Perception Of Physical Therapist Of Lahore Regarding Ethical Issues In Clinical Practice; A Cross Sectional Study
Perception of physical therapist regarding ethical issues
Keywords:Attitudes, Clinical practice, Conflict, Ethical Concerns, Opinions, Perception, Physical Therapy
Ethics are broad range of thinking about expressional interdependence behaviors of human being and about situational balance between right and wrong as moral duty. Objective: The purpose of this study was to figure out ethical issues in clinical practice of physical therapy practice. Methods: A cross sectional study was conducted at various clinical setups in Lahore enrolling practicing physical therapists via non-probability convenience sampling technique. A sample of 249 physical therapists was extracted using sample size calculator (Confidence interval 95%). Participants were selected on the basis of inclusion criteria and responses were recorded using self-structured questionnaire whose content validity was assessed using Lynn, M.R (1986) method. The questionnaire consisted of set of opinions regarding multidimensional aspects of ethics in patient care. The data was analyzed by SPSS version 20. The analysis was based on descriptive statistics such as frequency percentages and measures of central tendency and standard deviation. The multiple responses were calculated regarding collective opinions. Results: Demographics of the participants were expressed in frequency and percentages. The results showed that professional ethics were learned by 174(70.7%) respondents during physical therapy course, by 38 (15.4%) via internet and by 34(13.8%) by other sources. On average, most of the responses regarding awareness, obligation and inter-professional relationship were reported as moderate to minimum. Conclusions: The study concluded that perception and opinions of physical therapists regarding ethical issues garnered only moderate to minimum concern about clinical practice. However, they identified a huge gap and lack of coordination with other health professional in clinical facility.
Guccione AA. Ethical Issues in Physical Therapy Practice a Survey of Physical Therapists in New England. Physical Therapy. 1980;60(10):1264-72.
Greenfield BH, Jensen GM. Understanding the lived experiences of patients: Application of a phenomenological approach to ethics. Physical Therapy. 2016;90(8):1185-97.doi.org/10.2522/ptj.20090348
Doherty RF, Purtilo RB. Ethical Dimensions in the Health Professions-E-Book: Elsevier Health Sciences; 2015.
Laliberté M, Williams-Jones B, Feldman DE, Hunt M. Ethical Challenges for Patient Access to Physical Therapy: Views of Staff Members from Three Publicly-Funded Outpatient Physical Therapy Departments. Narrative inquiry in bioethics. 2017;7(2):157-69.doi.org/10.1353/nib.2017.0046
Kent J, Farrell A-M, Soothill P. Routine administration of Anti-D: the ethical case for offering pregnant women fetal RHD genotyping and a review of policy and practice. BMC pregnancy and childbirth. 2014;14(1):87.
Jacquemin D, Pujol N, Aubry R, Choteau B, Desmedt M, Guirimand F, et al. Transgression: Constructing an ethical clinical practice. MEDECINE PALLIATIVE. 2015;14(2):91-7.doi.org/10.1016/j.medpal.2015.01.006
Hudon A, Drolet M-J, Williams-Jones B. Ethical issues raised by private practice physiotherapy are more diverse than first meets the eye: recommendations from a literature review. Physiotherapy Canada. 2015;67(2):124-32.doi.org/10.3138/ptc.2014-10
Horn R, Parker M. Opening Pandora's box? ethical issues in prenatal whole genome and exome sequencing. Prenatal diagnosis. 2017.doi.org/10.1002/pd.5114
Hartvigsson T, Munthe C, Forsander G. Error trawling and fringe decision competence: Ethical hazards in monitoring and address patient decision capacity in clinical practice. Clinical Ethics. 2018:1477750917749955.
Gunn J, Taylor P. Forensic psychiatry: clinical, legal and ethical issues: CRC Press; 2014.doi.org/10.1201/b15462
Ahluwalia P, Cameron D, Cockburn L, Ellwood L, Mori B, Nixon SA. Analyzing international clinical education practices for Canadian rehabilitation students. BMC Med Educ. 2014;14(187):1472-6920.
Anderson L, Cadogan A, Borich M, Schneiders A, Snelling J. New Zealand sports physiotherapy code of conduct. Br J Sports Med. 2015;49(14):961-4.
