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Physiotherapy Theory and Practice
An International Journal of Physical Therapy
Volume 35, 2019 - Issue 7
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Qualitative Research Report

How physiotherapists perceive, interpret, and respond to the ethical dimensions of practice: A qualitative study

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Pages 663-676 | Received 15 Aug 2016, Accepted 26 Oct 2017, Published online: 28 Mar 2018

References

  • Anderson L, Jackson S 2012 Competing loyalties in sports medicine: threats to medical professionalism in elite, commercial sport. International Review for the Sociology of Sport 48: 238–256.
  • Australian Physiotherapy Association 2009 APA Code of Conduct. https://www.physiotherapy.asn.au/APAWCM/The_APA/About_The_APA/APACode_of_Conduct.aspx?hkey=f2b9eddb-d561-4ad8-a2c0-6c6d0391c6c5 (accessed 23 Mar 2018).
  • Bates J, Ellaway RH 2016 Mapping the dark matter of context: A conceptual scoping review. Medical Education 50: 807–816.
  • Beauchamp TL, Childress JF 2001 Principles of Biomedical Ethics, New York, Oxford University Press.
  • Bebeau M, Monson V 2008 Guided by theory, grounded in evidence: A way forward for professional ethics education. In: Nucci LP, Krettenauer T, Narváez D Eds Handbook of Moral and Character Education, pp 557–582. Hillsdale, Routledge.
  • Bennell KL, Hinman RS 2011 A review of the clinical evidence for exercise in osteoarthritis of the hip and knee. Journal of Science and Medicine in Sport 14: 4–9.
  • Bergum V, Dossetor JB 2005 Relational Ethics: the Full Meaning of Respect, Hagerstown, University Publishing Group.
  • Bialocerkowski AE, Grimmer KA, Milanese SR, Kumar VSS 2004 Application of current research evidence to clinical physiotherapy practice. Journal of Allied Health 33: 230–237.
  • Bleakley A 2006 A common body of care: the ethics and politics of teamwork in the operating theater are inseparable. Journal of Medicine and Philosophy 31: 305–322.
  • Campbell M, Zegwaard KE 2015 Developing critical moral agency through workplace engagement. In: Kennedy M, Billett S, Gherardi S, Grealish L Eds Practice-Based Learning in Higher Education: jostling Cultures, pp 47–64. Dordrecht, Springer Netherlands.
  • Canadian Physiotherapy Association. 2016 CPA Code of Ethics. https://www.physiotherapy.ca/About-Physiotherapy/Code-of-Ethics?lang=en-ca.files/3167/Code-of-Ethics.html (accessed 23 Mar 2018).
  • Carpenter C, Richardson B 2008 Ethics knowledge in physical therapy: A narrative review of the literature since 2000. Physical Therapy Reviews 13: 366–374.
  • Casarett DJ, Daskal F, Lantos J 1998 The authority of the clinical ethicist. Hastings Center Report 28: 6–11.
  • Charmaz K 2006 Constructing Grounded Theory: A Practical Guide through Qualitative Research, London, Sage.
  • Charon R, Banks JT, Connelly JE, Hawkins AH, Hunter KM, Jones AH, Montello M, Poirer S 1995 Literature and medicine: contributions to clinical practice. Annals of Internal Medicine 122: 599–606.
  • Chartered Society of Physiotherapy 2016 QA Standards: section 2: the Code Explained. http://www.csp.org.uk/professional-union/professionalism/csp-expectations-members/code-professional-values/section-2-code-#ethics (accessed 23 Mar 2018).
  • Childress JK 1997 Conscience and conscientious actions in the context of MCOs. Kennedy Insitute of Ethics Journal 7: 403–411.
  • Childress JK 2017 Reflections on the National Bioethics Advisory Commission and Models of Public Bioethics. Hastings Center Report 47 (Suppl 1): S20–S23.
  • Delany C 2012 The role of clinical ethics consultations for physical therapy practice. Physical Therapy Reviews 17: 176–183.
  • Delany C, Edwards I, Jensen G, Skinner E 2010 Closing the gap between ethics knowledge and practice through active engagement: an applied model of physical therapy ethics; author response. Physical Therapy 90: 1081–1082.
  • Delany C, Fryer C, van Kessel G 2016 An ethical approach to health promotion in physiotherapy practice. Health Promotion Journal of Australia 26: 255–262.
  • Delany C, Gillam L, Spriggs M, Fry C 2010 The unique nature of clinical ethics in allied health paediatrics and child health. Cambridge Quarterly of Healthcare Ethics 19: 471–480.
  • Edwards I, Braunack-Mayer A, Jones M 2005 Ethical reasoning as a clinical-reasoning strategy in physiotherapy. Physiotherapy 91: 229–236.
  • Edwards I, Delany C 2008 Ethical reasoning. In: Higgs J, Jones M, Loftus S, Christensen N Eds Clinical Reasoning in the Health Professions, 3rd. pp. 279–289. Boston, Elsevier.
  • Edwards I, Delany C, Townsend A, Swisher L 2011 Moral agency as enacted justice: A clinical and ethical decision making framework for responding to health inequities and social injustice. Physical Therapy 91: 1653–1663.
