physical-therapist
- The Physiotherapy Board of Australia. Code of conduct for registered health practitioners. https://www.physiotherapyboard.gov.au/codes-guidelines/code-of-conduct.aspx
- The World Confederation for Physical Therapy (WCPT). WCPT declaration of principle on ethical principles. https://world.physio/sites/default/files/2020-04/PS-2019-Ethical-principles.pdf
- Mohamadi M, Rojhani-Shirazi Z, Enjoo SA, Shamsi-Gooshki E, Abdollahi I, Fatemeh Bahmani FB, et al. Proposing a set of ethical guidelines for Iranian physiotherapists: results of a modified Delphi technique. Indian J Med Ethics. 2022; VII (1):1-22.
- Rose SJ. Editor's note: Gathering storms. Phys Ther. 1989; 69(5):354-5. https://doi.org/10.1093/ptj/69.5.354
- Rose SJ. Editor's note: Our body of knowledge revisited. Phys Ther. 1989; 69(4):297-8. https://doi.org/10.1093/ptj/69.4.297
- Magistro Clinical decision making in physical therapy: a practitioner's perspective. Phys Ther. 1989; 69(7):525-34.
- Singleton MC. Independent practice--on the horns of a dilemma. A special communication. Phys Ther. 1987; 67(1):54-7.
- Purtilo RB. Understanding ethical issues. The physical therapist as ethicist. Phys Ther. 1974; 54(3):239-43.
- Purtilo RB. Ethics teaching in allied health fields. Hastings Cent Rep. 1978; 8(2):14-6.
- Guccione AA. Ethical issues in physical therapy practice. A survey of physical therapists in New England. Phys Ther. 1980; 60(10):1264-72.
- Cantu R. Physical therapists' perception of workplace ethics in an evolving health-care delivery environment: a cross-sectional survey. Physiother Theory Pract. 2019; 35(8):724-37.
- Kulju K, Suhonen R, Puukka P, Tolvanen A, Leino-Kilpi H. Self-evaluated ethical competence of a practicing physiotherapist: a national study in Finland. BMC Med Ethics. 2020; 21(1):43.
- Swisher LL, Hiller P. The revised APTA code of ethics for the physical therapist and standards of ethical conduct for the physical therapist assistant: theory, purpose, process, and significance. Phys Ther. 2010; 90(5):803-24.
- Gharibi F, Oskouei M, Tabrizi H, Jafarabadi M. Assessing the level of patient rights compliance in the physiotherapy clinic of Tabriz University of Medical Sciences in 2009. Med Ethics. 2012; 6(19): 27-46. https://doi.org/10.22037/mej.v6i19.3560 [Persian]
- Souri N, Nodehi Moghadam A, Mohammadi Shahbolaghi F. Iranian Physiotherapists’ Perceptions of the Ethical Issues in Everyday Practice. Iranian Rehabil J. 2020; 18(2):125-136.
- Praestegaard J, Gard G. The perceptions of Danish physiotherapists on the ethical issues related to the physiotherapist-patient relationship during the first session: a phenomenological approach. BMC Med Ethics. 2011; 12:21.
- Marques-Sulé E, Arnal-Gómez A, Cortés-Amador S, de la Torre MI, Hernández D, Aguilar-Rodríguez M. Attitudes towards learning professional ethics in undergraduate physiotherapy students: A STROBE compliant cross-sectional study. Nurse Educ Today. 2021; 98:104771. https://doi.org/10.1016/j.nedt.2021.104771.
- Myyrya L, Juujärvi S, Pesso K. Empathy, perspective taking and personal values as predictors of moral schemas. J Moral Educ. 2010; 39:2, 213-233.
- Tiruneh MA, Ayele BT. Practice of code of ethics and associated factors among medical doctors in Addis Ababa, Ethiopia. PLoS ONE. 2018; 13(8): e0201020. https://doi.org/10.1371/journal.pone.0201020.
- Das S, Kaur S. Professional ethics grow with teaching experience: a study of women teachers in higher education institutions of Punjab. Eur Acad Res. 2014; 2(4): 5904-22.
- Kracher B, Marble R. The significance of gender in predicting the cognitive moral development of business practitioners using the sociomoral reflection objective measure. J Bus Ethics. 2008; 78:503-26.
- Hudon A, Drolet MJ, Williams-Jones B. Ethical issues raised by private practice physiotherapy are more diverse than first meets the eye: Recommendations from a literature review. Physiother Can. 2015; 67(2); 124–132.
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