Arora M, Harvey LA, Hayes AJ, Chhabra HS, Glinsky JV, Cameron ID, et al. Effectiveness and cost-effectiveness of telephone-based support versus usual care for treatment of pressure ulcers in people with spinal cord injury in low-income and middle-income countries: study protocol for a 12-week randomised controlled trial. BMJ Open. 2015;5(7):2015-008369.
Bagozzi RP, Yi Y, Phillips LW. Assessing construct validity in organizational research. Administrative science quarterly. 1991:421-58.
Barnitt R, Partridge C. Ethical reasoning in physical therapy and occupational therapy. Physiotherapy Research International. 1997;2(3):178-94.
Borisenko O, Beige J, Lovett EG, Hoppe UC, Bjessmo S. Cost-effectiveness of Barostim therapy for the treatment of resistant hypertension in European settings. J Hypertens. 2014;32(3):681-92.
Calvo-Lobo C, Pacheco-da-Costa S, Hita-Herranz E. Efficacy of Deep Dry Needling on Latent Myofascial Trigger Points in Older Adults with Nonspecific Shoulder Pain: A Randomized, Controlled Clinical Trial Pilot Study. J Geriatr Phys Ther. 2015;19:19.
Froberg A, Alricsson M, Ahnesjo J. Awareness of current recommendations and guidelines regarding strength training for youth. Int J Adolesc Med Health. 2014;26(4):517-23.doi.org/10.1515/ijamh-2013-0329
Gambino M. Fevered Decisions: Race, Ethics, and Clinical Vulnerability in the Malarial Treatment of Neurosyphilis, 1922-1953. Hastings Cent Rep. 2015;45(4):39-50.
Nieswiadomy RM, Bailey C. Foundations of nursing research: Pearson; 2017.
Moss JD. What are the ethical concerns of inadequate clinical calibration of dental practitioners within the same group practice? The Journal of the American Dental Association. 2017;148(5):351-2.
Morton PG, Fontaine D, Hudak C, Gallo B. Critical care nursing: a holistic approach: Lippincott Williams & Wilkins; 2017.
Moon BL. Ethical issues in art therapy: Charles C Thomas Publisher; 2015.
McLennan S, Kahrass H, Wieschowski S, Strech D, Langhof H. The spectrum of ethical issues in a Learning Health Care System: a systematic qualitative review. International Journal for Quality in Health Care. 2018.
Masters K. Role development in professional nursing practice: Jones & Bartlett Publishers; 2015.
LoBiondo-Wood G, Haber J. Nursing Research-E-Book: Methods and Critical Appraisal for Evidence-Based Practice: Elsevier Health Sciences; 2017.
Rosety-Rodriguez M, Fornieles G, Camacho-Molina A, Rosety I, Diaz AJ, Rosety MA, et al. [A short-term training program reduced acute phase proteins in premenopausal women with metabolic syndrome]. Nutr Hosp. 2013;28(5):1604-9.
Salbach NM, O'Brien K, Evans C, Yoshida K. Dissemination of student research in a canadian master of science in physical therapy programme. Physiother Can. 2013;65(2):154-7.
Schneiders AG. Blood, sweat and tears: reclaiming the ethical high ground in sports physiotherapy: Br J Sports Med. 2015 Jul;49(14):904. doi: 10.1136/bjsports-2015-095013. Epub 2015 May 27.
Setchell J, Watson B, Jones L, Gard M, Briffa K. Physiotherapists demonstrate weight stigma: a cross-sectional survey of Australian physiotherapists. J Physiother. 2014;60(3):157-62.doi.org/10.1016/j.jphys.2014.06.020
Sobrinho MT, Guirado GN, Silva MA. Preoperative therapy restores ventilatory parameters and reduces length of stay in patients undergoing myocardial revascularization. Rev Bras Cir Cardiovasc. 2014;29(2):221-8.
Stoddard FJ, Jr Ryan CM, Schneider JC. Physical and psychiatric recovery from burns. Surg Clin North Am. 2014;94(4):863-78.
Miller FG, Emanuel EJ, Rosenstein DL, Straus SE. Ethical issues concerning research in complementary and alternative medicine. Jama. 2004;291(5):599-604.doi.org/10.1001/jama.291.5.599
How to Cite
Copyright (c) 2022 Pakistan BioMedical Journal
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments firstname.lastname@example.org