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Ethical issues in physiotherapy - Reflected from the perspective of physiotherapists in private practice.

Praestegaard, Jeanette LU and Gard, Gunvor LU (2012) In Physiotherapy Theory and Practice
Abstract
Background:

An important aspect of physiotherapy professional autonomy is the ethical code of the profession, both collectively and for the individual member of the profession. The aim of this study is to explore and add additional insight into the nature and scope of ethical issues as they are understood and experienced by Danish physiotherapists in outpatient, private practice.



Methods:

A qualitative approach was chosen and semi-structured interviews with 21 physiotherapists were carried out twice and analyzed, using a phenomenological hermeneutic framework.



Results:

One main theme emerged: The ideal of being beneficent toward the patient. Here, the ethical issues... (More)
Background:

An important aspect of physiotherapy professional autonomy is the ethical code of the profession, both collectively and for the individual member of the profession. The aim of this study is to explore and add additional insight into the nature and scope of ethical issues as they are understood and experienced by Danish physiotherapists in outpatient, private practice.



Methods:

A qualitative approach was chosen and semi-structured interviews with 21 physiotherapists were carried out twice and analyzed, using a phenomenological hermeneutic framework.



Results:

One main theme emerged: The ideal of being beneficent toward the patient. Here, the ethical issues uncovered in the interviews were embedded in three code-groups: 1) ethical issues related to equality; 2) feeling obligated to do one's best; and 3) transgression of boundaries.



Conclusions:

In an ethical perspective, physiotherapy in private practice is on a trajectory toward increased professionalism. Physiotherapists in private practice have many reflections on ethics and these reflections are primarily based on individual common sense arguments and on deontological understandings. As physiotherapy by condition is characterized by asymmetrical power encounters where the parties are in close physical and emotional contact, practiced physiotherapy has many ethical issues embedded. Some physiotherapists meet these issues in a professional manner, but others meet them in unconscious or unprofessional ways. An explicit ethical consciousness among Danish physiotherapists in private practice seems to be needed. A debate of how to understand and respect the individual physiotherapist's moral versus the ethics of the profession needs to be addressed. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Physiotherapy Theory and Practice
publisher
Informa Healthcare
external identifiers
  • pmid:22765019
  • scopus:84871917586
ISSN
0959-3985
DOI
10.3109/09593985.2012.700388
language
English
LU publication?
yes
id
fba6e3dd-07d4-4282-8c50-fa3190f90ddc (old id 2967455)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/22765019?dopt=Abstract
date added to LUP
2012-08-09 16:32:44
date last changed
2017-07-09 04:32:40
@article{fba6e3dd-07d4-4282-8c50-fa3190f90ddc,
  abstract     = {Background: <br/><br>
An important aspect of physiotherapy professional autonomy is the ethical code of the profession, both collectively and for the individual member of the profession. The aim of this study is to explore and add additional insight into the nature and scope of ethical issues as they are understood and experienced by Danish physiotherapists in outpatient, private practice. <br/><br>
<br/><br>
Methods: <br/><br>
A qualitative approach was chosen and semi-structured interviews with 21 physiotherapists were carried out twice and analyzed, using a phenomenological hermeneutic framework. <br/><br>
<br/><br>
Results: <br/><br>
One main theme emerged: The ideal of being beneficent toward the patient. Here, the ethical issues uncovered in the interviews were embedded in three code-groups: 1) ethical issues related to equality; 2) feeling obligated to do one's best; and 3) transgression of boundaries. <br/><br>
<br/><br>
Conclusions: <br/><br>
In an ethical perspective, physiotherapy in private practice is on a trajectory toward increased professionalism. Physiotherapists in private practice have many reflections on ethics and these reflections are primarily based on individual common sense arguments and on deontological understandings. As physiotherapy by condition is characterized by asymmetrical power encounters where the parties are in close physical and emotional contact, practiced physiotherapy has many ethical issues embedded. Some physiotherapists meet these issues in a professional manner, but others meet them in unconscious or unprofessional ways. An explicit ethical consciousness among Danish physiotherapists in private practice seems to be needed. A debate of how to understand and respect the individual physiotherapist's moral versus the ethics of the profession needs to be addressed.},
  author       = {Praestegaard, Jeanette and Gard, Gunvor},
  issn         = {0959-3985},
  language     = {eng},
  month        = {07},
  publisher    = {Informa Healthcare},
  series       = {Physiotherapy Theory and Practice},
  title        = {Ethical issues in physiotherapy - Reflected from the perspective of physiotherapists in private practice.},
  url          = {http://dx.doi.org/10.3109/09593985.2012.700388},
  year         = {2012},
}