  • Edwards I, Jones M, Carr J, Braunack-Mayer A, Jensen G 2004 Clinical reasoning strategies in physical therapy. Physical Therapy 84: 312–330.
  • Edwards I, Richardson B 2008 Clinical reasoning and population health: decision making for an emerging paradigm of health care. Physiotherapy Theory and Practice 24: 183–193.
  • Finch E, Geddes EL, Larin H 2005 Ethically-based clinical decision-making in physical therapy: process and issues. Physiotherapy Theory and Practice 21: 147–162.
  • Frank AW 1995 The Wounded Storyteller: body, Illness, and Ethics, Chicago, University of Chicago Press.
  • Gillam L, Delany C, Guillemin M, Warmington S 2013 The role of emotions in health professional ethics teaching. Journal of Medical Ethics 40: 331–335.
  • Glaser J 2005 Three realms of ethics: an integrating map of ethics for the future. In: Purtilo R, Jensen G, Brasic Royeen C Eds Educating for Moral Action: A Sourcebook in Health and Rehabilitation Ethics, pp. 169–184. Philadelphia, PA, FA Davis Co.
  • Greener I 2003 Patient choice in the NHS: the view from economic sociology. Social Theory and Health 1: 72–89.
  • Greenfield BH 2006 The meaning of caring in five experienced physical therapists. Physiotherapy Theory and Practice 22: 175–187.
  • Greenfield BH 2007 The role of emotions in ethical decision making: implications for physical therapist education. Journal of Physical Therapy Education 21: 14–21.
  • Greenfield BH, Jensen G, Delany C, Mostrom E, Knab M, Jampel A 2015 Power and promise of narrative for advancing physical therapist education and practice. Physical Therapy in Sport 95: 924–933.
  • Greenfield BH, Jensen GM 2010 Beyond a code of ethics: phenomenological ethics for everyday practice. Physiotherapy Research International 15: 88–95.
  • Guba E, Lincoln YS 2005 Paradigmatic controversies, contradictions, and emerging confluence. In: Denzin NK, Lincoln YS Eds The Sage Handbook of Qualitative Research, 3rd. pp. 191–215. Thousand Oaks, Sage.
  • Guillemin M, Gillam L 2006 Telling Moments. Everyday Ethics in Health Care, Melbourne, IP Communications.
  • Hager P, Halliday J 2007 Recovering Informal Learning: wisdom, Judgement and Community, Dordrecht, Springer.
  • Hudon A, Drolet MJ, Williams-Jones B 2015 Ethical issues raised by private practice physiotherapy are more diverse than first meets the eye: recommendations from a literature review. Physiotherapy Canada 67: 124–132.
  • Hudon A, Laliberté M, Hunt M, Sonier V, Williams-Jones B, Mazer B, Badro V, Ehrmann Feldman D 2014 What place for ethics? An overview of ethics teaching in occupational therapy and physiotherapy programs in Canada. Disability and Rehabilitation 36: 775–780.
  • Hunt MR, Carnevale FA 2012 Exploring disability through the lens of moral experience. Physical Therapy Reviews 17: 369–373.
  • Jensen GM, Delany C 2016 Ethics and expert practice. In: Higgs J, Trede F eds Professional Practice Discourse Marginalia, pp 73–82. Amsterdam, Sense Publishers.
  • Jensen GM, Greenfield B 2012 Ethics education: developing habits of mind through the use of pedagogical content knowledge. Physical Therapy Reviews 17: 149–156.
  • Jensen GM, Gwyer J, Shepard KF, Hack LM 2000 Expert practice in physical therapy. Physical Therapy 80: 28–43.
  • Jonsen AR, Toulmin SE 1988 The Abuse of Casuistry: A History of Moral Reasoning, Berkeley, University of California Press.
  • Kerridge IH, Savulescu J, Komesaroff PA 2001 Is there a future for clinical ethics services in Australia? Medical Journal Of Australia 175: 211–213.
  • Killick L, Davenport TE 2014 Pain worlds: towards the integration of a sociocultural perspective of pain in clinical physical therapy. Physiotherapy Research International 19: 193–204.
  • Krueger RA, Casey MA 2014 Focus Groups: A Practical Guide for Applied Research, Singapore, Sage Publications.
  • Laliberte M, Hudon A 2013 Do conflicts of interest create a new professional norm? Physical therapists and workers’ compensation. American Journal of Bioethics 13: 26–28.
  • Larcher V, Slowther A-M, Watson AR 2010 Core competencies for clinical ethics committees. Clinical Medicine 10: 30–33.
  • Laverty S 2003 Hermeneutic phenomenology and phenomenology: A comparison of historical and methodological considerations. International Journal of Qualitative Methods 2: 21–35.
  • Lefmann SA, Crane JL 2016 Establishing the diverse value of the emergency department physiotherapist. Journal of Physiotherapy 62: 1–3.
  • Luszczynska A, Sutton S 2006 Physical activity after cardiac rehabilitation: evidence that different types of self-efficacy are important in maintainers and relapsers. Rehabilitation Psychology 51: 314–321.
