PMID: 9421822Jan 1, 1997Paper

Ethical reasoning in physical therapy and occupational therapy

Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy
R Barnitt, C Partridge

Abstract

The purpose of the study was to describe and then compare ethical dilemmas reported by eight physical therapists and eight occupational therapists. A co-operative research method was adopted with the therapists participating in the analysis of the transcripts of the interviews. The analysis was carried out using a 'multiple' readings methods taken from hermeneutic phenomenology. Results showed that the context or setting of the dilemma had a major effect on the therapists' reasoning. Features which emerged from the context were the site of the dilemma, the work group, the patient group and the hierarchical or power relations in operation. Physical therapists and occupational therapists showed differences in reasoning style with the former more likely to adopt a diagnostic or procedural style, and the latter a narrative style. Dealing with ethical dilemmas was found to be a skilled and stressful aspect of practice. Capacity to deal with the dilemmas was negatively influenced by uncertainty of outcome, emotional sequelae of the event, and social pressure to behave in certain ways. Positive influences included previous experience with similar dilemmas, time for reflection, and support from peers.

References

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Dec 1, 1992·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
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Citations

Feb 2, 2002·Occupational Therapy International·AY-WOAN PanJIN-SHIN Lai
Jan 14, 2000·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·R Barnitt, C Partridge
Aug 20, 2010·Cambridge Quarterly of Healthcare Ethics : CQ : the International Journal of Healthcare Ethics Committees·Clare DelanyLynn Gillam
Apr 17, 2014·International Journal of Speech-language Pathology·Danielle R FlatleyMichelle A Lincoln
Jul 7, 2015·Manual Therapy·Neil LangridgeCatherine Pope
Nov 6, 2008·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Megan SmithElizabeth Ellis
Jan 14, 2010·Physiotherapy Theory and Practice·Megan SmithElizabeth Ellis
Jan 14, 2010·Physiotherapy Theory and Practice·Christine Carpenter
Jun 22, 2010·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Laura Lee Swisher
Jan 1, 2009·Occupational Therapy in Health Care·Ted BrownKaren Stagnitti
May 17, 2019·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Sandra VanderKaaySandra E Moll
Sep 20, 2019·The South African Journal of Physiotherapy·Kayode S Aderibigbe, Sylvester C Chima
Jan 5, 2006·Physiotherapy Theory and Practice·Elspeth FinchHélène Larin
May 22, 2018·Disability and Rehabilitation·Sandra VanderKaaySandra E Moll
Aug 27, 2014·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Valerie A Wright-St Clair, Diane B Newcombe

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