  • Mattingly C 1994 The concept of therapeutic ‘emplotment’. Social Science and Medicine 38: 811–822.
  • McClellan CM, Greenwood R, Benger JR 2006 Effect of an extended scope physiotherapy service on patient satisfaction and the outcome of soft tissue injuries in an adult emergency department. Emergency Medicine Journal 23: 384–387.
  • McPherson K, Kersten P, George S, Lattimer V, Breton A, Ellis B, Kaur B, Frampton G 2006 A systematic review of evidence about extended roles for allied health professionals. Journal of Health Services Research and Policy 11: 240–247.
  • Newman J, Vidler E 2006 Discriminating customers, responsible patients, empowered users: consumerism and the modernisation of health care. Journal of Social Policy 35: 193–209.
  • Nussbaum M 2009 Therapeutic Arguments. The Therapy of Desire, Princeton, Princeton University Press.
  • Oyeyemi A 2012 Ethics and contextual framework for professional behaviour and code of practice for physiotherapists in Nigeria. Journal of Nigeria Society of Physiotherapy 18: 49–53.
  • Physiotherapy Board of Australia. 2014 Codes and guidelines. http://www.physiotherapyboard.gov.au/Codes-Guidelines.aspx (accessed 23 Mar 2018).
  • Ponterotto JG 2006 Brief note on the origins, evolution, and meaning of the qualitative research concept thick description. Qualitative Report 11: 538–549.
  • Poulis I 2007 Bioethics and physiotherapy. Journal of Medical Ethics 33: 435–436.
  • Praestegaard J, Gard G 2011 The perceptions of Danish physiotherapists on the ethical issues related to the physiotherapist-patient relationship during the first session: A phenomenological approach. BMC Medical Ethics 12: 21.
  • Praestegaard J, Gard G, Glasdam S 2013 Practicing physiotherapy in Danish private practice: an ethical perspective. Medicine, Health Care and Philosophy 16: 555–564.
  • Purtilo RB 1977 The American Physical Therapy Association’s code of ethics: historical foundations. Physical Therapy 57: 1001–1006.
  • Purtilo RB 2000 Thirty-first Mary McMillan lecture. A time to harvest, a time to sow: ethics for a shifting landscape. Physical Therapy 80: 1112–1119.
  • Purtilo RB 2005 New respect for respect in ethics education. In: Purtilo R, Jensen GM, Royeen CB Eds Educating for Moral Action: A Sourcebook in Health and Rehabilitation Ethics, pp 1–10. Philadelphia, FA Davis.
  • Schwartz M 2001 The nature of the relationship between corporate codes of ethics and behaviour. Journal of Business Ethics 32: 247–262.
  • Shenton AK 2004 Strategies for ensuring trustworthiness in qualitative research projects. Education for Information 22: 63–67.
  • Sherrington C, Moseley AM, Herbert RD, Elkins MR, Maher CG 2010 Ten years of evidence to guide physiotherapy interventions: physiotherapy Evidence Database (PEDro). British Journal of Sports Medicine 44: 836–837.
  • Stanhope J, Grimmer-Somers K, Milanese S, Kumar S, Morris J 2012 Extended scope physiotherapy roles for orthopedic outpatients: an update systematic review of the literature. Journal of Multidisciplinary Healthcare 5: 37–45.
  • Sturman NJ, Parker M, van Driel ML 2012 The informal curriculum: general practitioner perceptions of ethics in clinical practice. Australian Family Physician 41: 981–984.
  • Suckley J 2012 Core Clinical Competencies for Extended-Scope Physiotherapists Working in Musculoskeletal (MSK) Intersection Clinics Based in Primary Care: A Delphi Consensus Study. Doctoral Dissertation, University of Salford.
  • Sullivan KJ, Wallace JJ, O’Neil ME, Musolino GM, Mandich M, Studer MT, Bottomley JM, Cormack JC, Nicholson SK, Jensen GM 2011 A vision for society: physical therapy as partners in the national health agenda. Physical Therapy 91: 1664–1672.
  • Swisher LL 2002 A retrospective analysis of ethics knowledge in physical therapy. Physical Therapy 82: 692–706.
  • Swisher LL, Arslanian LE, Davis CM 2005 The Realm-Individual Process-Situation (RIPS) model of ethical decision-making. HPA Resource 5 (3): 1–8. https://www.apta.org/uploadedFiles/APTAorg/Practice_and_Patient_Care/Ethics/Tools/RIPS_DecisionMaking.pdf.
  • Swisher LL, Hiller P 2010 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. Physical Therapy 90: 803–824.
  • Triezenberg HL 1996 The identification of ethical issues in physical therapy practice. Physical Therapy 76: 1097–1107.
  • Triezenberg HL 2000 Beyond the code of ethics: educating physical therapists for their role as moral agents. Journal of Physical Therapy Education 14: 48–58.
  • Vandevelde P 2012 Narrative. In: Luft S, Overgaard S eds The Routledge Companion to Phenomenology, pp 360–369. London, Routledge.
  • Verkerk M, Lindemann H 2012 Toward a naturalized clinical ethics. Kennedy Insitute of Ethics Journal 22: 289–306.

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